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PPOs participating in Medicare Advantage can satisfy federal oversight requirements if they've already received accreditation from the National Committee for Quality Assurance, according to a ruling by the Centers for Medicare and Medicaid Services. The Medicare reform law passed last year will make regional PPOs available to beneficiaries in 2006. NCQA accreditation is already being used by 50 of about 150 participating HMOs to meet federal requirements.... Though most plans cannot gauge the exact financial return from their Web sites, they consider having an online presence to be a valuable commodity, according to a new Capgemini report. "More payers view their sites as an effective way to market new products, like consumer-directed plans, not just in lowering administrative costs," says Peter Kongstvedt, MD, Capgemini's vice president. The findings result from an analysis of 97 health plan Web sites.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

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