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Managed Healthcare Executive eNews

Managed Healthcare Executive eNews

ManagedHealthcareExecutive.com

March 19, 2012

POLICY

Be ready for insurance exchanges

Many states are taking a wait-and-see approach on mandated heath insurance exchanges thanks to Supreme Court challenges, presidential candidate promises, and new rules. With a year-end deadline looming, health Insurance companies who want to participate in state-run exchanges have to be ready for anything. » More

THOUGHT LEADERSHIP

How to save Medicare

While Democrats and Republicans butt heads over major structural changes in Medicare, health policy experts say there are many incremental changes that could be made to improve cost control, quality of care and health outcomes. These changes aren't necessarily small or politically easy—even those already authorized by Congress. But they do have broad support among policy experts and would not require a radical overhaul of the popular program for 49 million seniors and disabled people. » More

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BUSINESS STRATEGY

Domestic partner coverage gains ground

Gay marriage makes headlines, but health coverage for domestic partners is quietly becoming more common as top employers seek ways to further define their corporate culture and provide attractive benefit plans. » More

COST CONTROL

Bundle services to cut costs

Research indicates paying for a patient’s entire care episode rather than individually for every test and treatment for certain procedures could save up to 10% of case costs by reducing spending on potentially avoidable complications via bundled payment mechanisms. But payers must consider the cost of switching to bundled payments. » More

PROVIDERS

Regional differences in provider prices

Differences in health status explain much of the regional variation in spending for privately insured people, but differences in provider prices—especially for hospital care—also play a key role, accordingto a new study by the Center for Studying Health System Change (HSC). » More

QUALITY

Merger means more clout

MemorialCare Health System has announced the affiliation of Greater Newport Physicians with its MemorialCare Medical Foundation and the acquisition of Nautilus Healthcare Management Group, Greater Newport’s affiliated management services organization. The merger is expected to increase the health system’s negotiating clout. » More

Policy

Washington Column

Health Reform

Legislation

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