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January 4, 2014

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Today's Headlines

Members ready to shop around

Health insurance exchanges were meant to appeal to health plan members who purchase insurance on their own, but are members with employee-sponsored insurance dissatisfied enough with their current coverage to jump ship? The J.D. Power and Associates 2012 U.S. Member Health Plan Study sheds light on the issue. » More

Incentive program results are in

High-performing physicians earned nearly $37 million in incentives from Independence Blue Cross — the largest amount IBC has ever paid primary care doctors — but $20 million more is on the table. Do the payments justify the savings? » More

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The advantages of Medicare Advantage

Medicare Advantage (MA) beneficiaries received more benefits and had lower costs than their counterparts in traditional Medicare, but not all seniors enrolled in MA plans see the same level of benefits and savings. » More

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

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

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

 

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Business Strategy

Laying the groundwork for exchanges

More incentives offered to rank and file

Medicare Advantage grows in size

Consider bundled payment

Consumers recognize value in regional insurance brands

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.

 
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