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In This Issue
Study: How Much will ICD-10 Cost?
ICD-10 and Risk Planning, Global Lessons
Carefirst Threatens Hospitals
Blue Shield CA Partners with St Josephs Hospital on ACO
BCBS TN Data Encryption
Mike Ramseier Named President of Colorado Blue
Debt Deal May Hit Medicare
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How Much will ICD-10 Cost?
Revenue at Risk

New study suggests there's confusion about the cost of converting to ICD-10. Of those organizations that have completed the financial assessment, 32% expect to spend up to $1 million to prepare, while just 9% estimated a cost between $1.1 million and $5 million. Only 1% of respondents project an implementation cost between $5 million and $10 million. More than half either were uncertain about an estimate or had not completed one.

 

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Easing the Pain   

of Transitioning to HIPAA 5010  

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No World Borders, Inc., a leading healthcare consulting company, announced that it formed a partnership with Software AG, a global company traded on the Frankfurt stock exchange with over $2.6 billion in market capitalization.
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We are sharing an excerpt of slides presented by Michael F. Arrigo, CEO of No World Borders, for a recent industry conference near Washington DC the Workgroup for Electronic Data Interchange (WEDI).....» 

  

 

Here is a summary of lessons learned from the Canadian experience with ICD-10 implementations and also importantly where the two implementations differ....»

 

Volume 2, Issue: #8August 2011
Greetings!

In this issue, payor / provider interactions and the costs to implement ICD-10 are highlighted.  Changing the way the health care industry collaborates will be key to achieving new objectives.  

 

We welcome your feedback to news@39blues.com 

 

Sincerely,

 

News from 39 Blues Team

CareFirst Threatens Hospitals
Cost Containment Move Targets Prominent Hospital's Independent Specialists

According to a letter obtained by the Washington Business Journal, hospitals that currently enjoy the insurer's "Blue Distinction Center" status, which can generate more business for those hospitals in six high-cost specialties, will be to be kicked out of the program August 1st unless the specialists sign a contract with CareFirst.Carefirst Logo


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Blue Shield of CA Partnership with St. Josephs to Form Accountable Care Organization
Collaboration to establish ACO for 30,000 Blue Shield HMO members for Integrated Health

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St. Joseph Health System, Orange, Calif., and Blue Shield of California, San Francisco, have announced a collaboration to set up an Accountable Care Organization involving 30,000 Blue Shield HMO members in Orange County, CA.  
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Tennessee Blue Data Encryption
Spends $6 Million to Encrypt Data at Rest

In October 2009, 57 hard drives were stolen from a BlueCross facility. The hard drives contained audio and video recordings related to customer service telephone calls from providers and members, and included varying degrees of personal information on about 1 million members. To date, there is no indication of any misuse of personal data from the stolen hard drives.  Press release here.

"In the past few months, we've reported often on the theft of customer information from numerous companies. So it's a refreshing change to hear about a company that has taken positive measures to prevent data breaches and protect its customers: BlueCross BlueShield of Tennessee announced that it has encrypted all of its "at-rest data" (data stored on a computer or other storage device)." - Consumer Reports  bcbs tn logo



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Mike Ramseier Named President Of Anthem Blue Cross And Blue Shield In Colorado
Anthem Logo Replaces John Martie

Anthem Blue Cross and Blue Shield in Colorado announced today that Mike Ramseier has been named president, effective Sept. 1. Ramseier replaces John Martie, who was appointed president of Anthem National Accounts earlier this year.

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Debt Deal May Hit Medicare
Health Care Stocks Down on Monday on Implications of Debt Deal

 

Medicare beneficiaries escaped direct cuts in Washington's debt deal, but the agreement could eventually hit seniors and disabled Americans who rely on the program for medical coverage.

Health-industry lobbyists and policy experts say Sunday's deal between the White House and congressional leaders effectively opens the door to another round of talks in which lawmakers are likely to weigh increasing the Medicare eligibility age and setting up a means test that might require wealthier people to pay more for the program.

 

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