N.J.'s Takeover Of Failed HMO Assuages Docs

Three weeks after taking over HIP Health Plan's bankrupt New Jersey unit, state regulators reached an agreement with the Medical Society of New Jersey that kept its physicians from making good on a threat to refuse treatment to nonhospitalized HIP members.

It is estimated that physicians and hospitals are owed $100 million for care to HIP members. The state will immediately pay doctors and hospitals one third of outstanding claims, and providers agreed to accept 75 percent of what they bill during the next 90 days. If by then HIP remains insolvent, the state will liquidate it and use proceeds to pay creditors.

New Jersey's banking and insurance commissioner also proposed a guaranty fund financed by the state's HMOs. The fund would, in part, pay claims retroactively for care for HIP members. The New Jersey Association of Health Plans said such a fund would drive smaller HMOs out of business.

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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