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July 20, 2011

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

Opposition to Draft ACO Regulations Spells Trouble for Federal Programs
Reprinted from ACO Business News

While it won’t be known for months how many organizations will participate in Medicare ACOs, one thing is clear: Public comments submitted to federal regulators by the June 6 deadline are harshly critical of many aspects of the controversial draft regulations for the Medicare Shared Savings Program. Stakeholders’ reaction to CMS’s “Pioneer program” for experienced entities interested in forming Medicare ACOs is also largely unfavorable thus far, insiders tell ABN .... Read Full Story


From the AIS Blogs

What Can We Learn From Singapore’s Health Care System?

While Singapore is perhaps best known for its ban on chewing gum, dozens of malls and nanny state policies, the city-state is often overlooked for one of its most impressive attributes — its universal health care system. I was reminded of this last month when I visited Singapore just before starting at AIS and my friends queried me about what they saw as a broken U.S. health care system ... Read more


Quote of the Day

“The reform law is putting limits on premium rate increases, and at the same time it’s requiring certain minimum levels of medical expenses, which essentially takes many of the major decisions out of the hands of health plan operators and leaves them with a government-required focus on reducing administrative costs….But we saw a decline, from 9.7% to 9.2% in administrative expenses from 2009 to 2010…before the [medical loss ratio provision] even went into effect.”

— Doug Sherlock, author of the Sherlock Co.’s July Plan Management Navigator report, told AIS’s Health Plan Week.

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

70% … of Medicaid recipients are more likely than the uninsured to have a medical office or clinic they visit, according to a study by economists at Harvard and MIT.



Today from Washington

People on the Move

Delta Point, Inc. named Matt Murphy executive account director. Murphy was regional alignment leader at AstraZeneca....Memorial Hospital of Converse County in Douglas, Wyo., hired Ryan Smith as CEO. Smith was CEO of Central Peninsula Hospital in Soldotna, Alaska.


Today's Featured Health Business Job Opening

Blue Shield of California
Director - Accountable Care Organization
San Francisco

Place Your Ad Here

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