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Managed Healthcare Executive E-News
November 15, 2010
TOP SEARCHES: Business // Providers // Law // Health/DM
In this issue
•
 Backing biosimilars
•
 UHC's cancer payment pilot
•
 Payment reform initiative launched
•
 Aetna to replace its CEO
Key Topic Updates

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Backing biosimilars
While Americans were going to the polls on Nov. 2, executives from biopharmaceutical and generic drug companies, research organizations and patient groups were advising Food and Drug Administration officials on establishing an abbreviated framework for approving "highly similar" versions of licensed biological products. Despite the anti-health-reform rhetoric raging all around, there is broad support for the Biologics Price Competition and Innovation Act (BPCI), which was included in the Affordable Care Act (ACA) enacted last March. More...
UnitedHealthcare pilots new cancer care payment model
UnitedHealthcare(UHC) is working with five medical oncology groups around the country to advance a new cancer-care payment model that reimburses participating medical oncologists upfront for an entire cancer treatment program.The pilot marks a shift away from the current "fee-for-service" approach, which UnitedHealthcare says rewards volume regardless of health outcomes. This new "bundled payment," or "episode payment," will be based on the expected cost of a standard treatment regimen for the specific condition, as predetermined by the doctor. More...
Catalyst for Payment Reform initiative launched
Seven large employers, including six Fortune 500 companies and one state, have launched Catalyst for Payment Reform (CPR). CPR is an effort to help large employers work together to accelerate healthcare payment reforms. More...
Aetna chairman to retire, Bertolini to become CEO
Aetna Chairman and CEO Ronald A. Williams, 60, will retire from Aetna in April 2011.  On Nov. 29, 2010, Williams will become executive chairman and Mark T. Bertolini, 54, currently Aetna’s president and head of Business Operations, will be appointed chief executive officer and elected to the company’s Board of Directors. More...
Key Topic Updates
Thought Leadership
Perseverance in Medicare Advantage
Tried and True

Quality
Without reliable measures, quality reports have little effect
Working together

Providers
Primary care shortage could affect uptake of medical-home model
Consistent administrative rules slim down the need for paperwork

Technology
Use of e-prescribing soars, but majority of docs not onboard
Health IT tools drive savings but interoperability must advance

 
 

 
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