May 22, 2013

Today’s issue is brought to you by AIS's Health Plan Week, the industry's leading source of objective business, financial and regulatory news of the health insurance industry.

Professional Employer Organizations Make Gains Amid Employer Angst Over ACA Complexities
Reprinted from Health Plan Week

Professional employer organizations are nothing new, having been around for 30 years or so, but industry operators report growing interest of late from small and medium-size businesses concerned about their ability to meet requirements of the Affordable Care Act .... Read Full Story

Make Sure Lawyers, Consultants Can Put Documentation Money Where Their Mouth Is

With a cacophony of voices coming at them, providers should rely on only that advice backed by a credible written source, whether they are sorting out coding or contemplating a new business deal ... Read more

“If all we do is enroll a lot of people, we are going to be failures….We will be doing a lot to hold [health] plans accountable for quality and measurement. If you don’t measure it, you can’t change it.”

— Peter Lee, executive director of California’s insurance exchange, Covered California, told the audience at a recent Health Insurance Exchange Summit outside Washington, D.C.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared. (Free for HPW subscribers; $17 for non-subscribers).

Today's Datapoint

66% … of Bloom Health’s defined contribution private exchange customers opted to increase their take-home pay in 2011 by choosing less rich coverage than they had prior to using the Bloom platform.

• Congressional Record
• Federal Register

URAC named Kylanne Green president and CEO, effective July 22. Green was executive vice president and CEO of managed care services at Inova Health System....Van Dyk Health Care, Inc. promoted Pam Tokarczuk to post-acute corporate director. She was assistant administrator at Van Dyk Ridgewood.

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