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Managed Care

Managed Care
Taking On Too Much
Peter Wehrwein
This issue of Managed Care was billed as being about Medicaid managed care and vulnerable populations. But as grumpy editors often say, that’s a topic not a story. And it didn’t take us very long to discover that the story was social determinants of health. Lola Butcher, a regular contributor to…
Managed Care
Value-Based Health Care Offers Answers and Questions
Frank Diamond
The sitcom created by Chris Rock, Everybody Hates Chris, which ran from 2005 until 2009, conjured laughs out of the everyday. One bit I particularly relish is when the narrator (the persona of Rock as a teenager) says that his father was like Rain Man when it came to knowing what everything costs. “That’s…
Managed Care
Venture Philanthropy Straddles Two Worlds
Howard Wolinsky
Venture philanthropy and the move toward investment of not-for-profit dollars in for-profit companies started about 10 years ago. One expert argues that it’s a little like calling someone an amateur-pro athlete. You can’t be both. Proponents, however, point to some initially impressive results especially for niche diseases.
Managed Care
The seesaw of CVD: Deaths down, costs up
Coronary heart disease deaths will decline by 30% between 2010 and 2020 because of improvement in “cardiovascular health metrics” (avoidance of smoking, more physical activity, and so on). But this less-deadly era of CVD is going to be a more costly one, with direct medical costs more than doubling by 2030 to $918 billion from $396 billion in 2012.

Career Opportunities

Health Alliance Plan (HAP): SVP Business Development & Chief Marketing Officer 

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

Sexual Health
Far From Over: STDs Have Made a Comeback
Susan Ladika
Not too long ago, rates for sexually transmitted diseases (STDs) in the United States were at historic lows. Now they are at record highs, and many experts fear they will continue to climb because of meager funding of public health clinics and diminished sex education in schools.
Managed Care
Joint Venture Health Plans May Give ACOs a Run for Their Money
Thomas Reinke

Beth Ginzinger
Anthem

Joint venture plans are starting to demonstrate their ability to implement clinical management and financial management reforms. A JV health plan replaces the offloading of financial risk by health plans to ill-equipped providers with an executive-level cost management committee stated jointly by the hospital and payer.

What To Expect in 2017: Managed Care Year in Preview
Cybersecurity: Health care, an easy target, needs to get its guard up
Susan Ladika
Health care ranked ninth in terms of its cybersecurity in a recent report by SecurityScorecard, a company that provides risk monitoring and security ratings. The health care industry is widely infected with malware and has come under repeated ransomware attacks.
What To Expect in 2017: Managed Care Year in Preview
Geriatrics: Smart technology prepares to ace the popularity test
Jan Greene

Amazon Echo

Getting older people to bring a new technology into their homes has been more difficult than expected. Nevertheless, the tech industry continues to work on new options, and there are some intriguing possibilities on the horizon for 2017 and beyond.
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