December 2011

National Edition
In this Issue
1. News
Accountable Care Survey

Accountable Care Organizations New Survey of Stakeholders

Payers & Providers, MCOL and Accountable Care News jointly sponsored a survey of
healthcare professionals on accountable care organizations during December. An exclusive report on the survey findings follows. Participants were asked to respond to five items: 1. Please categorize your organization. Provider Purchaser Vendor or Other 2. Is your organization involved with ACOs- including development, operation, or contracting arrangements? 3. When would you estimate ACOs would have a material impact in your marketplace 4. If ACO Medicare pilots are not ultimately successful, will that cause commercial and Medicaid ACO arrangements to generally fail as well? 5. How satisfied are you with CMS's handling of the Medicare Shared Savings Program and the Pioneer model ACOs? Key findings: A majority, 63.9%, of respondents say that their organization is involved with ACOs. This is down from 72% of respondents who answered yes to the same question in 2010. Respondents who categorized their organization as a purchaser were most likely to say they were involved with ACOs, with 83.3% saying they were involved. 64.3% of respondents who categorized themselves as vendor or other and 56.3% of those who were categorized as provider said their organization was involved with ACOs. Is your organization involved with ACOsincluding development, operation, or contracting arrangements?: 58.2% of respondents think that ACOs either, already do, or will have a material impact on their marketplace before 2014, of that 10.9% say they already do, 29.1% say they will by 2012, and 18.2% say they will by 2013. 22.7% think that there will be a material impact in 2014-2015, 6.4% think there will be an impact between 2016-2020, and less than 1% think there will be no material impact until 2021 or after. Only 3.6% or respondents think that ACOs will never have a material impact on their marketplace.

3. Vitals
Data Snapshots from MCOL

4. California
L.A. Care Will Absorb Medi-Cal Cuts Prime Acquires Stake in Texas Hospital Briefs - UCLA Nursing School Intervention Program Gets Federal Funding; Blue Shield Sends Out Policyholder Credits

5. Midwest
Wisconsin Medicaid on the Line SLU Hospital, WellPoint Start War of Words Over New Contract Briefs - Henry Ford System Wins Malcolm Baldrige Award for Quality; Wisconsin Must Train or Recruit 2,200 More Physicians by 2030

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

7. Marketplace
Employment Advertising Opportunities Paid Subscriptions

8. Order Form
Payers & Providers Order Form

Volume 1, Issue 10 December, 2011

www.payersandproviders.com

In 2010 respondents were also asked when ACOs would have an impact. All answers as years were listed as one year prior to those listed in this years poll. Only 6.8% in 2010 said ACOs currently had a material impact on their marketplace, which is less than the 10.9% that answered that way this year.
continued on page 2
2011, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT NEWS

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Accountable Care Organizations continued

Percentage that listed when ACOs would have a material impact in their marketplace

With only 35.3% of respondents saying the different programs success were not linked, purchasers were the least likely to think that commercial and Medicaid arrangements would not be affected by Medicare pilot failures. At 61.9%, those in the vendor or other category were the most likely to think that commercial and Medicaid success were not tied to Medicare pilots success. How satisfied are you with CMS's handling of the Medicare Shared Savings Program and the Pioneer model ACOs?:
Response Provider Purchaser Very Satisfied 2.0% 0.0% Satisfied 20.4% 11.1% Neutral 38.8% 50.0% Not Satisfied 26.5% 33.3% Very Dissatisfied 12.2% 5.6% Total 100.0% 100.0% Vendor or Other 4.7% 18.6% 53.5% 18.6% 4.7% 100.0% Total 2.7% 18.2% 46.4% 24.5% 8.2% 100.0%

When looking at all respondents who said there currently is, or will be in the next two years, a material impact on their marketplace from ACOs there was only a .1 percentage point increase from 2010 to 2011. There was a 2.7 percentage point increase among respondents who said ACOs will not have a material impact until after this decade (after 2021 this year, after2020 last year) or never will. Respondents who categorized themselves as vendor or other were the most likely to say that ACOs currently, or will before 2014, have an impact on their marketplace with 72.1% reporting this. Providers were the most pessimistic group regarding when ACOs would have an impact with 8.2% saying that ACOs would either not have an impact until after 2021 or never will, 0% of purchasers and 2.3% of vendor or purchaser organizations responded this way. A majority of respondents, 53.7%, did not think the success of commercial and Medicaid ACO arrangements depended on the ACO Medicare pilots succeeding. 24.1% did think that if the ACO Medicare pilots failed commercial and Medicaid ACO arrangements would fail as well. The responses to this question were significantly different from those of the previous year. In 2010 only 31.4% of respondents thought that commercial and Medicaid ACO success was not dependent on Medicare pilot success which was over 22 percentage points lower than this year. Providers, as a group, were only 0.6 percentage points more pessimistic than the average, with 53.1% responding that the Medicare pilots would not hamper commercial and Medicaid arrangements success. Commercial and Medicaid ACO Arrangements Success Tied to ACO Medicare Pilots Success
Response No Unsure Yes Total Provider Purchaser 53.1% 35.3% 22.4% 35.3% 24.5% 29.4% 100.0% 100.0% Vendor or Other 61.9% 16.7% 21.4% 100.0% Total 2010 53.7% 31.36% 22.2% 33.18% 24.1% 35.45% 100.0% 100.00%

Most respondents do not have a strong opinion on CMSs handling of the Medicare Shared Savings program and the Pioneer Model ACOs. A plurality of respondents (46.4%) said they were neutral on their satisfaction level. Just over 10% of respondents were on the extremes with 2.7% being very satisfied and 8.2% being very dissatisfied. When looking at both satisfied and very satisfied respondents 20.9% of respondents had a positive outlook. Of those being not satisfied or very dissatisfied 32.7% had a negative outlook. Those from vendor or other organizations were split evenly among positive and negative responses at 23.3%. Purchasers, while only 0.1 percentage point more negative than providers, were not satisfied with CMSs handling of ACOs with only 11.1% saying they were satisfied and none saying they were very satisfied. Providers were closest to the average on this issue 22.4% being satisfied to very satisfied with CMSs performance and 38.8% being not satisfied to very dissatisfied.
N=110

2011, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT VITALS
LISTS from

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Average participation rates for selected wellness programming

ShapeUp, a corporate wellness company, released results from their 2011 Employer Wellness Survey, conducted in partnership with The Parthenon Group. The survey incorporated interviews with executive wellness and benefits decision makers for large national self-insured employers. Engagement is consistently cited as the number one priority of employers. Participation rates vary significantly across programs, from a low of 5% to a high of 95%. 75% of companies offer some type of incentive for participation, with an average of $375. Average participation rates for selected wellness programming Health Risk Assessment Biometric Screening Exercise Program Lifestyle Coaching

Perception of Insurance Plan Response to ACA by Physicians

1. Insurance companies will pass through their new

costs to employers via high premiums 91%

2. Insurance companies will pay doctors and hospitals

less 90%

3. The insurance industry will become tightly regulated

77%

4. The insurance industry will gradually dissolve into a

public utility 41%

66% 52% 23% 21%

5.

The insurance industry will be stronger as newly insured adults enter the system 38%

Source: 2011 Employer Wellness Survey, ShapeUp, December 6, 2011 http://www.shapeup.com/news/article/shapeup-releases-results-fromfirst-annual-large-employer-wellness-survey

Source: Physician perspectives about health care reform and the future of the medical profession, Deloitte Center for Health Solutions, December 2011 http://www.deloitte.com/assets/DcomUnitedStates/Local%20Assets/Documents/us_lshc_PhysicianPerspective s_121211.pdf

Check out the healthsprocket Healthsprocket Predictions and Trends Contest at http://healthsprocket.com/contest

Americans Link Narcotic Pain Killers to Drug Addiction

More than three-quarters of Americans believe narcotic pain killers are linked to drug addiction and 59.5% associate the drugs with depression, according to the Thomson ReutersNPR Health Poll. The survey, which asked respondents their opinions and concerns regarding narcotic pain killers, found that 49.7% have used these drugs in the past. Of those, over one-third of respondents, said they used the drugs despite having concerns regarding their use. The top concerns reported were potential side effects (44.9%), fear of addiction (27.5%) and concern about potential long-term health impacts (15.5%).
Source: Thomson Reuters-NPR Health Poll, Thomson Reuters and NPR, November 22, 2011 http://thomsonreuters.com/content/press_room/healthcare/tr_npr_health _poll_finds_americans_link_narcotic

Employer likelihood to Continue Providing Group Health Coverage

MCOLBlog: Employer Positions on Health Reform: Measuring a Moving Target: Likely to continue to offer employer-sponsored health insurance after health care reform is fully enacted Benefits decision-makers say they would be very or somewhat likely to drop coverage Unsure what they will do 56%

12% 32%

Sources: Employers Skeptical of Health Care Reform, But Few Project Dropping Health Insurance Coverage, Gfk Custom Research North America, December 2, 2011 http://www.gfkamerica.com/newsroom/press_releases/single_sites/009103/in dex.en.html

2011, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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In Brief
UCLA Nursing School Intervention Program Gets Federal Funding
The U.S. Department of Health and Human Services has chosen for funding a program started by the UCLA School of Nursing that targets minority teenagers who have given birth or are pregnant. The Public Health Nursing Early Intervention Program for Adolescent Mothers provides education for expecting Latina and AfricanAmerican teen mothers regarding prenatal healthcare, childbirth and preparation for motherhood. The intent is to cut down on healthcare costs for their newborns, many of which have low birth weights and other problems often requiring hospitalization. The costs to the U.S. healthcare system are substantial about $9 billion each year so it is in the interest of the states to enhance the health outcomes for those teens who do become pregnant and for their babies, said Deborah Koniak-Griffin, a UCLA nursing professor and director of the universitys Center for Vulnerable Populations Research.

Page 7 MARKETPLACE/EMPLOYMENT Page 4 CALIFORNIA L.A. Care Will Absorb Medi-Cal Cuts
Move Was Made to Help Preserve Provider Network
The states largest Medi-Cal managed care plan announced this week that it would shell out millions of dollars to cover recently enacted state reductions in provider payments. L.A. Care Health Plan, which covers about 800,000 Medi-Cal enrollees in Los Angeles County, said it would not pass on the reductions to its directly contracted providers, which treat about one-quarter of its enrollees (the remainder are contracted out to other health plans). The cuts include 10% or more reductions in payments to skilled nursing facilities inside hospitals, pharmacists and other specialty care. The reductions, which were approved by the U.S. Department of Health and Human Services in late October, are expected to save California $623 million a year. L.A. Care Chief Executive Officer Howard Kahn said the move was made in order to preserve the integrity of the health plans network. The tolerance level has been reached in terms of what we can ask of our providers, said Kahn. He added that L.A. Care has been accepting about 10,000 additional aged, blind and disabled enrollees per month, further straining the network. Kahn estimated that absorbing the costs would cost L.A. Care between $10 million to $20 million over the next fiscal year. The costs would be paid out of its general fund and through costcontainment efforts. Its always helpful if youre not facing cuts, said Jim Lott, executive vice president of the Hospital Association of Southern California and a former L.A. Care board member. Kahn said he had been publicizing L.A. Cares decision in the hope that other health plans with Medi-Cal enrollees would follow suit. However, it was unclear if other health plans that provide managed care benefits to Medi-Cal enrollees would immediately do so. A spokesperson for Health Net, which covers 450,000 Medi-Cal enrollees in L.A. County and is L.A. Cares primary competitior, said it was still examining the situation. A spokesperson for Anthem Blue Cross of California, which is an L.A. Care contracting plan, declined to immediately comment. The cuts, retroactive to June 1, are being challenged by members of the provider community. The California Hospital Association filed suit last month in federal court to block the cuts. Suits by the California Medical Association and interest grovups representing pharmacists and pharmacies were filed shortly thereafter. Hospitals and physicians in particular said the cuts would make it more difficult to provider services to Medi-Cal enrollees.

Blue Shield Sends Out Policyholder Credits

San Francisco-based health plan Blue Shield of California has begun distributing credits to its policyholders that range from 18% to 54% of a monthly premium. Blue Shield announced the credits earlier this year as part of a pledge to limit its net income to 2% of its annual revenue. Blue Shield is a notfor-profit organization. As a mission-based, not-for profit health plan, we made this commitment to help keep coverage affordable for our members. While these credits will help our customers, every player in the healthcare industry must do more to reduce the cost of care, said Blue Shield Chief Executive Officer Bruce Bodaken. The average credit for an individual plan enrollee is $135, with a family of four receiving about $420. Large and mid-sized group customers will receive credits ranging from $195 to $235 per enrollee, with small groups receiving an average of $220.

Prime Acquires Stake in Texas Hospital

Buys Out Medcath's Share in Harlingen Facility
Ontario-based Prime Healthcare Services has made its first acquisition outside of California, purchasing a34.8% stake in 112-bed Harlingen Medical Center in Texas from Charlotte, N.C.based MedCath for approximately $9 million. Prime also bought MedCaths share in a real estate firm that leases the hospital site. MedCath has been shedding assets since the first quarter of 2010, when officials announced it would sell the company either in its entirety or piecemeal. "This is our first foray outside of California and into Texas, a businessfriendly state, and we believe it will be a successful one," said Prime Chairman Prem Reddy, M.D. The deal gives Prime full or part ownership of 14 hospitals. The for profit company is also trying to acquire Christ Hospital in New Jersey.

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

2011, by Payers & Providers Publishing LLC and MCOL. All rights reserved

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MARKETPLACE/EMPLOYMENT MIDWEST

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In Brief
Henry Ford System Wins Malcolm Baldrige Award for Quality
Detroits Henry Ford Health System was awarded the prestigious Malcolm Baldrige National Quality award in November, one of four organizations in the country to be so honored. We are extremely proud and humbled to have been selected, said Nancy Schlichting, the systems CEO. Our team members ... are national role models for performance excellence who demonstrate pride and passion in what they do. Congress created the Baldrige award in 1987 to acknowledge manufacturing and service quality in U.S. industry. Healthcare as a category was added in 1999. Since then only 15 organizations have won for excellence in healthcare. Bob Riney, Henry Fords president and COO, said the award validates the systems business acumen and its energized and focused organizational culture.

53,000 Could Lose Coverage Next Year, State Says

About 53,000 adults in Wisconsin are likely to lose their Medicaid coverage by next July because of an impasse between Wisconsin authorities and the Centers for Medicare and Medicaid Services. Gov. Scott Walker and the states Republican controlled legislature wrote into law a stipulation that the state would drop the beneficiaries unless the federal authorities approve all the reforms of BadgerCare passed earlier this year by Dec. 31. Last Friday, CMS approved proposals by several states to trim spending on Medicaid, amounting to around $500 million. But Cindy Mann, director of the federal Center for Medicaid and Childrens Health Insurance Program Services, said it would not have time to decide on some other changes to Wisconsins program in the next three weeks. Mann permitted the state to raise premium rates for certain adults in BadgerCare Plus. It said it would need more time to think about other changes, including those affecting children. Wisconsin officials didnt say whether they would cut 53,000 adults without children from the rolls. It would permit the state to save $60 million. Dennis Smith, who heads the states Department of Health Services, wrote in a response to the federal officials that he was concerned that although the deadline has been acknowledged, federal staff may not fully understand the law under which we are operating. Medicaid covers one in five Wisconsin residents, about 1.2 million people. The states various Medicaid programs will cost the federal and state governments a combined $6.73 billion in 2011. State officials are worried that the inexorable rise in health spending is crowding out other priorities such as schools, roads, and bridges.

Wisconsin Medicaid on the Line

Wisconsin Must Train or Recruit 2,200 More Physicians by 2030

Wisconsin must train or recruit as many as 100 extra physicians a year for the next 20 years to meet the expected demand for medical services, the Wisconsin Hospital Association has determined. Pointing out that it takes as long as 10 years to form and train a physician, a report by the hospital association has put the spotlight on a projected shortage of doctors. Primary care doctors will be in especially short supply, and will make up 80% of the shortage. The report is quite timely, said John Raymond Sr., M.D., in an interview with the Milwaukee Journal Sentinel. If we are going to address the potential shortage of healthcare providers, the best time to do it is now. Raymond is CEO of the Medical College of Wisconsin, one of two medical schools in the state. The report estimates that the state will need at least 2,196 more physicians (above what would normally be expected) by 2030.

SLU, WellPoint Spar Over Rates

Tenet Properties At Odds Over Reimbursement

Tenet HealthCare Corp. and WellPoint Inc. are locked in a fierce battle over reimbursement rates at two St. Louis hospitals. St. Louis University Hospital and Des Peres Hospital, both owned by Dallas-based Tenet, say that because contract negotiations have broken down, they will end their managedcare contracts with Anthem Blue Cross and Blue Shield of Missouri, the states dominant insurer, and Healthlink Inc., both owned by WellPoint, based in Indianapolis. WellPoint said SLU wants high price increases for inpatient care. The hospital said WellPoint is paying substantially less than other payers. Last week SLU CEO Phillip Sowa, requested an independent third-party mediator to help reset the negotiations. Unless the parties can come to terms, the hospital will terminate its contracts as of Jan. 1. Anthem spokesperson Deb Wiethop said the contracts would have automatically renewed, but Tenet wanted a steep rate increase. Tenet elected to terminate the contracts, she said in a statement, instead of entering into genuine good faith negotiations for reasonable contract terms.

The Payers & Providers Midwest Edition is published every Tuesday with six pages of hard-hitting health care business and policy news and insights

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MARKETPLACE/EMPLOYMENT WEBINARS WHITE PAPERS

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Recent Webinar Events

CD-ROMs with full audio recordings and presentation slides from all recent HealthcareWebSummit events cosponsored by Payers & Providers are available. To order a CD-ROM call 209.577.4888 or go to www.healthwebsummit.com California's Healthcare Environment: A forecast for 2012 to December 15th, 2011 at 10AM Pacific 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 to December 9th, 2011 at 12PM Central 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 Patient Satisfaction, Outcomes And Your Bottom Line September 29th, 2011 with Shannon OKelley, Chief Operating Officer, and J. Eugene Grigsby, Chief Executive Officer, National Health Foundation, UCLA Health System ACO Regulations: Deciphering the Pushback July 27th, 2011with Rick Swanson, vice president of the California Association of Physician Groups, Teresa Koenig, M.D., vice president of The Camden Group, and Emma Dolan, policy analyst for the Integrated Healthcare Association Medi-Cal: Preparing for the Waiver and Beyond June 30th, 2011 with Erica Murray, senior vice president of the California Association of Public Hospitals and Health Systems; Bradley Gilbert, M.D., Chief Executive Officer, Inland Empire Health Plan; and Mark Finucane, managing director with Alvarez & Marsal and former director of health services for Los Angeles and Contra Costa Counties ACOs: A Midwest Perspective June 2nd, 2011 with William DeMarco, President & CEO, Pendulum Healthcare and Craig Samitt, MD, President & CEO, Dean Health System

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

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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 Medical Officer - Boston, MA Executive Director, Program and Product Development, BCBSA - Chicago, IL Executive Director, Strategy, BCBSA - Chicago, IL VP of Strategic Partnerships, Geisinger Health Plan-PA 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 I, Issue 10
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: www.facebook.com/payersproviders 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: Brian J. Silverstein, MD, SVP, The Camden Group; Michael A. Millenson, President, Health Quality Advisors 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 health care 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 Health Care Web Summit event each December: Health Care Trends (a $225 value) 50% discount on registrations with other Payers & Providers co-sponsored Health Care Web Summit events Complimentary electronic subscription to Payers and Provider National Edition (a $99 value)
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