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December 8, 2008America's Health Insurance Plans

  Industry News 
 
  • Obama team applies lessons learned in health reform
    The incoming Obama administration hopes that by giving Americans a say in the process for reforming the health care system and pushing forward with a clear-cut plan they can avoid mistakes made during the last major push for health care reform. HHS Secretary nominee Tom Daschle says the health reform movement must be inclusive, fast-acting and focused. The Washington Post/The Associated Press (12/6) LinkedInFacebookTwitterEmail this Story
MEDecision offers collaborative health care management solutions that provide a simplified and smart way to manage the health of members to improve the quality and affordability of care. Based on state-of-the-art technology, our solutions include Alineo, a collaborative health care management platform for CM, DM and UM, and Nexalign, a collaborative health care information exchange service.
  Providers & Suppliers 
 
  • Some U.S. physicians attracted to practice in Canada
    Some U.S. physicians are heading north to Canada to practice medicine, lured by the potential for higher earnings and better working conditions, including more patients and less paperwork. Recruiters say 36 of the last 100 physicians recruited to practice in the Windsor, Ontario, area are from the U.S., as are half of doctors now considering establishing a practice there. National Post (Canada)/Canwest News Service (12/6) LinkedInFacebookTwitterEmail this Story
  • Q-and-A: Costs drive business health plan decisions
    Companies looking to select health plans are concerned with pricing and employee out-of-pocket costs as well as their own compliance with government regulations, says Joe DiPietro of Alliant Insurance Services in Bethesda, Md. He says consumer-driven health plans, such as HSAs, are a hot topic right now as many companies consider offering these plans to help reduce costs. American City Business Journals/Washington (12/5) LinkedInFacebookTwitterEmail this Story
Plug In. And Power Up Your Savings with our Integrated Claims Settlement Solutions. OptumHealthSM Electronic Payments and Statements provides a complete claims remittance and payment solution. OptumHealthSM Print offers quality solutions for your transactional health care communications. Plug In. And Power up Your Savings. Click or call 866-427-6804.
  Medical Update 
 
  • Experts support wider access to stimulant drugs
    Healthy people should have access to brain-boosting pills, such as Ritalin, experts write in an online commentary for the journal Nature. They say that college students already take such stimulants illegally to help them study and that the demand for the drugs is likely to grow. The researchers called for more research into the use, risks and benefits of such drugs, as well as policies to govern their use. Houston Chronicle/The Associated Press (12/7) LinkedInFacebookTwitterEmail this Story
  • Study: Early CF detection may help preserve lung function
    Early detection of cystic fibrosis in infants may help control progression of the disease, according to an Australian study. Researchers found infants with CF had declining lung function sooner than previously thought, despite a normal diagnosis of lung function after birth. Researchers said early intervention may stop some of the lung function reduction in early infancy. Yahoo!/HealthDay News (12/5) LinkedInFacebookTwitterEmail this Story
One Pharmacy. One Relationship. One Solution.
Now more than ever, payors need to work with a specialty pharmacy provider that can implement service, quality and cost-saving strategies to effectively tackle today's complex market. To learn more on how Walgreens Specialty Pharmacy can proactively partner with you to meet your specialty pharmacy needs, request your copy of One Pharmacy. One Solution. One Relationship.
  Emerging Trends 
  • Americans not good at recognizing portion sizes
    A study found that people given packaged meals were more successful at losing weight than were participants who chose their own portion sizes. "If people could cut down on their portion sizes, this would be the single greatest way to combat the creeping obesity epidemic," an expert said. HealthDay News (12/7) LinkedInFacebookTwitterEmail this Story
  Other Company News from AHIP Solutions 
  Hot Topics 
 

Top five news stories selected by AHIP Solutions SmartBrief readers in the past week.

  • Results based on number of times each story was clicked by readers.
 CMS Medicare Risk Adjustment Audits: Are You Ready?
If you received notification of a risk adjustment audit from the Centers for Medicare & Medicaid Services (CMS), Ingenix Clinical Assessment Solutions can help you prepare and support your data validation requirements. Download more information here and call to speak with our Medicare Advantage services representative.
 

The Buzz(CORPORATE ANNOUNCEMENTS)

HEDIS 2009 FREE Webinar Rebroadcast FINAL DAYS—Preview what's changing for the HEDIS 2009 reporting season! National Committee for Quality Assurance (NCQA) experts discussed new measures, proposed changes, and quality initiatives on the horizon for 2009. Sponsored by ViPS, a General Dynamics Information Technology Company, and available for a limited time. Listen Now!

Do you know the difference between Code Auditing and Fraud and Abuse? Find out at a special free webinar on how to increase savings, help prevent unwarranted payments, and maximize your special investigations and code editing operations. Tuesday, Dec. 9th 1 pm ET. Register today or click to McKesson.com for more information.

Interested in learning more about advertising in the AHIP Solutions SmartBrief? Contact Matt Kavney at (202) 737-5500 x244 or mkavney@smartbrief.com.  

  Pharma News 
  • FDA review: Long-acting asthma drugs pose serious risks
    The FDA should revoke clearance for asthma drugs known as long-acting beta agonists for children in light of clinical evidence linking them to a higher risk of asthma attacks and death, according to a review from the agency's drug-safety personnel. The FDA plans to gather a panel of outside experts this week to evaluate the safety of AstraZeneca's Symbicort, Novartis AG's Foradil and GlaxoSmithKline's Advair and Serevent. NYTimes.com (12/5), Reuters (12/5) LinkedInFacebookTwitterEmail this Story
  • Studies: Rituxan plus chemotherapy works for leukemia
    Two studies found that a combination of chemotherapy and Rituxan, a cancer drug from Genentech and Roche Holding, was better than chemotherapy alone in lowering the risk of death or disease progression in people with chronic lymphocytic leukemia. Genentech will seek FDA approval "as soon as possible" to market the medicine to newly diagnosed CLL patients and those whose symptoms have returned, a company executive said. Yahoo!/Reuters (12/6), Bloomberg (12/7) LinkedInFacebookTwitterEmail this Story
  AHIP News 
  • Showcase your company's most impactful community programs
    Do you have a program that addresses a specific challenge in your community with creative approaches, community partnerships and collaborative solutions? If so, nominate your organization's programs for the AHIP Foundation 2009 Community Leadership Awards. To reflect the diversity of AHIP's membership, an award is given in two categories: "Small/Independent" and "Large/Affiliated." Get application details. LinkedInFacebookTwitterEmail this Story
  • Meet the decision-makers in health care policy
    AHIP's 2009 National Policy Forum is where health care experts go to stay on top of the latest policy developments and discuss what these changes mean for the health care industry. Secure one of the coveted sponsorship spots at this conference to ensure your company's products, services and solutions are showcased to this highly target group. To learn more, contact AHIP's Business Advancement Team. LinkedInFacebookTwitterEmail this Story
  • TPA Direct -- Growing profitable returns
    TPA Direct provides health insurance plans, payors, and administrators interested in outsourcing, a direct path to our TPA members. Antares Management Solutions combines insurance and technology expertise to create specialized solutions for self-funded clients. LinkedInFacebookTwitterEmail this Story
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  SmartQuote 
What great changes have not been ambitious?"
--Melinda Gates,
co-founder of Bill & Melinda Gates Foundation


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