Managed Care


Headlines On Deadline…

MANAGED CARE February 2009. © MediMedia USA
News and Commentary

Headlines On Deadline…

MANAGED CARE February 2009. ©MediMedia USA

The burden of diabetes just got bigger, according to epidemiologists at the National Institutes of Health and the Centers for Disease Control and Prevention. Nearly 13 percent of adults age 20 and older have diabetes, but 40 percent of them have not been diagnosed. An additional 30 percent of adults have pre-diabetes, a condition marked by elevated blood sugar that is not yet in the diabetic range. Researchers used newly available data from an oral glucose tolerance test, which gives more information about blood glucose abnormalities than the traditional fasting blood glucose test. Findings are reported in the February issue of Diabetes Care… The California Supreme Court has barred the practice of balance billing that hospitals and emergency department physicians use to charge patients directly when their HMOs refuse to pay. The practice occurs when insured people seek emergency care from out-of-network physicians and hospitals… New data-reporting guidelines became effective on Jan. 1. The Centers for Medicare and Medicaid Services has issued guidance documents for group health plans and their insurers and third-party administrators (TPAs). The guidelines should facilitate coordination of benefits with Medicare. Insurers, TPAs, and plan administrators are required to collect data, including Social Security numbers or health insurance claim numbers, and file these data electronically with Medicare.


2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015