Digital Edition

Insurers move to protect Medigap policies

One often-cited way to reduce Medicare outlays is to make all beneficiaries pay at least some coinsurance on health care services. Last year's health reform legislation took a small step in this direction, and now a Senate bill seeks to prohibit Medigap policies from covering the first $550 in health care costs as a way to make seniors more cost-conscious. Read full article.

Confirm your e-newsletter subscription click here.

To ensure future delivery of email newsletters from Managed Healthcare Executive please take a moment to confirm your subscription by clicking here.
Thank you,
Managed Healthcare Executive Staff

Study's conclusions questioned

The June 2011 Commonwealth Fund issue brief, “Assessing the Financial Health of Medicaid Managed Care Plans and the Quality of Patient Care They Provide,” examines how publicly traded health plans differ from non–publicly traded ones in terms of administrative expenses, quality of care, and financial stability. Read full article.

BCBS of Michigan builds up its medical homes

Blue Cross Blue Shield of Michigan (BCBSM) has designated roughly 2,500 physicians in 770 practices across the state as patient-centered medical homes (PCMH), a 28% increase from the 1,800 designated PCMH physicians in 2010. BCBSM says it has built the nation's largest patient-centered medical home program. Read full article.

Online Medicaid and CHIP applications analyzed

A new analysis released by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured provides an overview of online applications for Medicaid and/or Children's Health Insurance Program (CHIP). It examines the extent to which they incorporate features that streamline and simplify the enrollment process for individuals. Read full article.

ADVERTISEMENT

U.S. Healthcare: Converting Vision to Reality

The U.S. healthcare industry must continue to evolve to meet better cost efficiency and effectiveness requirements. Delivering healthier outcomes will require each link in the industry value chain – health insurers, hospital systems, physician groups, long-term care facilities, bio pharmaceutical firms, government agencies, suppliers – to invest in more automated, virtual business models that align with emerging demographic imperatives and technology trends, from real-time data exchange through cloud-based social and mobile tools. Read more...

ADVERTISEMENT

Take our survey to get a free copy of the results and a chance to win a VISA gift card.

To understand how payors and providers are responding to rapid change and regulation, Managed Healthcare Executive is conducting a survey of leading executives like you. To thank you for your participation we'll send you a complimentary copy of the results so you can benchmark yourself against your peers and you will also have a chance to win a Visa gift card. We invite you to take the survey now. We invite you to take the survey now.