Health insurance competition matters

Health insurance competition matters

House Chamber

If lawmakers should remember one thing, it is that Americans can’t get health care without well-functioning health insurance markets. Legislators should scrutinize these mergers to guarantee that Americans receive the care they need at a reasonable price.

Anatomy of a fraud bust: Collaboration creates efficiency

http://www.fiercehealthpayer.com/antifraud/story/anatomy-fraud-bust-collaboration-creates-efficiency/2015-09-29?page=full

FBI Healthcare Fraud

A Detroit FBI agent explains how large, multi-person fraud schemes unravel

Payers, Providers Debate Health Plan Consolidation Before Congress

http://healthleadersmedia.com/content.cfm?topic=HEP&content_id=321160

Capitol Dome

In the second hearing this month to review competition in the healthcare marketplace, the CEOs of Aetna and Anthem and executives of the American Hospital Association told lawmakers about the benefits and perils of health plan mega-mergers.

PBM vs. PBA: The pros and cons

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/pbm-vs-pba-pros-and-cons

Moving Beyond Price-Per-Dose In The Pharmaceutical Industry

http://healthaffairs.org/blog/2015/09/30/moving-beyond-price-per-dose-in-the-pharmaceutical-industry/

Blog_Rochaix

Why Geisinger’s care coordination strategies are a model for the US

http://www.fiercehealthcare.com/story/why-geisingers-care-coordination-strategies-are-model-us/2015-09-28?utm_medium=nl&utm_source=internal

Geisinger Health System

Pennsylvania’s doc-led system uses data-driven strategies to reduce ER visits, readmissions and improve patient care.

Emotional Intelligence and A Call-Up to the Big Leagues

http://generalleadership.com/tuesday-time-machine-emotional-intelligence-and-a-call-up-to-the-big-leagues/

Thinker

It is very important to understand that emotional intelligence is not the opposite of intelligence, it is not the triumph of heart over head — it is the unique intersection of both.”
— David Caruso

Understanding Health Care’s Short-Termism Problem

https://hbr.org/2015/09/understanding-health-cares-short-termism-problem?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+harvardbusiness+%28HBR.org%29

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