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March 2012

National Edition
In this Issue
1. News
Consumerism

Consumerism In Healthcare Primary Trends Examined


Healthcare consumerism, in the forms of plan design, transparency, medical/lifestyle programs and incentives, technology, web portals, and other related initiatives, continues to experience evolution and growth that significantly shape the overall delivery of healthcare benefits and services. In this ongoing era of health reform, stakeholders must also give heightened importance to factoring consumerism into the equation as they position themselves going forward. Healthcare Web Summit, MCOL and Payers & Providers jointly sponsored a survey of healthcare professionals on health care consumerism issues during March. An exclusive report on the survey findings follows. Participants were asked to respond to three items: 1. Please indicate your perspective 2. Please numerically rank these typical components of Consumerism according to their value from your perspective. (Rank 1 through 5 with 1 = highest value and 5=lowest value) Price and Quality Transparency Account Based Plans (HSA/HRA/FSA) Wellness Incentive Programs Web Based Patient Health Records for Consumers Retail Offerings of Health Plans/Healthcare

3. Vitals
Data Snapshots from MCOL

4. California
Language Possible Enrollment Barrier Briefs - DMHC Orders Kaiser To Cover Physical And Related Therapies, Greater Newport, MemorialCare Enter Into Affiliation

5. Midwest
For Diabetes, Meds May Be Cheaper A Closer Look At The Safety Net Briefs - Minneapolis Named Nations Healthiest City, Cap On Insurance Benefits Lifted For Millions Of Americans

6. WebinarsWhitePapers
Recent and Upcoming Events Healthcare and Campaign Finance in California Midwest Non-Profit CEO Compensation

3. To what degree are the successes of health care consumerism initiatives dependent upon provisions of the Affordable Care Act? Key findings: When asked to rank price and quality transparency, account based plans, wellness incentive programs, web based patient health records for consumers and retail offerings of health plans/healthcare as 1 through 5, price and quality transparency had the highest average weighted rank at 1.84. A majority (56.5%) of respondents ranked price and quality transparency as having the highest value from their perspective. This trend continued when broken down by respondent organization category with 55.8% of purchasers, 51.4% of providers and 64.3% of vendor or others ranking this component of having the highest value.
Price & Quality Transparency 56.5% 21.3% 8.3% 9.3% 4.6% 1.84 Account Based Plans 18.5% 18.5% 30.6% 16.7% 15.7% 2.92 Wellness Incentive Programs 11.1% 24.1% 36.1% 17.6% 11.1% 2.93 Web Based Health Records 4.6% 22.2% 10.2% 32.4% 30.6% 3.62 Retail Offerings 9.3% 13.1% 15.0% 24.3% 38.3% 3.69
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7. Marketplace
Employment Advertising Opportunities Paid Subscriptions

8. Order Form
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Rank 1 2 3 4 5 Weighted Average

Volume 2, Issue 2 February, 2012


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2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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Consumerism continued
Weighted Average Rank of Components of Consumerism

Payers & Providers

MARKETPLACE/EMPLOYMENT NEWS
Value of Typical

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Percentage of Respondents Who Selected a Ranked Value for This Component of Consumerism
Perceived

When ranking account based plans respondents did not rank them with as high a value as the previous component though it did have the second highest average weighted rank at 2.93. A plurality of respondents (30.6%) gave this component a rank of 3. Those who categorized themselves as purchasers or vendor/other were more likely to rank account based plans with a higher value than providers. Over 70% of both purchasers and vendor/others ranked account based plans as 3 or higher while only 56.8% of providers did so. The average weighted rank of wellness incentive programs was only .01 higher than account based plans at 2.94. As with the previous component a plurality (36.1%) of respondents ranked wellness programs as 3. A low amount of respondents (11.1% for each) ranked this component as either high (1) or low (5). When broken down by respondent category there was variation on the value placed on this component. Almost 20% of providers but less than 5% of purchasers ranked this component as having the highest value. Over 40% of both purchasers and providers ranked this component as a 3 while less than 20% of vendor/others did. Respondents did not place a very high value on web based health records, 63% of respondents rated it as either a 4 or 5. The weighted average rank for this component was 3.62. There was not significant variation when broken down by respondent category, with trends staying constant across the three categories. Retail offerings of health plans/healthcare had the lowest weighted average rank at 3.69. This component had the most variation among respondent categories. Almost 50% of purchasers gave this component the lowest valued rank while just over 25% of vendor/others did the same. Less than 5% of purchasers and 13.5% of providers ranked this component as a 3 while over 33% of vendor/others did.

Respondents did not feel strongly about whether the success of health care consumerism initiatives depended on provisions of the Affordable Care Act (ACA). Just under a majority (47.3%) of respondents thought that consumerism initiatives success somewhat depended on the ACA. The amount of respondents who thought that initiatives were highly dependent or not very dependent on the ACA were close with 27.3% thinking they were highly dependent and 25.5% thinking they were not very dependent, less than a 2% difference. Dependence of the Success of Health Care Consumerism Initiatives On Provisions of the ACA
Highly dependent Somewhat dependent Not very dependent Purchaser 28.6% 45.2% 26.2% Provider 26.2% 57.1% 16.7% Vendor/ Other 26.9% 34.6% 38.5% Total 27.3% 47.3% 25.5%

When broken down by respondent category there was no significant variation among those who thought initiatives were highly dependent on the ACA with just over a quarter of respondents in each categorizing answering as such. There was variation by category for those who saw initiative as being somewhat or not very dependent on the ACA. Over 57% of providers thought that consumerism initiatives were somewhat dependent while only 35% of vendor/others did. 38% of vendor/others thought that consumerism initiatives were not very dependent on the ACA while only 17% of providers though so. N=111
Dependence of the Success of Health Care Consumerism Initiatives On Provisions of the Affordable Care Act

2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT VITALS
LISTS from

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Employer perspectives regarding Corporate Health Exchanges


Percent of Employers Very or somewhat interested in exploring Corporate Exchanges Believe they will provide employees health benefits through a Corporate Exchange in the next three to five years Currently provide benefits through a private exchange Ranked the ability to reduce costs as one of the most important features for a Corporate Exchange That could reduce health care costs by moving to a Corporate Exchange said they would use a portion of the savings to lower labor costs
Source: The Time is Now: Rethinking Health Care Coverage, Aon Hewitt, March 2012, http://www.aon.com/forms/formUS_2012_sur_Corporate_Health_Care_Exchange.html

Barriers to Incorporating Genetic Tests in Physician Practices


Percent of physicians identifying each as barriers to incorporating genetic tests in their practice

72% 44% 4% 86% 75%

1. Cost of Tests/Reimbursement 77.5% 2. Lack of Familiarity with Tests 49.0% 3. Questions About the Validity of Tests 30.7% 4. Lack of Evidence of Test Effectiveness 39.1% 5. Less or Not Relevant to Practice 3.6% 6. Questions About Patient Ability to Understand
Results 29.6%
Source: UnitedHealth, Center for Health Reform & Modernization, Working Paper 7, March 2012 http://www.unitedhealthgroup.com/hrm/UNH_WorkingPaper7.pdf

Check out more healthsprocket lists at: www.healthsprocket.com

Employers Taking More Aggressive Steps to Manage Their Rising Costs and Improve Employee Health
According to an annual survey by Towers Watson and the National Business Group on Health found that total health care costs per employee are expected to rise 5.9% this year, as compared to 5.4% in 2011. Health care costs per employee averaged $10,982 last year, and is expected to rise to $11,664 in 2012. Employees share of costs increased 9.3% during this period, to $2,764. This amount represents a 40% increase in costs from just five years ago, as compared to a 34% increase for employers over the same time period. For 2012, retirees not yet eligible for Medicare can expect to pay an average of $4,226 per year for single-only coverage and $10,500 for family coverage.
Source: Towers Watson, March 8, 2012 http://www.towerswatson.com/press/6558

2012 Alzheimer's Disease Facts and Figures


MCOLBlog: The Current Facts on Alzheimer's Projected Numbers of People Age 65 and Over in the U.S. Population with Alzheimers Disease 2000 2010 2020 2030 2040 2050

Millions 4.5 5.1 5.7 7.7 11.0 13.2

Sources: Alzheimers Association, 2012 Alzheimers Disease Facts and Figures, Alzheimers & Dementia, Volume 8, Issue 2, http://www.alz.org/downloads/Facts_Figures_2012.pdf

2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT CALIFORNIA

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In Brief
DMHC Orders Kaiser To Cover Physical And Related Therapies
The Department of Managed Health Care has ordered Kaiser Foundation Health Plan to cease and desist from denying enrollees access to physical, occupational and speech therapy. According to the DMHC, it has received more than 100 complaints from Kaiser enrollees who had been denied such services. Kaiser had claimed the enrollees did not have a physical condition linked to surgery, trauma or a congenital condition. However, California law regarding health maintenance organizations considers such services to be medically necessary. Kaiser Health Plans policy to deny physical, occupational, and speech therapy services for nonphysical conditions is not permitted under the Knox-Keene Act, said Anthony Manzanetti, DMHCs chief of enforcement.

Language Possible Enrollment Barrier


110,000 Could Pass on Health Coverage Subsidies
Language barriers may keep more than 100,000 Californians eligible for insurance subsidies from purchasing coverage after the bulk of healthcare reform is implemented in 2014, according to a new study. Researchers at the UCLA Center for Health Policy Development, UC Berkeley and the California Pan-Ethnic Health Network have concluded there are more than 1 million adult Californians with limited English proficiency (not their native language and are uncomfortable speaking it) eligible for tax subsidies toward the purchase of coverage on the states health insurance exchange. Thats only about one-seventh of Californians who are not proficient with English statewide, but they represent about 40% of all residents expected to be eligible for the subsidies. The vast majority are Spanish speakers, but there are large subgroups who speak Chinese, Vietnamese and Korean. The subsidies, part of the Affordable Care Act, provide individuals with potentially thousands of dollars in tax credits a year to provide an incentive to purchase healthcare coverage if it isnt already offered by their employer. A use of simulation software by the researchers to predict enrollment trends concluded only 42% of those eligible enrollees with limited English proficiency will likely purchase coverage, or about 420,000 in total. The evidence suggests that Californians who do not speak English very well are at a disadvantage in terms of accessing healthcare reform programs, said Daphna Gans, a research scientist at the UCLA Center for Health Policy Research and the lead author of the study. Observers say Californians who struggle with English would face issues enrolling in the states Health Benefits Exchange. If you go to the website to enroll and its in a language you dont understand, you basically will close it immediately, said Ellen Wu, executive director of the Pan Ethnic Health Network. If language barriers are lifted, researchers predict enrollment among those with limited English proficiency will rise by more than a quarter and reach 53%, or about 530,000. Simply translating marketing and applications materials is not expected to suffice. There needs to be a multidisciplinary outreach to this community, Gans said. An example would be proactive communications by promotores, advocates who work in Latino neighborhoods and promote various healthcare options and services in Spanish. Both Gans and Wu indicated that officials with the nascent Health Benefits Exchange are committed to aggressively marketing its services in linguistically and culturally sensitive manner. The exchange board seems to be very committed to target these populations, and try and make the transition process from current to future programs smoother, Gans said. Peter V. Lee, the exchanges executive director, was out of town on Wednesday and not immediately available for comment.

Greater Newport, MemorialCare Enter Into Affiliation


Greater Newport Physicians medical group has affiliated with Long Beachbased hospital operator MemorialCare Health System. MemorialCare also acquired Greater Newports management services organization, Nautilus Healthcare Management Group. Greater Newport has 400 affiliated physicians, with 140 practicing primary care and the remainder practicing as specialists. Specific terms of the affiliation were not immediately disclosed. Greater Newport will operate as the independent practice association division of MemorialCare. Nautilus has about 400 employees. We are proud to expand our family of providers to deliver even more of the high quality, comprehensive care MemorialCare is known for, said Barry Arbuckle, MemorialCares chief executive officer. The strength of this new, deeper partnership between Greater Newport Physicians and MemorialCare is rooted in our shared values and passionate commitment to superior quality and exceptional service.

The Payers & Providers California Edition is published every Thursday with six pages of hard-hitting healthcare business and policy news and insights

2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT MIDWEST

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In Brief
Minneapolis Named Nations Healthiest City
The metropolitan area surrounding Minneapolis recently ranked as the healthiest in the nation on Forbes magazines annual ranking of fit cities. The rankings are based on the American College of Sports Medicines Fitness Index. The report grades 50 metro areas across the country and creates a composite score based on factors including preventive health behaviors, prevalence of chronic diseases, access to care, policies supporting physical activity and crime levels. Minneapolis ranked first because of its benefits like low poverty and unemployment levels, low prevalence of chronic conditions like cardiovascular disease, asthma and diabetes. They also have abundant parkland and playgrounds, farmers markets and public transportation. The residents tend to be physically active, have lower smoking rates and are apt to bike or walk to work. Other Midwestern metro areas ranking in the top 50 include: Denver at 5, Cincinnati, 14; Milwaukee, 21; Kansas City, Kan., 22; St. Louis, 26; Chicago, 28; and Indianapolis, 45.

For Diabetes, Meds May Be Cheaper


Making Lifestyle Changes Actually Costs More
Lifestyle intervention may be more successful at staving off Type II diabetes than metformin, but medication has been found to be more cost effective. This was the conclusion of a study by Bill Herman, MD, of the University of Michigan in Ann Arbor. Herman and colleagues performed a follow-up analysis of the universitys Diabetes Prevention Program and presented the information at this years conference for the American Diabetes Association. A 10-year follow up of participants found that the development of Type II diabetes was reduced by 58% with lifestyle intervention and 31% with metformin. Lifestyle changes also showed a much greater quality of life improvement than did the medication. But these interventions dont come without a price. Over a decade, lifestyle intervention cost $4,500 per patient, treatment with metformin cost $2,600. When cost reductions and expenses were totaled, the lifestyle changes cost about $1,500, while metformin saved $30 per person over 10 years. The data came from the DPP, which included more than 3,000 overweight or obese individuals with impaired glucose tolerance. Patients were split into three groups, one taking a placebo, the second taking metformin, and the third receiving education on diet, exercise and behavioral modification. Cost is an important factor when considering the impact of diabetes. Almost 26 million people in the United States have diabetes, diagnosed or undiagnosed, 95 percent of whom have Type II. Diabetes has been linked with blindness, heart disease, stroke, high blood pressure, blindness and is the leading cause of kidney failure in the United States. According to the American Diabetes Association, $1 in every $10 health dollars spent in the United States goes toward diabetes care.

Cap On Insurance Benefits Lifted For Millions Of Americans


The U.S. Department of Health and Human Services has estimated that 105 million Americans no longer have lifetime limits on their health insurance because of prohibitions on spending limits in the Affordable Care Act. According to HHS, approximately 95 million of these people had employersponsored plans; the rest had private insurance. Individuals on the private market were more likely to have benefit limits, with 89 percent having some sort on their plans in 2009, according to statistics from the Kaiser Family Foundation. The mandate to get rid of lifetime limits has impacted approximately 28 million children, with the remainder of the 105 million split almost equally between adult men and women. Midwestern states with the largest number of individuals whose plans have changed include Illinois, with 4.6 million; Ohio, 4.1 million; Michigan, 3.5 million; and Indiana with 2.2 million.

A Closer Look At The Safety Net


Report Makes Post-ACA Recommendations
A report released last week by the Commonwealth Fund Commission on a High Performance Health System offers recommendations to sustain and support safety net hospitals facing changes under health reform. Deborah Bachrach and colleagues at Manatt Health Solutions created the report with the anticipation that low Medicaid payments, an influx of Medicaid patients and a reduction in disproportionate share funding under the Affordable Care Act may bring challenges to the already-strapped institutions. Medicaid is currently the largest payer at safety net hospitals, according to the report. In 2014, the number of Medicaid patients will increase an estimated 17 million of those currently uninsured will become Medicaid recipients. The report, Toward a High Performance Health Care System for Vulnerable Populations: Funding for Safety Net Hospitals, offers ways to reward performance at and target public dollars toward safety net hospitals. One of the commissions recommendations is to increase Medicaid rates to safety net hospitals that meet quality targets and deliver accessible, reasonably priced care. While targeting enhanced Medicaid payments to hospitals based on their safety net status is far from ideal, the report said, they do contend that tying payments to performance and improvement targets, would offer a means to address quality and access concerns at a time when state Medicaid rates are otherwise low and state resources limited.
The Payers & Providers Midwest Edition is published every Tuesday with six pages of hard-hitting healthcare business and policy news and insights

2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT WEBINARS WHITE PAPERS

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Recent and Upcoming Webinar Events


CD-ROMs with full audio recordings and presentation slides from all recent HealthcareWebSummit events cosponsored by Payers & Providers are available, and attendee registrations are accepted for all upcoming events. To order a CD-ROM or register to attend any of the following recent or upcoming events, call 209.577.4888 or go to www.healthwebsummit.com Reducing Readmissions: Collateral Effects to be held April 11, 2012 at 10 AM Pacific with Daniel C. Cusator, M.D., Vice President The Camden Group and Maria Lopes, M.D., Chief Medical Officer, AMC Health Managing an Increasing Trend of Elective Preterm Deliveries February 24, 2012 with Larry Boress, President & CEO at Midwest Business Group on Health, Harold Miller, Executive Director, Center for Healthcare, Quality and Payment Reform, and Peter Weeks, M.D., Chairman, Department of Obstetrics & Gynecology at Edward Hospital Charity Care & Community Benefits: The New Paradigm February 16, 2012 with Ronald Sorensen, Director of Community Partnerships at Providence Health and Services Hospital C-Suite Compensation: How Much is Too Much? January 20th, 2012 with Claudia Wyatt-Johnson, CoFounder, Partners in Performance, Ron Shinkman, Publisher, Payers & Providers Editor, Fierce HealthFinance and Mike Rosenbaum, Partner and Vice Chair of Employee Benefits and Executive Compensation Practice Group, Drinker Biddle & Reath LLP California's Healthcare Environment: A forecast for 2012 December 15th, 2011 with Steven T. Valentine, President, The Camden Group, Henry R. Loubet, Chief Strategy Officer, Keenan and Jim Lott, Executive Vice President, Hospital Association of Southern California Midwest Healthcare Environment: A Preview for 2012 December 9th, 2011 with Michael L. Millenson, President, Health Quality Advisors LLC, Jay Warden, Senior Vice President, The Camden Group and William M. Dwyer, Founder and President, Dwyer HC Strategies The New Deal: Private Equity's Role in Healthcare M&A November 17, 2011 with Shane Passarelli, Senior Vice President, Healthcare Finance Group and James Unland, President, Health Capital Group Building the Exchanges: Seeking the Right Roadmap October 27, 2011 with Kevin Counihan, President of CHOICE Administrators Exchange Solutions and Mark E. Lutes of Epstein Becker Green

A new Payers & Providers white paper, Follow The Money: Healthcare and Campaign Finance in California, discusses and analyzes the influence of the sectors money on politics and policy. It traces the biggest healthcare industry contributors to candidates and political action committees, how much theyre giving, and where that money is going. Follow the Money is available for $149. In addition to this concise and in-depth investigation, two databases in an easyto-read Excel spreadsheet format are also available for purchase for $129, or with the white paper for $199. They include: All healthcare-related organizations and the itemized contributions they made to candidates and PACs for the 2009-2010 campaign season. Details on more than 90 organizations and big individual contributors are included. A database of the largest donations made by individual employees of Californias hospitals, insurance plans and other healthcare organizations. Details on more than 200 entities are included. Both databases are available in an easy-to-read Excel spreadsheet format.

Given the ramifications of the landmark U.S. Supreme Court Citizens United case, you and your organization simply cannot lack a roadmap to where the political money flows from the healthcare industry in California. To order, call 209.577.4888 or go to www.healthexecstore.com

Payers & Providers popular non-profit hospital CEO salary survey is now available the Midwest edition. This voluminous survey will examine the compensation of more than 700 hospital CEOs in 10 states throughout the Midwest. The salary survey is available in two distinct components: The salary survey white paper analyzes the compensation data from the 30,000-foot view. Authored by Payers & Providers Midwest edition editor Duncan Moore, it includes interviews with hospital officials and compensation experts and includes key compensation statistics. This white paper is $149. The raw salary compensation data itself is available in an Excel spreadsheet format. It includes base salary, additional compensation and other key indicators. The data is taken from the 990 tax returns each hospital submits to the Internal Revenue Service. This data may be purchased on its own for $249, purchased in combination with the white paper for $349, or by state for $99 apiece.

The hospital CEO compensation survey is Payers & Providers single most popular product. Its useful for quickly gauging what your colleagues earn and whether your own compensation is in line. To order, call 209.577.4888 or go to www.healthexecstore.com

2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT MARKETPLACE

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Employment
The following employment opportunities are listed in the Payers & Providers MCOL Employment Marketplace online at www.mcol.com/emp.htm Chief Financial Officer - Wellesley, MA Market Expansion Professional - Southern CA Regional Vice President for Payer Relations and Contracting - Oklahoma City, OK Executive Positions, Managed Care Organizations Throughout US The Payers & Providers MCOL Employment Marketplace provides three solutions for employers and recruitment firms to promote employment opportunities to the MCOL and Payers & Providers audience: 1. Payers & Providers Display Ads - that prominently feature your opportunity in the California, Midwest and or National Editions of Payers & Providers. 2. Payers & Providers Marketplace Ads - economically provide readers detailed information on your opportunity in any editions of Payers & Providers. 3. Online Advertising - with a package including web site listings of your opportunity in mcol.com and PayersandProviders.com, plus inclusion of your listing in the monthly edition of MCOL's @Career enewsletter, and eligibility to post the announcement in MCOL's member LinkedIn group. All Payers & Providers Display Advertising, plus qualifying Payers & Providers Marketplace ads receive the online advertising package at no additional cost. Call 209.577.4888 or go to www.mcol.com/aboutcls.htm to request an Employment Advertising Kit, post an employment opportunity or obtain additional information.
Volume 2, Issue 3
Payors & Providers Natinal Edition is published monthly by Payers & Providers Publishing, LLC. Inquiries may be directed to: Phone: (877) 248-2360 e-mail: info@payersandproviders.com Postal: 818 N. Hollywood Way, Suite B, Burbank CA 91505 Web: www.payersandproviders.com Facebook: http://www.facebook.com/Payers-Providers Twitter: www.twitter.com/payersproviders Editorial Board Members: California Edition: Steven T. Valentine, President, The Camden Group; Ross Goldberg, Immediate Past President, Los Robles Hospital and Medical Center; Mark Finucone, Managing Director, Alvarez & Marsol; Henry Loubet, Chief Strategy Officer, Keenan; Anthony Wright, Executive Director, Health Access California Midwest Edition: William M. Dwyer, Healthcare Strategist, Jay Warden, Senior Vice President, , The Camden Group, Ross A. Slotten, M.D., Klein Slotten & French, Michael L. Millenson, President, Health Quality Advisors LLC, Publisher /Editor: Ron Shinkman publisher@payersandproviders.com

Advertising Opportunities
Payers & Providers, publishes the weekly California and Midwest Editions in electronic format and the monthly National Edition in print and electronic format, and serves as the superior source for healthcare business and policy news and insights. Available advertising solutions through these publications include: Dedicated e-blasts to applicable Payer&Providers distribution lists Sponsor messages in each cover email of any Edition Display Advertising inside each Edition Inquire about Sponsored white paper and webinar opportunities To request a 2012 Payers & Providers Media Kit or other detailed Advertising information, please call 209.577.4888.

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Payers & Providers is the premier publication covering healthcare business and policy news in California, the Midwest and Nationally. Each issue of the weekly California and Midwest Editions includes feature articles, Editorials, News Briefs and more, all dedicated to payer and provider news of direct interest to stakeholders. Paid Subscriptions are available for $99 annually for individuals or $149 in bulk for up to ten subscribers. Payer and Provider California or Midwest Edition Paid Subscriptions receive the applicable weekly Edition via email notification listing issue highlights, with links to two viewing options for each issue (direct pdf download, and online viewing). Along with the following additional benefits: Exclusive access to an online archive of past applicable Editions A copy at no additional cost of upcomingl Payers & Providers Quarterly White Papers for that Edition (typically valued at $149 per edition)* Complimentary attendance to Payers & Providers sponsored Healthcare Web Summit event each December: Healthcare Trends (a $225 value) 50% discount on registrations with other Payers & Providers co-sponsored Healthcare Web Summit events Complimentary electronic subscription to Payers and Provider National Edition (a $99 value)
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2012, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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