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In a major victory for HMOs, the Supreme Court voted unanimously on June 21 that patients may not sue health plans in state courts for refusing to pay for medical care recommended by physicians. Such lawsuits are barred under the 1974 federal Employee Retirement Income Security Act, the court ruled.... Managed Medicare stands to benefit greatly from reform. A Commonwealth Fund study says that the federal government will pay an average of 8.4 percent more for Medicare enrollees who are in managed care plans than for those who use traditional fee-for-service Medicare under the Medicare Modernization Act that went into effect this year.

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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