Health Change Bulletin
  Health Change Bulletin        |        April 26, 2012        |        Volume Four Issue Sixteen  
  Contracting Web Summit   
  Sponsor Message  
  "When the Supreme Court acts, we will be ready with plans that actually work to lower the cost of care and to help people keep the care they want" Senator John Barrasso  
  In 2011, Fidelity's HSA customer base jumped 61 percent to 119,000 from 74,000 at the end of 2010. In addition, the company signed 16 new employers offering HSAs to their employees, ending the year with 57, up from 41 at year end 2010. As of February 29, 2012, Fidelity administered HSA assets of $327 million, up 43 percent from $229 million one year prior.

Fidelity Investments
  What's News   
  Employers, brokers disagree over when health reform subsidies apply 
IFAwebnews, April 25, 2012
  PPACA: Energy and Commerce Eyes CO-OPs
LifeHealthPro, April 25, 2012
  New IRS Regulations Imposing Fees Upon Self-Insured Plans
JD Supra, April 25, 2012
  Health Insurers to Give Back $1.2 Billion, Analyst Says
Bloomberg, April 25, 2012
Trustees Issue Warnings On Medicare, But Make No Changes To Solvency Projections
Kaiser Health News, April 23, 2012
  US Republicans eye health plan should court overturn reform
Reuters, April 22, 2012
  healthsprocket lists  
Poll Shows Awareness of Health Overhaul Grows, But Opinions Barely Budge 
Wall Street Journal Health Blog, April 24, 2012
  A Closer Look At The Medicare Trustees’ Report
Health Affairs Blog, April 24, 2012
  CMS final rule aims to save $1.6B in fraud 
FierceHealth,, April 25, 2012
  New ACOs contending for Medicare bonuses include 14 physician-led groups.
AmericanMedicalNews,, April 25, 2012


Laurie Garrett, Daniel Altman, and Alexander S. Preker discuss Universal Health Coverage and shed critical light on the debate on healthcare reform.

Council on Foreign Relations, April 24, 2012

  Aligning Forces For Quality Initiative Program Results: Top Approaches to Starting a Medical Home
1. Leadership. The practices most successful at implementing a medical home had the benefit of two champions: a practice manager and a physician
2. Buying in. Practices that were able to disseminate the value of the medical home to the wider team saw greater success over the long-term
3. Understanding details. To help the wider practice understand the details of the medical home, successful practices encouraged a team member to become a “medical home expert”
4. Small steps. The concept of “incrementalism” was viewed as a necessary way to begin medical home implementation
5. Data use. While all practices saw the benefit of data, the most successful practices proved to be active in obtaining and reviewing data, even from external sources like insurers
6. Clear roles. Practice teams found that clearly defining roles and responsibilities of team members helped in clarifying duties, engaging all members, and standardizing PCMH work
7. Curiosity. All practices expressed a desire to learn more from their peers

Source: Dorland Health
Source URL:
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