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Primary care shortage could worsen under reform

The shortage of primary care physicians could prove a major challenge to health reform. To make matters worse, some doctors are considering early retirement because of the high cost of practicing medicine.

16 Sep 2009

IncentOne and Discern Consulting to establish standardized framework for health incentive programs

IncentOne (http://www.incentone.com), the leading provider of incentive solutions to the healthcare industry, and Discern Consulting, a firm specializing in the development and implementation of provider pay-for-performance programs, have partnered to deliver "the science of health incentives".

16 Sep 2009

Winner of 2009 Annie E. Casey Innovations Award announced

The Ash Institute for Democratic Governance and Innovation at the John F. Kennedy School of Government at Harvard University today announced Wraparound Milwaukee of Milwaukee County as the 2009 winner of the Annie E. Casey Innovations Award in Children and Family System Reform. As part of Milwaukee County’s Department of Health and Human Services, Wraparound Milwaukee is the first government-operated managed care service designed to treat emotionally disturbed youth in the home setting.

15 Sep 2009

MedRisk and CWCS sign partnership agreement

MedRisk, Inc. has entered into an agreement with Coventry Workers' Comp Services (CWCS), a division of Coventry Health Care, Inc.

15 Sep 2009

MHPA to hold policy briefing on issues for Medicaid health plans in health reform

The Medicaid Health Plans of America (MHPA), the leading trade association solely focused on representing Medicaid health plans, is holding a policy briefing on issues for Medicaid health plans in health reform. Issues will include Medicaid expansion, prescription drug rebate equalization for Medicaid managed care, and medical loss ratios.

15 Sep 2009

MedAssurant purchases Catalyst Information Technologies

MedAssurant, Inc., a leading provider of data-driven healthcare solutions, announced today that it has acquired Catalyst Information Technologies, Inc., d/b/a Catalyst Technologies, a leader in healthcare clinical quality outcomes analysis and data analytical toolset development.

15 Sep 2009

Tenet announces revisions to its outlook for 2009

Tenet Healthcare Corporation (NYSE: THC) today announced revisions to its outlook for 2009 Adjusted EBITDA to a new range of $900 million to $950 million. The prior outlook range was $810 million to $875 million. This new range corresponds to an outlook for net income attributable to shareholders in a range of $76 million to $141 million. Adjusted EBITDA is a non-GAAP term defined and reconciled to GAAP net income below.

14 Sep 2009

Health policy research roundup

Robert Wood Johnson Foundation: A Snapshot of U.S. Physicians: Key Findings from the 2008 Health Tracking Physician Survey - This brief reviews findings from the Center for Studying Health System Change (HSC) 2008 Health Tracking Physician Survey, a national survey including the responses of more than 4,700 U.S. physicians who provide "at least 20 hours per week of direct patient care."

11 Sep 2009

New electronic credentialing system for managed care organizations

OneBeacon Professional Partners, a member of OneBeacon Insurance Group (NYSE: OB), today announced an alliance with Medversant Technologies, LLC to offer OneBeacon managed care customers AutoVerifi(TM), a patented, electronic credentialing verification and management system that continuously validates, stores and retrieves records of medical providers.

9 Sep 2009

Butzel Long expands national health care practice in New York

Alan Lambert, M.D., an attorney with a diverse practice representing healthcare providers and institutions, has joined Butzel Long and is Of Counsel in the firm’s Health Care practice. He is based in New York.

9 Sep 2009

Health Net's ECHO kit to help military families maximize the health care benefits

Health Net Federal Services, LLC, the government operations division of Health Net, Inc. (NYSE:HNT), today announced its newly developed Extended Care Health Option (ECHO) kit for service members and their families in the TRICARE North Region, designed to provide user-friendly, educational information to enhance understanding of the ECHO program.

5 Sep 2009

Survey reveals health plan costs to increase in 2010

According to The Segal Company’s just-completed survey of projected 2010 health plan costs, medical plan cost trends will continue to be more than four times greater than the annual increase in average hourly earnings and in sharp contrast to changes in the consumer price index for urban consumers, which have been relatively flat or negative in the past 12 months.

4 Sep 2009

Research reveals that 21% of death claims are rejected by California's largest private insurers

More than one of every five requests for medical claims for insured patients, even when recommended by a patient's physician, are rejected by California's largest private insurers, amounting to very real death panels in practice daily in the nation's biggest state, according to data released today by the California Nurses Association/National Nurses Organizing Committee.

3 Sep 2009

Rxeob appoints Sales Director to advance Strategic Health Plan Solution campaign

RxEOB, the industry leader in providing personalized online member communication features and advanced pharmacy benefit data solutions, is pleased to welcome Shaw Newman as Sales Director for RxEOB's Strategic Health Plan Solution campaign.

2 Sep 2009

Department of Health Care Services 2009 Gold Quality Award for SFHP

San Francisco Health Plan (SFHP), the City's community public health plan, today announced that it has received the Department of Health Care Services 2009 Gold Quality Award, ranking the plan as a leader in quality care throughout the state of California for Medi-Cal managed care plans.

2 Sep 2009

One Medicaid program struggles with 'financial tsunami', California confronts medical wait times, and more

State Medicaid programs are facing trouble and looking for solutions. Meanwhile, California regulators face down medical wait times and local political candidates face the health care issue during their short campaign season.

2 Sep 2009

Touchstone Health Partnership appoints Bryan D. Birch as President and Chief Executive Officer

Touchstone Health Partnership, a managed care company primarily operating in the Medicare Advantage Program, today announced the appointment of Bryan D. Birch as President and Chief Executive Officer. Mr. Birch brings over 20 years of experience in the health services and managed care sector.

1 Sep 2009

Takeda visits managed care professionals to promote its two new drugs

According to SDI, a leading healthcare market insight and analytics firm, in spring 2009, Takeda made more visits to managed care professionals than any other pharmaceutical manufacturer, accounting for almost 7% of contacts recorded in SDI’s Managed Care Pharmacy Executive and Managed Care Medical Director audits.

31 Aug 2009

Court reverses the summary judgement decision on ANDA Patent litigation between Ortho McNeil and Caraco Pharmaceutical Laboratories

Caraco Pharmaceutical Laboratories, Ltd. announced today that a US Federal Circuit Court has reversed a portion of a previously decided summary judgment on ANDA Patent litigation between Ortho McNeil and Caraco regarding Ultracet(R).

29 Aug 2009

Four medical groups of Resurrection Health Care Preferred earn nine blue stars in the 2009 Blue Star Report

Three out of four medical groups of Resurrection Health Care Preferred (RHCP) have earned nine blue stars, a perfect score, in the 2009 Blue Star Report -- an annual ranking of doctors in medical groups from Blue Cross Blue Shield of Illinois.

27 Aug 2009

Managed Care News and Research

Primary care shortage could worsen under reform

IncentOne and Discern Consulting to establish standardized framework for health incentive programs

Winner of 2009 Annie E. Casey Innovations Award announced

MedRisk and CWCS sign partnership agreement

MHPA to hold policy briefing on issues for Medicaid health plans in health reform

MedAssurant purchases Catalyst Information Technologies

Tenet announces revisions to its outlook for 2009

Health policy research roundup

New electronic credentialing system for managed care organizations

Butzel Long expands national health care practice in New York

Health Net's ECHO kit to help military families maximize the health care benefits

Survey reveals health plan costs to increase in 2010

Research reveals that 21% of death claims are rejected by California's largest private insurers

Rxeob appoints Sales Director to advance Strategic Health Plan Solution campaign

Department of Health Care Services 2009 Gold Quality Award for SFHP

One Medicaid program struggles with 'financial tsunami', California confronts medical wait times, and more

Touchstone Health Partnership appoints Bryan D. Birch as President and Chief Executive Officer

Takeda visits managed care professionals to promote its two new drugs

Court reverses the summary judgement decision on ANDA Patent litigation between Ortho McNeil and Caraco Pharmaceutical Laboratories

Four medical groups of Resurrection Health Care Preferred earn nine blue stars in the 2009 Blue Star Report

Advancing Intracellular Delivery with LumiPore®

How ELRIG Is Helping Mid-Career Scientists Navigate Leadership, Career Change and Redundancy

The role of UV-Vis in biopharma QC

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