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Inside View on the Business of Healthcare

The CRG Executive Briefing Membership Access Program is your organization's online portal to industry news and data on managed care, consumer-directed healthcare, and information technology.

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Outlook for Managed Care 2012: Steady Profits
Published: 1/25/2012 - 11:02:22 AM

‘We Have a Humongous Health-Care Problem’
Published: 1/19/2012 - 5:07:28 PM

Headlines from Latest ‘Health Plan Market Trends Letter’
Published: 1/17/2012 - 8:39:27 AM

Recommended Reading: ‘[sic]: A Memoir’
Published: 1/5/2012 - 10:54:27 AM

Not-for-Profit Blues Take 3Q11 Profit Hit
Published: 1/4/2012 - 12:26:54 PM

Merry Christmas
Published: 12/23/2011 - 9:40:03 AM

Exchanges? We Don’t Need Your Stinking Exchanges
Published: 12/21/2011 - 9:49:45 AM

’12 Premium Hikes to Slow, Deutsche Bank Says; Downgrades Health Net, Coventry
Published: 12/21/2011 - 9:41:37 AM

HHS Names 32 Pioneer ACOs
Published: 12/20/2011 - 10:19:13 AM

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Medicare System Overpaid Insurers $3.1 Billion in 2010
Friday, January 27, 2012, 12:01 am ET; Source: Bloomberg.com

WellPoint Plans to Raise Doctors’ Pay to Increase Quality of Health Care
Friday, January 27, 2012, 9:01 am ET; Source: Bloomberg.com

Forbes Earnings Preview: Aetna
Friday, January 27, 2012, 10:44 am ET; Source: Forbes.com

Independence Blue Cross Names Stephen P. Fera Senior Vice President of Public Affairs
Thursday, January 26, 2012, 9:00 am ET; Source: Globe Newswire

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CRG Research Reports

Featured Research Reports

Outlook for Managed Care, 2012
Publication Date: December 15, 2011
The only way the health insurance industry will survive is through innovation.  But innovation requires information.  You’ll find the information you need in the Outlook for Managed Care 2012.

Commercial Health Plan Financial Benchmarks, 2010 Data and Forward Trends
Publication Date: June 30, 2011
The 31-page Commercial Health Plan Financial Benchmarks, 2010 Data and Forward Trends is designed for those who want easy access to just the numbers for strategic planning and analysis - data critical to winning in the complex and rapidly changing health insurance market.

Managed Medicaid Market Share
Publication Date: March 30, 2011
Are you looking for managed Medicaid financials, market share data and membership tallies for nearly 200 plans as of year-end 2009? Our Managed Medicaid Market Share brief is just what you need. We've culled Medicaid data from the NAIC database and analyzed it to provide a snapshot of the managed Medicaid business.

Managed Medicaid 2011
Publication Date: March 30, 2011
This 100-page report provides critical information on the growing opportunities in the Medicaid market – data that's indispensable for strategic planning, product development and competitive analysis.

Patient-Centered Medical Homes and ACOs: How Health Plans Are Transforming Provider Incentives and Improving Quality
Publication Date: November 30, 2010
Health plans are playing a key role in the development of patient-centered medical homes. This 100-page report shows you who is pioneering new provider reimbursement structures, bonus pools, care management programs and other incentives and innovations to help change provider practices.

Member Retention and Engagement - A Guide to Health Plan Online Initiatives
Publication Date: June 30, 2010
Health plans are developing a wide variety of online decision-support tools to engage members with the hopes of delivering on the original promise of managed care - better quality healthcare at a lower cost. This 90-page report shows you how to take advantage of these new technologies to drive member-engagement, better outcomes and lower cost.

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Lisa Gill, J.P. Morgan
Published: May 24, 2011
It’s selling season for the PBM industry. Who will the winners and losers be? J.P. Morgan analyst Lisa Gill breaks it down. From the Nasdaq Market Site in New York.

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Wendell Potter, Author, "Deadly Spin"
Published: Nov 18, 2010
Former Cigna PR man Wendell Potter, author of the new book "Deadly Spin," talks about how health plans influence public policy and the future of healthcare reform. From the Nasdaq Market Site in New York.

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White Papers

Corporate Research Group
Quick Take: 2012 Health Plan Premium Outlook – Slowing Trend

Employers are pushing back hard against rate hikes given relatively strong health plan profits and lower-than-expected utilization of medical services by members.

Hexaware
ICD-10 Transition - Hexaware's Approach for Successful Compliance

On January 15, 2009, Department of Health and Human Services (HHS) released the final rule for the implementation of the International Classification of Diseases – Clinical Modification (ICD-10-CM) & Procedural Classification System (ICD-10-PCS). The ICD-10 implementation deadline is on October 1, 2013. Health entities that fail to comply by this date will find their claims rejected and would face cash flow disruptions. The benefits of using ICD-10 codes are manifolds. The white paper would provide insight on current market trends, different approaches that could be taken for the remediation and how Hexaware would play a role in overcoming the transition challenges. To read more please follow this link.

Corporate Research Group
Quick Take: Consumer-Directed Health Plans – Quietly, Inexorably Gaining Members

You don't hear much buzz about consumer-directed healthcare anymore, which is ironic given that quietly high-deductible health plans tied to health savings and health reimbursement accounts continue to grow at a double-digit pace.

Corporate Research Group
Quick Take: Commercial Health Plan Membership Trends and Challenges

Quick Take Commercial Health Plan Membership Trends and Challenges: The first in CRG's series of brief white papers discusses the eroding market for fully funded commercial health insurance plans.

Deft Research
Health Insurance Under 65 Intelligence Service (Author: Deft Research)

Since 2006, Deft Research has been a trusted partner furnishing the Medicare insurance industry with timely health consumer insights. Deft's SENIOR MARKET INTELLIGENCE SERVICE provides marketers, product designers, and executives with the critical knowledge to navigate an evolving marketplace. Responding to client demand, Deft is launching a new, three-part syndicated service in 2011 to assist with the under 65 market. Now, health plans, agencies, PBMs, and state insurance commissions will have the consumer insights needed to guide decisions during this unprecedented period of rapid transition.

Cognizant
ICD-10: Early Lessons from Real-World Assessments

Cognizant has been helping payers execute ICD-10 assessments and develop implementation plans, and along the way critical lessons have emerged. We share these early lessons to help you anticipate the scope of planning required, to move beyond mere regulatory compliance and use ICD-10 as a powerful tool for the future.

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Upcoming Webinars

Coverage Expansion: Health and Attitudinal Profiles of the Newly Insured
Tuesday, January 31, 2012
2:00 PM – 3:15 PM ET

Managed Medicaid State-by-State Update
Wednesday, February 1, 2012
2:00 PM – 3:15 PM ET

Connect payers and providers to deliver better care and lower costs
Thursday, February 2, 2012
2:00 PM – 3:00 PM ET

Medical Management for Medicare Advantage
Tuesday, February 7, 2012
2:00 PM – 3:15 PM ET

Capitalizing On Reform and the Health Insurance Marketplace
Thursday, February 16, 2012
12:00 PM – 1:15 PM ET

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Upcoming Conferences

Featured Conferences

2nd Annual ACO Provider Forum
Thursday, January 26, 2012 • Washington, D.C

Consumer-Directed Healthcare at the tipping point
Tuesday, February 28, 2012 • Washington, D.C.

Health Plan ACO Forum

Friday, March 23, 2012 • Orlando, Florida

The Dual Eligible Opportunity for Health Plans

Wednesday, April 18, 2012 • Washington, D.C.

Pharmacy Benefit Design and Management
Wednesday, May 16, 2012 • New York, NY

There are currently no upcoming conferences to display.

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