AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
Specialty Pharmacy News
Today’s issue is brought to you by AIS's Specialty Pharmacy News, a monthly newsletter designed to help health plans, PBMs, providers and employers contain costs and improve outcomes related to high-cost specialty products.

December 18, 2014

Today's Featured Story

Companies Are Offering Array of Hepatitis C Management Strategies
Reprinted from Specialty Pharmacy News

As cost concerns over new therapies continue to dominate the hepatitis C landscape, PBMs and specialty pharmacies are offering assistance on how health plans can make sure members are receiving appropriate care without breaking the bank.... Read Full Story


Quote of the Day

“Stark [physician self-referral] liability does not exist forever. If you are outside the four-year reopening period, you probably have no liability to CMS.... Using the reopening period to cut off Stark law liability is a powerful weapon providers have so that Stark liability is not endless.”

— Bob Wade, an attorney with Krieg DeVault in Mishawaka, Ind., told AIS’s Report on Medicare Compliance.

Click here to read the REPORT ON MEDICARE COMPLIANCE article in which this quote appeared. (Free for RMC subscribers; $17 for non-subscribers).


Today's Datapoint

80% ... of individual, small-group and large-group market share belonged to the three largest health insurers in each of 37 states, according to a Dec. 1 report from the Government Accountability Office.



FierceHealthPayer News from our partner FierceMarkets

Insurers loosen payment deadlines for ACA plans

Insurers are voluntarily offering flexible payment deadlines for customers who purchase insurance through the federal marketplace, America's Health Insurance Plans said in a statement.... Read more


Today from Washington

People on the Move

MAETRICS appointed Jill Spencer managing director. She was previously global relationship partner at IBM....Steve R. Martin joined Applied Proteomics Inc. as chief financial officer. Martin was previously CFO at Apricus Biosciences....Spark Therapeutics named Rogerio Vivaldi, M.D., M.B.A., chief commercial officer. Vivaldi was most recently head of rare diseases at Genzyme, a unit of Sanofi....Amedisys, Inc. appointed Paul Kusserow president and CEO. Kusserow was previously vice chairman of Alignment Healthcare, Inc.


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