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November 15, 2013

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Today's Headlines

What Sebelius says about insurers

In the November 13 press conference announcing that 106,185 consumers had made a health plan selection on the exchanges, HHS Secretary Kathleen Sebelius indicated that the 834 is still a work in progress. » More

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Healthcare Financing and Advisory Solutions from CIT
CIT offers a wide range of financing products to ophthalmology and optometry practices. From financing medical equipment to M&A services and cash flow loans, we tailor our services to meet the unique needs of each client. cit.com/healthpertise

New Medicaid leader focuses on integration,
payment reform

Integrated healthcare and payment reform are two efforts of Medicaid Health Plans of America (MHPA) under its new president and CEO, government affairs veteran Jeff Myers. Myers has succeeded Joe Moser, MHPA’s interim executive director and director of government affairs, who was recently appointed Medicaid Director of Indiana. » More

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Free Webinar: 5010 Encounter Data Requirements – October 24
Join product experts from Inovalon to learn best practices for managing 5010 encounter data to achieve risk score accuracy for Medicare Advantage health plans. Register now to reserve your space here.

How a health plan loses grandfathered status

A plan will lose its grandfathered status if any one of the following changes were made to a policy at any time since PPACA became law on March 23, 2010. » More

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The Obesity Epidemic
More than 78 million U.S. adults and 12 million children and adolescents are obese, and those numbers increase every day. Articles, video, whitepapers, and resources to help you adapt your practice to confront the growing epidemic.

Plans still waiting on enrollment data

The federal data services hub that drives the healthcare.gov application and enrollment process is working normally, however, the user interface continues to be plagued by slow response, unrelated error messages and sporadic progress delays. » More

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"Omega-3 Fatty Acids – Multiple Types, Varying Impact?"

Narrow networks disappoint consumers

To ensure consumers logging onto the marketplace exchanges see their most affordable offerings, many payers have narrowed their networks to exclude providers who don’t meet cost and quality standards. » More

Single payer issue will rise again

The future of healthcare centers on scale, population health and the value of care rather than the volume of care, according to thought leaders speaking at a leadership briefing in November in Akron, Ohio. But the political atmosphere also adds layers of complexity, they say. » More

 
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Keep in touch with MHE

We value your input. Please send your comments and article ideas to Editor in Chief Julie Miller. julie.miller@advanstar.com.

Business Strategy

Superusers lack social, primary care resources

Short fills save costs, reduce medication waste

Apply holistic care collaboration to type 2 diabetes

Targeted treatments reduce allergy and asthma costs

Expand the scope of bundled payment efforts

RUC

What you need to know about RUC and Medicare payment

Medicare fee schedule has foothold in contracting

Physician payment determinations must include more evidence

New payment models gain traction

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