Franklin-based well-being services provider Healthways and CareFirst, the Maryland/D.C./Northern Virginia BlueCross BlueShield licensee, had a couple of news items to share Wednesday morning. First, the companies said they have extended their partnership to provide various disease management services to federal employees and their dependents. And secondly, they said their work together on CareFirst's patient-centered medical home program will grow and be extended by three years through 2016.
"This program focuses on the roughly 10% of CareFirst's membership who account for nearly 50 to 60 percent of all our claims cost." Burrell continued, "Expanding our work with Healthways is an important element of building upon the success we have already experienced in the first year of operating our PCMH model."
Meharry Medical College President and Chief Executive Officer Dr. Wayne J. Riley has been elected to the Institute of Medicine of the National Academies’ class of 2012, Dr. Harvey V. Fineberg, IOM president, announced this morning during the organization’s annual meeting in Washington, D.C.
Riley (pictured) was selected for his contributions to the fields of medicine, medical sciences and health care.
“To be recognized by one of the nation’s foremost medical institutions, alongside the world’s most innovative and influential minds in the field of medicine, is both humbling and inspiring,” Riley said in a release. “This distinction reaffirms my commitment to medical science, to teaching future leaders in health care and to positively impacting the well being of others. I am profoundly grateful to the IOM for this honor.”
Founded in 1970, the IOM is the health arm of the National Academy of Sciences, which was established by an act of Congress and chartered by President Abraham Lincoln in 1863. Each year, approximately 70 members are elected from the United States and foreign countries for inclusion in the IOM National Academies class.
It would be quite the understatement to say the folks in D.C. have gotten serious about regulation in the wake of the recession. Those government entities charged with assuring compliance with all things legal have rocked the financial sector, and it appears something similar is getting underway in health care. And this is on top of the unchartered and murky waters the industry already finds itself navigating.
According to a report from HealthLeaders’ Cheryl Clark — linked here — the Office of the Inspector General for the U.S. Department of Health & Human Services has decided to investigate the Centers for Medicare & Medicaid Services payment guidelines for hospitals named under Medicare’s Part A and Part B coverage plans.
The OIG’s wide-ranging “work plan” for 2013 includes, among others, reviewing payments for hospital transfers, payments for surgeries never performed and the recent trend of hospitals acquiring ambulatory surgery centers while converting those to outpatient surgery departments.
The Washington, D.C. outpost of Baker Donelson Bearman Caldwell & Berkowitz has added to its ranks Ellen O'Kane Tauscher, a former seven-term member of Congress from California and former undersecretary of state for arms control and international security affairs. Tauscher advised both President Barack Obama and Secretary of State Hillary Clinton and also was a special envoy for strategic stability and missile defense at the State Department.
"Through her outstanding career in both business and public service, Ellen has a unique background that spans the defense, transportation, energy and health care fields," said J. Keith Kennedy, Chair of Baker Donelson's Federal Public Policy Group. "Her experience will provide our clients with the strategic advice they need for effective policy-driven decision-making of federal policy and programs in these areas. We're proud to welcome her to our team."
The House Judiciary Committee is today hosting a hearing on the Marketplace Equity Act, legislation that seeks to compel online retailers to collect sales taxes regardless of whether they have brick-and-mortar stores in the buyer's state. Among those scheduled to testify is Bill Haslam.
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