Your feedback is important to us. Click here to email us your feedback.

AHIP Solutions SmartBrief
November 16, 2009
 

Industry News

sponsored by 

Hospitals paying more attention to patient's pain
Hospitals are paying more attention to pain control, which can help patients recover faster, lower the risk of complications and reduce costs. Most hospitals use a standard pain scale, but experts say pain can be difficult to treat because it is subjective and varies widely between patients. National Public Radio (text and audio) (11/16)


Heads or tails. Are your members using a coin toss to choose surgery? Decision aids can help members say no to unneeded care and yes to the care that's right for them. Get the Healthwise white paper, Carrot or Stick? Should the Use of Patient Decision Aids Be Rewarded or Required? To make smart decisions, your members need smart tools. Now, that's real change.

Advertisement


Providers & Suppliers

sponsored by 

Experts call for more geriatrics training for physicians
The American Geriatrics Society wants medical schools to require all students to show competence in treating the elderly and to include hands-on geriatric care as a rotation in training. The additional training is needed due to the scarcity of geriatricians combined with the aging baby boom generation and the differences in mental and physical function among the elderly, the group said. The Boston Globe (tiered subscription model) (11/16)

Wash. state gets first palliative care fellowship program
The University of Washington School of Medicine and Providence Hospice of Seattle have partnered to offer the only palliative fellowship program for physicians in the state. Trainees in palliative medicine, designated a subspecialty in 2006, must complete a residency in one of 11 specialties and work in hospitals, hospice settings and a long-term care facility. The Seattle Times (11/16)

What area should receive the most attention from hospitals and providers in 2010?
 Workforce shortages
 Overcrowding/wait times
 Patient safety/acquired conditions
 Decision-support tools

Medical Update

Men have higher risk of sudden cardiac death than women
A study found the lifetime risk of sudden cardiac death in men 40 and older was 12.3% compared with 4% in women of the same age group. Researchers said the data, which included some 5,000 U.S. adults, showed black men had twice the risk as white men, while black and white women had about the same risk. Yahoo!/HealthDay News (11/15)

CDC stats show 3 major STDs still spreading in U.S.
CDC researchers said U.S. rates of chlamydia and gonorrhea were stable at unacceptably high levels in 2008, and cases of syphilis are increasing after the STD almost was eliminated. Data showed that girls ages 15 to 19 had the most chlamydia and gonorrhea cases of any age group. Reuters (11/16)

Emerging Trends

sponsored by 

Study: EHRs have little impact on quality, cost of health care
The use of electronic health records currently has very little impact on health care quality or costs, said Dr. Ashish K. Jha, lead author of new research comparing 3,000 hospitals at various levels of EHR adoption. The study found marginal differences among hospitals with advanced EHRs, those with basic computer records and those with no records in terms of hospital stays and treatment of conditions such as pneumonia and heart failure. NYTimes.com (11/15)

Some patients use Internet to share medical information
About 20% of people looking for health information online use the Internet to connect with other patients and medical experts, says Susannah Fox, with the Pew Internet and American Life Project. "They are posting their first-person accounts of treatments and side effects from medications. ... They are part of the conversation. And that, I think, is an indicator of where we could be going in terms of the future of participatory medicine," Fox said. National Public Radio (text and audio) (11/16)

Free White Paper — "Identifying Prospects for the Individual Market"
It's a tough challenge finding interested prospects for individual health insurance who are not already covered by group plans. Learn proven ways to find responsive prospects cost-effectively. KnowledgeBase Marketing is the marketing solutions provider of choice for six of the top seven healthcare companies. 866 - ASK4KBM

Advertisement


Other Company News from AHIP Solutions

Hot Topics

sponsored by 

Top five news stories selected by AHIP Solutions SmartBrief readers in the past week.

Results based on number of times each story was clicked by readers.

Prescription Drug Fraud Detection is Essential
Health plan executives know that fraud detection is essential to health plan cost containment activities. But with the growth in prescription drug coverage, how well are you monitoring drug fraud? Ingenix can help you with a full range of customizable anti-fraud, waste and abuse solutions for medical as well as pharmaceutical claims. Sign up for our upcoming pharmacy fraud webinar.

Advertisement


Pharma News

Niacin drug beats Zetia in study of cholesterol treatments
Merck & Co.'s Zetia failed to outperform Niaspan, a modified form of vitamin B, in reducing plaque buildup in arteries and boosting the level of HDL, or "good" cholesterol, in a study of 200 patients taking statins. Merck officials and critics of the study downplayed the findings, saying the trial examined only the amount of plaque on artery walls, a surrogate marker, and not the rate of heart attack or stroke. The Washington Post (11/16)

Xanodyne's drug for menstrual bleeding gains FDA approval
The FDA approved Xanodyne Pharmaceuticals' Lysteda as a treatment for heavy menstrual bleeding. The agency cautioned patients about using the product in combination with hormonal contraceptives because of a high risk of blood clots, stroke and heart attack. MSNBC/The Associated Press (11/13)

The Buzz (CORPORATE ANNOUNCEMENTS)

Health Insurance Chief Actuaries: Their Take on Analytics
Join SAS and Health Data Management for an informative Web seminar highlighting how senior level actuaries feel about analytics and its impact on managing data, forecasting, trend analysis and reserve management.

GET HELP WITH YOUR HIGH DOLLAR CLAIMS. An 80-year old woman is administered high doses of factor product during surgery and spends 22 days in the hospital with charges of $3.4 million; a pre-term infant with hypo plastic left heart syndrome with charges exceeding $5 million. Are you protected with the right reinsurance coverage? To learn more email reinsure@evergreenre.com.

OptumHealth's Medical Advancements in Solid Organ Transplant and BMT
Join OptumHealth as the nation's leading experts present clinical advances, best practices and management solutions for solid organ and BMT. The conference will include standards of care and expanded treatment options for this patient population. Click HERE for details.

Interested in learning more about advertising with SmartBrief? Click here for detailed industry information and media kits.


Policy Watch

HHS changes final medical records privacy breach rule
A rule finalized by HHS was changed to allow health care organizations to self-assess the potential harm when a medical records privacy breach occurs and determine if the patient needs to be notified. The Breach Notification for Unsecured Protected Health Information rule, expected to be enforced beginning in February 2010, originally required notification of any type of privacy breach, regardless of whether it caused harm. American Medical News (subscription required) (11/16)

CMS reports increase in Medicare quality incentive payments in 2008
The CMS issued $92 million in incentive payments to 85,000 doctors and other qualified practitioners who demonstrated Medicare quality reporting under its 2008 Physician Quality Reporting Initiative, up from $36 million to 56,700 providers in 2007. "The substantial growth in the national total for PQRI incentive payments demonstrates that Medicare can align payment with quality incentives," said Charlene Frizerra, the agency's acting administrator. Government Health IT magazine (11/2009)

AHIP News

AHIP PPO Direct -- Growing Business Opportunities
PPO Direct brings PPO network members exposure to an audience of potential payors and administrators looking to expand their provider network. First Health, a member of PPO Direct, is a unique national managed care company serving the group health, workers' compensation and state public program markets. Learn more about First Health and their vast network covering all 50 states.

Medicare Advantage/Part D Online Training
Make sure your team understands CMS' rules and requirements for Medicare marketing as of July 2009. Complete the Center's online training program, Marketing Medicare Advantage and Part D Prescription Drug Plans: Understanding Medicare Basics, Plan Options, and Marketing and Enrollment Requirements. Visit the Center's Web site for more information.

Keep up with the health insurance industry
America's Health Insurance Plans has the educational resources you need to stay updated on the health insurance industry. AHIP has a broad range of programs and materials to fit the way you choose to learn, including conferences, webinars, virtual seminars, courses, and an online store. For more information and upcoming educational opportunities, visit www.ahip.org/conferences.

SmartQuote

Nothing is so contagious as enthusiasm."

--Samuel Taylor Coleridge,
English poet, critic and philosopher


Email: ahip@smartbrief.com
Mailing Address: SmartBrief, Inc.®, 555 11th ST NW, Suite 600, Washington, DC 20004
Legal and Privacy information at http://www.smartbrief.com/legal.jsp
Unsubscribe