February 2012

National Edition
In this Issue
1. News
Future Care

Future Care Key Healthcare Business Trends

Healthcare Web Summit, MCOL and Payers & Providers jointly sponsored a survey of
healthcare professionals on the key healthcare business issues for 2012 during January. An exclusive report on the survey findings follows. Participants were asked to respond to four items:

3. Vitals
Data Snapshots from MCOL

4. California
Hill Physicians CEO To Step Down Health Net Surveys A Flat Horizon Briefs - Consumer Watchdog Pushes Rate Regulation Ballot Initiative

5. Midwest
McClaren To Challenge CON Rules Public Sees Ideology in Decisions Briefs - Aetna Fourth-Quarter Net Income Surges on Low Utilization; Wisconsin Medical Society Names New Chief Executive

1. Please categorize your organization: provider, payor or vendor/other 2. What healthcare business trends do you think will have the greatest overall impact in 2012? 3. Rate the ultimate anticipated impact in the marketplace of selected health reform provisions including those already implemented as either; unsure, none, little, moderate, or significant 4. Please project who you think the economic winners and losers for 2012 will be: Who do you think will be economically better off, the same or worse off by this time next year? Key findings: Since 2003 MCOL and Healthcare Web Summit have been conducting their annual Future Care e Poll, which asks respondents from the healthcare industry their thoughts on healthcare business trends. A majority of respondents (over 60%) thought that the business trends that will have the greatest overall impact in 2012 are of a political nature, with 32.1% saying that the election year and Supreme Court decision would have the greatest impact and 30.4% saying that healthcare reform initiatives would have the greatest impact. No other trend garnered more than 10% of respondents. When broken down by respondents organization category the two above mentioned trends still were chosen by a majority of respondents in each category, however, other trends became more prominent. 16% of payers and 16.2% of vendors or others thought that the effects of the recession would have the greatest impact while no providers responded this way. 16% of payers and 14% of providers thought that increased consumer cost sharing would have the greatest impact while no vendors thought so.
Trend with greatest impact this year Advances in healthcare technology Consumer Driven health plans Compliance issues Effects of the Recession Healthcare Reform Initiatives Increased consumer cost sharing Disease Management initiatives Population Health & Wellness Initiatives Election Year/Supreme Court Decision Other Total 2012 5.4% 4.5% 3.6% 8.9% 30.4% 9.8% N/A 4.5% 32.1% 0.9% 100.0% 2011 8.0% 7.3% 4.4% 13.9% 49.2% 11.0% 3.6% N/A N/A 2.2% 100.0% 2010 6.2% 7.0% 7.0% 26.4% 37.2% 5.4% 5.4% N/A N/A 5.4% 100.0% 2009 3.4% 3.4% 1.1% 57.3% 21.3% 9.0% 3.4% N/A N/A 1.1% 100.0% 2008 11.8% 13.4% 0.8% N/A 23.6% 33.9% 12.6% N/A N/A 3.9% 100.0%

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

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Future Care continued

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MARKETPLACE/EMPLOYMENT NEWS

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Healthcare business trends that will have the greatest impact:

likely to think that ACO development would have a moderate to significant impact than payers did. Payers were almost twenty percentage points more likely to think that state health insurance exchanges would have a moderate to significant impact than vendor or others. For both the provisions, health insurance guaranteed issue/elimination of pre-existing conditions and expansion of Medicaid coverage vendor or others were about sixteen percentage points more likely than payers to anticipate a moderate to significant impact. Respondents projected who would be the economic winners and losers for 2012 by rating industry categories as economically better off, the same, or worse off by this time next year. One fact was clear, there will be no winners. No category had more than a third of respondents saying they would be better off. Three categories, employers, hospitals, and physicians, had a majority of respondents say they would be worse off and one category, consumers, came within 1.8 percentage points of a majority.
2012 Economic Winners and Losers By Next Year: Better Off Same Worse Off Consumers 25.9% 25.9% 48.2% Employers 13.4% 36.6% 50.0% Physician 11.6% 27.7% 60.7% Hospital 13.4% 33.9% 52.7% Health Plans 33.0% 32.1% 34.8% Pharmaceutical 25.0% 42.9% 32.1% Total 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

In the ten years since this survey began, different trends have been predominant in different years. In 2003 through 2005 and then again in 2007 and 2008 a plurality of respondents pointed to increased consumer cost sharing as the business trend that would have the greatest overall impact. Although a quarter of respondents agreed with this in 2006, a slightly larger contingent thought that healthcare reform initiatives were the trend that would have the most impact. In 2009 the recession was on the mind of respondents with 57.3% saying that the effects of the recession would have the greatest overall impact. In 2010 and 2011 respondents thought that healthcare reform initiatives would have the greatest overall impact. Of the selected health reform provisions respondents were asked to rate the anticipated impact of, all were thought to have some impact. Very few respondents thought that these provisions would have no impact or would not be implemented, with the expansion of Medicaid coverage being the only provision to have more than 5% think there wouldnt be any impact. All but one provision (extension of dependent care coverage) had a majority of respondents who thought it would either have a moderate or significant impact. Expansion of Medicaid coverage and mandated coverage provisions for business and individuals both had over 80% of respondents rating them as having a moderate or significant anticipated impact. Expansion of Medicaid coverage had the highest amount of respondents anticipating it would have a significant impact with 40.4% of respondents rating it this way. Extension of dependent care coverage was the least likely to be rated as having a significant impact with only 5.4% of respondents answering that way. Only two provisions (ACO development and EHR development-meaningful use) had less than 40% of respondents rate them as having an anticipated moderate impact. When broken down by organization type most provisions were rated similarly by respondents in different categories with only a few exceptions. Providers were twenty two percentage points, and vendors or others were sixteen percentage points, more

Only two categories, pharmaceutical and health plans had less than a 20 percentage point difference between the amount of respondents saying they would be better off and worse off. The pessimistic sentiment did not change overall when looking at the responses to who the winners and losers will be by organization category. No organization type had a majority saying any industry category would be better off, although, the closest to a majority was 45.9% of vendors or others who thought health plans would be better off. Overall, when looking at the responses to this years survey it is clear that it is thought that health reform initiatives as well as the election and Supreme Court decision will have a substantial impact on healthcare business and that most industry sectors will not fare well financially. N=112
Projected economic winners and losers for 2012:

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

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MARKETPLACE/EMPLOYMENT VITALS
LISTS from

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Medicare Advantage Premiums and Enrollment

Medicare Advantage premiums have fallen by 7% on average and enrollment has risen by about 10% since this time last year. The enrollment numbers confirm projections from last September that enrollment in Medicare Advantage plans would continue to rise and average premiums would continue to fall. On average, there are 26 Medicare Advantage plans to choose from in nearly every county across the country. Access to Medicare Advantage remains strong: 99.7% of Medicare beneficiaries have access to a Medicare Advantage plan. Since 2010, when the Affordable Care Act was passed, Medicare Advantage premiums have fallen by 16% and enrollment has climbed by 17%.

Factors in Decision to Visit an Emergency Room, among Adults with Low and Moderate Incomes
Percent of adults who used ER in past year, income less than 250% FPL

2011 Average premiums enrollment (millions)

2012

$33.97 11.7

$31.54 12.8

Source: Centers for Medicaid and Medicare Services, February 1, 2012 https://www.cms.gov/apps/media/press/release.asp?Counter=4253&int NumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3 500&s

1. Medical emergency 88% 2. Other facilities not open 55% 3. Expected easier access to diagnostic testing 50% 4. Directed there by a Doctor 37% 5. Needed a prescription drug 50% 6. Do not have a regular doctor 41% 7. Other places cost too much 40%
Source: The Commonwealth Fund, February 2012 http://www.commonwealthfund.org/~/media/Files/Publications/Issue% 20Brief/2012/Feb/1579_collins_income_divide_tracking_brief.pdf

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

Financial Burden of Prescription Drugs

According to a new RAND Corporation study, in 1999 about 3% of nonelderly Americans lived in families that spent more than 10% of their income on prescription drugs and nearly 27% of nonelderly Americans belonged to families where out-of-pocket drug costs accounted for more than half of all out-of-pocket healthcare costs. By 2003, more than 4% of nonelderly Americans had high drug-cost burden and 33.6% lived in families where drug costs accounted for more than half of all out-of-pocket healthcare expenses. But by 2008, these numbers had decreased to 3.1% for families with a high drug-cost burden and 25.4% for families with drug costs accounting for more than half of all out-of-pocket healthcare costs.
Source: RAND Corporation, February 8, 2012 http://www.rand.org/news/press/2012/02/08/index1.html

Number of Live Public and Private Health Insurance Exchanges

MCOLBlog: Very Wired Meets Very Tired

2010 Public HIEs Private HIEs 37 52

2011 67 161

Sources: KLAS: 'Private' HIEs leaving 'public' HIEs in the dust, FierceHealthIT, http://www.fiercehealthit.com/story/klas-private-hiesleaving-public-hies-dust/2011-07-08

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MARKETPLACE/EMPLOYMENT CALIFORNIA

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In Brief
Consumer Watchdog Pushes Rate Regulation Ballot Initiative
The Santa Monica-based advocacy group Consumer Watchdog launched on Wednesday the gathering of signatures for a November ballot initiative to regulate health insurance premium increases. The initiative, known as the Insurance Rate Public Justification and Accountability Act, would give the California Insurance Commissioner the authority to reject premium increases considered excessive or unjustified, and would require public hearings on some proposed rate increases. Consumer Watchdog issued a statement stating it chose to launch signature gathering in front of Blue Shield of Californias San Francisco headquarters because the not-forprofit plan intends to raise premiums for managed care plans by as much as 14.8% and indemnity and preferred provider organization plans by as much as 7.9% on March 1. The insurer currently has a $3.1 billion surplus, about 14 times what it is required to have under state law, according to Consumer Watchdog. Blue Shield is the poster child for why Californians should sign this ballot petition. If the legislature won't act to regulate health insurance rates, it's time voters took matters into their own hands," said Consumer Watchdog President Jamie Court. The ballot petition requires 505,000 signatures by late spring in order to qualify for this falls ballot. Prior initiatives have been opposed by the insurance industry and hospitals, which fear greater rate regulation would impact reimbursements received for care. The California Hospital Association issued a statement earlier this week stating its opposition to such a ballot measure, noting that it creates more government bureaucracy and intrusive regulatory controls over peoples health.

Hill Physicians CEO To Step Down

McDermott Announces Retirement From IPA
Steve McDermott has announced he will be retiring from his long-held position as Hill Physicians Medical Groups chief executive officer at the end of March. McDermott, 65, will be replaced by Hill Chief Operating Officer Darryl Cardoza. McDermott and Cardoza co-founded Hills management company, PriMed, in the early 1980s. It has managed Hill since 1984. McDermott, Cardoza and Dignity Health, formerly known as Catholic Healthcare West, are Hills co-owners. McDermott will continue as chairman of PriMed. McDermott helped guide Hill to become one of Californias largest independent practice associations, with 3,700 physicians in its provider network serving 300,000 patients in 10 counties in the Bay Area, Sacramento and the San Joaquin Valley. The IPA started one of the states first accountable care organizations in partnership with Dignity and Blue Shield of California, and has engineered a recent alliance with UCSF Medical Group. McDermott, known for guarding his privacy, did not announce specific postretirement plans, although he did suggest in a statement that he would continue to be active in healthcare. "As a nation, we finally have the opportunity to create universal access to medical care, but we also have the enormous challenge of making medical services much more efficient and effective," he said. "I look forward to helping find solutions to these challenges."

2011 Earnings Down; 2012 Growth to be Negligible

Health Net reported significantly lower earnings in 2011, and officials with the Woodland Hillsbased insurer expect growth for 2012 to be negligible. The health plan reported net income for the fourth quarter ending Dec. 31 of $61.8 million on revenues of $2.8 billion, compared to net income of $80.4 million on revenues of $2.5 billion for the fourth quarter of 2010. For calendar 2011, Health Net reported net income of $72.1 million on revenues of $11.9 billion. In 2010, its net income was $204.2 million on revenues of $13.6 billion. Company officials attributed much of the lower performance to writeoffs and losses associated with its winding down of its operations in the Northeast, which it said concluded in the fourth quarter. Our fourth quarter performance concluded a successful year for the company and positions us well going into 2012, said Health Net Chief Executive Officer Jay Gellert. In guidance offered by the company, revenue was projected to remain flat, at between $11.5 billion and $12 billion. Although it projected gains in Medicare Advantage enrollment of up to 10%, expected dropoffs in commercial enrollment led Health Net to project that its overall enrollment would grow by no more than 1%."

Health Net Surveys A Flat Horizon

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

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MARKETPLACE/EMPLOYMENT MIDWEST

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In Brief
Aetna Fourth-Quarter Net Income Surges on Low Utilization
Aetna Inc., the countrys third-largest health insurance company, reported strong earnings last week, primarily because of low utilization of medical services by members. Net income in the fourth quarter was $372.6 million, compared with $215.6 million a year earlier. Revenue remained almost constant, at $8.57 billion. Aetnas medical loss ratio was 80.7% in the quarter, while a year ago it was 83%. Under the health reform law, insurers are obligated to spend no less than 85% of their premium revenue on medical costs for large groups, and 80% for small groups and individuals. Analysts said the weak economy probably played a role in the profit increase, as Americans refrained from seeing the doctor, filling prescriptions, or scheduling elective surgery because they dont have the disposable income to pay the extra costs involved.

McClaren To Challenge CON Rules

System Fears Challenge in Moving Hospital Beds
McLaren Healthcare, the giant hospital system in eastern Michigan, announced that it would challenge the states certificate of need rules governing where new health facilities may be located. Early this month McLaren applied for two CONs to build a hospital in Independence Township, and transfer 200 unused beds from McLaren Oakland in Pontiac, formerly known as POH Regional Medical Center. The applications are expected to be heard in July. Phil Incarnati, McLarens CEO, said if the CONs are denied, the system would go to the state legislature to request legislation to permit it to construct a building on 80 acres that is part of McLaren Healthcare Village of Clarkston. Michigan CON rules dont allow hospitals to move beds more than two miles. The new site is 9.4 miles from McLaren-Oakland. McLaren tried to change CON regulations last year but was not successful. The CON commission needs to recognize that changes need to be made with the geographic limitation for a new hospital, Incarnati told Crains Detroit Business. End-runs past the CON process to the state legislature have become common in states with weak or declining CON protections, such as Illinois and Missouri. (Payers & Providers, May 31, 2011) Michigan has been viewed as having one of the most highly functioning CON standards in the country.

Public Sees Ideology in Decisions

Believes Supreme Court Will Follow Their Own Views
The general public believes the justices of the U.S. Supreme Court will decide the health reform law case based on their own personal political views instead of a rational interpretation of the law, according to a recent poll by the Henry J. Kaiser Family Foundation. Six in 10 Americans said they believe the justices will follow their own ideological principles when deciding the legality of the so called individual mandate, considered the cornerstone concept in the Affordable Care Act. About 28% think the court will make its decision based only on legal analysis and interpretation. The court is expected to hear oral arguments in late March, and to rule in June. Support for the healthcare reform law is weak among the public at large, and the level of opposition and support has remained mostly constant over the two years since its passage in March 2009. In particular, the laws insistence that everyone obtain medical insurance, or pay a penalty, is unpopular, with 67% having an unfavorable view and only 30% a favorable one. Slightly over half the polls respondents (54%) thought the court should find the mandate unconstitutional, and 17% believe it should be held constitutional. The public believes 55% to 29% that the justices will find the mandate unconstitutional. A majority of the public (55%) thinks that, even if the court strikes down the mandate, parts of the law will be implemented, while 30% think the entire law will be invalidated if the mandate is lost. The Kaiser Foundation tracks sentiment around the reform law on a monthly basis. The poll of 1,206 adults was conducted in mid- January and published at the end of the month.
The Payers & Providers Midwest Edition is published every Tuesday with six pages of hard-hitting healthcare business and policy news and insights

Wisconsin Medical Society Names New Chief Executive

William Rick Abrams has been chosen to lead the Wisconsin Medical Society. He will become CEO and executive vice president in April. He has a long history working in New Jersey and New York. He worked for New Jersey Gov. Thomas Kean as assistant counsel, deputy attorney general and director of government relations in the state Department of Health. He was 10 years with the New Jersey Association of Healthcare Facilities, and then chief operating officer of the American Healthcare Association, an organization for longterm care providers. Abrams was most recently the executive director of the Medical Society of the State of New York. Susan L. Turney, M.D., the previous leader of the Wisconsin association, departed to become CEO of the Medical Group Management Association late last year. The Wisconsin Medical Society has 12,000 members.

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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 Managing an Increasing Trend of Elective Preterm Deliveries to be held Friday, February 24, 2012 at 12 PM Central 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 to be held Thursday, February 16, 2012 at 10 AM Pacific 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 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

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 Regional Vice President for Payer Relations and Contracting - Oklahoma City, OK Executive Positions, Managed Care Organizations Throughout US Senior Medical Director, Harvard Pilgrim Healthcare Wellesley, MA Vice President of Operations - Austin, TX 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 1
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 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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