Dec. 17, 2010

Today’s issue is brought to you by ACO BUSINESS NEWS, a hard-hitting monthly newsletter on the latest industry actions to design and create ACOs, for hospitals, physicians, health plans and their advisers.

Today's Featured Story

New Physician-Hospital Organizations Are Being Structured as Stepping Stones to Accountable Care Organizations
Reprinted from ACO BUSINESS NEWS

A growing number of hospitals are turning to physician-hospital organizations (PHOs), a model from the 1990s that these hospitals say will prepare them for certification as ACOs. Among the structural and operational elements that differentiate these PHOs from their predecessors are full transparency, strong physician leadership and organizational structures that enable them to operate as independent legal entities in which risks — and rewards — are shared equitably.... Read Full Story


Quote of the Day

Large private fee-for-service plans, which are non-network, “get their clocks cleaned” on quality ratings. “Members in these plans are basically free to see whoever they want and do whatever they want. That kind of arrangement gets killed on these [Medicare Advantage] quality ratings.”

— Michael Adelberg, vice president for public policy and government for Universal American Corp., told MEDICARE PART D NEWS.

Click here to read the MEDICARE PART D NEWS article in which this quote appeared. (Free for PDN subscribers; $17 for non-subscribers).


Today's Datapoint

$22.6 million... will be paid by America’s Health Choice Medical Plans Inc. to resolve allegations in the first Medicare Advantage false claims case ever.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this datapoint appeared. (Free for MAN subscribers; $17 for non-subscribers).


People on the Move

Dotmatics Limited, a developer of drug discovery informatics products and services, named Shikha O'Brien vice president of business development in the United States. O'Brien was director of life sciences modeling and simulations at Accelrys, Inc....WorldCare Clinical, LLC, an imaging clinical research organization for clinical trials, appointed Xiaozhou Ma associate director of quantification and 3D imaging. Ma was an imaging fellow at Tumor Imaging Metrics Core.


Today's Featured Health Business Job Opening

Outcomes Health Information Solutions
Project Manager
Alpharetta, Ga.

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