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Health Plans & Insurance Hub

Latest Health Plans & Insurance News, Jobs & Blog Updates  RSSRSS

WCRI - Practice pattern variations in workers comp

Managed Care Matters |  November 23rd, 2008 | Email this
Once again the fall is here, which means it is time for the Workers Compensation Research Institute’s annual meeting (today and tomorrow in Boston) and the National Workers Comp and Disability meeting (next week in Las Vegas). Today’s kickoff began with a review of how the system has evolved since [...]
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Off to Vegas!

Managed Care Matters |  November 23rd, 2008 | Email this
The annual gathering of the tribes is happening, in Las Vegas this year, as the National Workers Comp and Disability Conference opens this evening. Here's what I'll be looking for. 1. any palpable evidence of outcomes-based physician networks - or any networks that do not have large, yellow-pages-sized directories of [...]
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the comp conference - first impression

Managed Care Matters |  November 23rd, 2008 | Email this
before I even hit the floor (exhibit, that is), it became evident that the big thing this year is...MSAs! Really. For those of us who were under the impression that the Medicare set-aside business had peaked some time ago, it looks like a lot of folks were reading the tea [...]
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Two new network offerings

Managed Care Matters |  November 23rd, 2008 | Email this
My quest for an actual provider-centric network is not complete. But there are a couple of companies that look to be off to a good start. By way of background, most networks tout their huge directories of lots of providers, their discounts, and not much else. They sell their network [...]
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Florida - the end of the happy times

Managed Care Matters |  November 23rd, 2008 | Email this
While I and a few thousand other industry folks have been conferring in Las Vegas, the world (most inconveniently I would add) has been marching forward without us. In Florida, it looks their progress is headed right for the edge of a metaphorical cliff. Florida's workers comp regulatory bosses yesterday [...]
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Endowment and Medicaid woes pummel hospitals

BizJournals |  November 23rd, 2008 | Email this
Consider these statistics.[...]
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Delta Dental of Arizona offers high-benefit insurance plans

BizJournals |  November 23rd, 2008 | Email this
Delta Dental of Arizona, the largest dental benefits provider in the state, has introduced new insurance that dovetails into a consumer-directed health plan.[...]
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Kaiser speaks softly on deal to raise some unions’ pay

BizJournals |  November 23rd, 2008 | Email this
Kaiser Permanente had some good news last month, but neglected to tell anyone outside the organization about it.[...]
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WellPoint to begin covering some medical tourism

Fierce Healthcare |  November 23rd, 2008 | Email this
In a what could be a precedent-setting move, health insurer WellPoint Inc., the second largest insurer in the United States, has kicked off a small test under which it will reimburse patients for getting care overseas. Industry watchers are sure to keep a close eye on the results of this test, which could [...]
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If health plan profits keep falling, selloffs may begin

Fierce Healthcare |  November 23rd, 2008 | Email this
Health plan profits are falling, and given the trends in the U.S. economy and healthcare costs generally, this trend is likely to linger for a while. And if falling profits remain a fact of life for the plans, it's likely to spawn a series of plan selloffs which will bring [...]
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AARP investigated for false advertising of member insurance

Fierce Healthcare |  November 23rd, 2008 | Email this
The AARP prides itself on being an adamant watchdog for consumers' rights, especially on healthcare--but sometimes gods have feet of clay. The billion-dollar elderly advocacy group is now accused of false advertising on its own insurance policies. AARP partnered with UnitedHealth Group, one of the nation's largest insurers, to give members [...]
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Lawmakers largely oppose PA Blues merger

Fierce Healthcare |  November 23rd, 2008 | Email this
Pennsylvania commissioner Joel Ario gets to make the final decision on the proposed merger between Independence Blue Cross and Highmark Inc.--but the state's lawmakers are not shying away from giving their honest opinions about it. As Ario thinks over his decision, he's getting hammered over the issues involved. The overwhelming consensus [...]
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Blues claim improvement in cost and outcomes

Fierce Healthcare |  November 23rd, 2008 | Email this
Score one for hospital quality improvement programs: The Blues announced at a news conference that they have been successful in improving patient outcomes and reducing costs through Blue Distinction program. A survey by WellPoint subsidiary HealthCore showed a 26 percent lower readmission rate for bypass surgeries, and a 5 percent [...]
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Open Season For Medicare Part D Enrollment

Medical News Today |  November 23rd, 2008 | Email this
From November 15th to the end of December is "open season" for American senior citizens to sign up for another year to benefit from the federal government program known as Medicare Part D designed to help eligible older Americans pay for prescription drugs.[...]
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Connecticut Attorney General Calls For Rebidding Of State Health Insurance Programs, Governor Says Move Is Unnecessary

Medical News Today |  November 23rd, 2008 | Email this
Connecticut Attorney General Richard Blumenthal (D) on Monday recommended that the state Department of Social Services rebid contracts with managed care organizations for HUSKY and the Charter Oak health plan, but Gov.[...]
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An insider's guide to winning a brand

iMedia Connection |  November 23rd, 2008 | Email this
Prominent branding professionals from Coca-Cola, Kaiser Permanente, Zappos.com and more share their strategies for cutting through the clutter to pick an agency that is right for them.[...]
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Center City Clerical Position (Job)

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PA-Philadelphia, Seeking qualified administrative professionals to facilitate the work flow of a Center City Insurance firm. This organization is a well established firm specializing in group health insurance, defined[...]
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Rad Oncology Systems Admin - Roseville, CA (Job)

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CA-Sacramento, This position supports Kaiser Permanente's code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaise[...]
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MEDICAID BILLER (Job)

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MO-St. Louis, WANTED!! Experienced online Medicaid Biller for four SNF's in Missouri, Tenessee and Kentucky. MDI software knowledge a plus. Must be a team player, self starter and detail oriented. Corporate office i[...]
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HEALTH INSURANCE SPECIALIST (Job)

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TX-San Antonio, HEALTH INSURANCE SPECIALIST Benefit Recovery is currently searching for an outgoing, self-starting mult-tasker for health insurance collection and patient marketing. The position is at Randolph AFB, S[...]
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