AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
AIS's Health Business Daily is a daily email newsletter with strategic business stories written by senior AIS reporters, as well as quick-and-easy news bites of interest to health care business leaders. Subscribe now to get an issue delivered to your inbox every morning!
Drug Benefit News
Today’s issue is brought to you by Drug Benefit News, biweekly news and proven cost management strategies for health plans, PBMs, pharma companies and employers. Sign up for an $86 two-month trial subscription today.

July 31, 2015

Today's Featured Story

Pending 340B ‘Mega-Guidance’ Could Limit Contract Pharmacies, Duplicate Discounts
Reprinted from Drug Benefit News

Pharmaceutical manufacturers, covered entities and other stakeholders in the 340B Drug Pricing Program are once again sweating it out as an expected “mega-guidance” spends its third month at the Office of Management and Budget. Industry insiders say the pending guidance could, among other things, finally place some limits on the wildly expanding contract pharmacy arrangements that may lead to duplicate discounts being paid by manufacturers to 340B entities and commercial and/or Medicaid plans.... Read Full Story


From the AIS Blogs

CMS Plan for Knee and Hip Bundle Attracts Praise, Concern

Some notable advocates for alternative payment models are mostly supportive of the CMS effort announced earlier in July to try out a bundled payment program for knee and hip replacements in the Medicare program in selected areas of the country. The program CMS proposed, and which will not be made final for some months, is another step in the direction to more sensible payment constructs, they say.... Read more


Quote of the Day

“Mr. Slavitt’s conflicted history in the medical services industry has produced mixed results and raised a number of serious concerns. As such, he will be expected to demonstrate that he is up to the challenge and capable of successfully leading [CMS] through the monumental tasks that lie ahead. Most importantly, Mr. Slavitt will need to answer a number of tough questions regarding his former employer and their relationship with the agency.”

— Senate Finance Committee Chairman Orrin Hatch (R-Utah), commenting on the nomination of Andy Slavitt, the acting administrator of CMS (and former executive vice president of UnitedHealth Group’s Optum unit) to head the agency on a permanent basis.

Click here to read the INSIDE HEALTH INSURANCE EXCHANGES E-ALERT in which this quote appeared. (Free for HEX subscribers; $17 for non-subscribers).


Today's Datapoint

33% ... of transgender people plan to have sex transformation surgery, according to statistics from the National Center for Transgender Equality.



Today from Washington

People on the Move

Coordinated Health appointed Linda Chen chief financial officer. Chen most recently held the same title at Community Health Systems....Denali Therapeutics Inc. named Carole Ho, M.D., chief medical officer and head of development. Ho previously was vice president of early clinical development at Genentech....Charles Roberts, M.D., Ph.D., joined St. Jude Children’s Research Hospital as executive vice president and director of the St. Jude Comprehensive Cancer Center. Roberts formerly was deputy chief scientific officer at the Dana Farber Cancer Institute.


The Featured Story of the day may be accessed on the day it is transmitted without logging in to Thereafter, you may need to log in to access the Featured Story. If you haven’t yet registered on, please take a minute to create a free account now and get free access to thousands of articles, blogs and much more.

Content questions or suggestions should be directed to Executive Editor Jill Brown at If you are interested in advertising in AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this email to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week and Spotlight on Health Insurers.

Copyright © 2015 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to

With archives of AIS's Health Business Daily, features like the News Archives, AIS Blogs and more! (Free registration required)



AIS E-Savings Club Weekly Specials

Upcoming Webinars
Save $50!

The SCAN/Express Scripts MA Pharmacy Quality Network Program: A Case Study in Improving Outcomes
Thurs., Aug. 6, 2015
Click here for details

Preparing for Super Statins: Strategies to Mitigate the Coming PCSK9 Cost Explosion
Thurs., Aug. 20, 2015
Click here for details

Personalized Medicine Strategies for Plans and Providers
Wed., Sept. 30, 2015
Click here for details

Missed a Live Event?
Listen at your convenience to recent webinars with On-Demand or CD options!
Drug Benefit News
Anthem’s Cancer Care Quality Program: Pathways to Improve Care and Reduce Costs
AIS's Specialty Pharmacy Trends and Strategies: 2015