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October 8, 2015

Today's Featured Story

Opioid Crisis Is Accompanied by Active Pain Drug Pipeline
Reprinted from Drug Benefit News

The spreading problem of opioid misuse and abuse in the U.S. has given way to a market of drugs specifically developed to address opioid addiction and overdose. Some of those agents are available as low-cost generics, but a growing number of specialty pharmaceutical companies have introduced or are developing newer formulations of existing treatments. These, as well as reformulations of the painkillers that spawned the problem in the first place, have the potential to raise drug costs if not properly managed by the plan or PBM.... Read Full Story


From the AIS Blogs

Will Biosimilars Naming Guidance Solve Problems — or Create Them?

The FDA recently released long-awaited proposed guidance on naming for biosimilars. But while most of the prerelease discussion focused solely on how biosimilars would be treated, the FDA took a more expansive approach, proposing the addition of a four-letter FDA-designated suffix attached with a hyphen that is unique to each product but otherwise has no meaning to the nonproprietary names of all biologics, not only biosimilars.... Read more


Quote of the Day

“I think it’s dangerous” if the government’s position is that hospitals have to generate a profit on physician practices or else compensation is not fair-market-value. “It’s a business decision. You can defend losses on the practice if compensation is based on benchmark data.”

— 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

26 ... new carriers have declared their intentions to join the health insurance exchange market in 2016, with three current participants planning to withdraw, according to a September report from McKinsey & Co.

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


Today from Washington

People on the Move

The National Kidney Foundation named Kevin Longino CEO. Longino is a member of the board and of the executive and development committees....The Goodman Group appointed Amanda Watson director of Platinum Passport Services. Watson previously was project coordinator for University of Minnesota Physicians....Covenant Care appointed Ron Fried senior vice president and chief growth officer. He most recently was executive vice president of development and public affairs for VITAS Healthcare....Cancer Treatment Centers of America Co-Founder and Vice Chairman Robert Mayo is retiring.


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