AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
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Report on Medicare Compliance
Today’s issue is brought to you by AIS's Report on Medicare Compliance, the nation's leading source of news and strategic information on Medicare compliance, Stark and other big-dollar issues of concern to health care compliance officers.

November 20, 2014

Today's Featured Story

New Work Plan: HHS Office of Inspector General to Pursue Errors That Are Seen as Home Runs
Reprinted from Report on Medicare Compliance

There’s a different flavor to the HHS Office of Inspector General’s Work Plan for 2015, and it may cause hospitals and other providers to tinker more than usual with their compliance monitoring plans. A lot of the items on the Work Plan — which is a roadmap for audits, evaluations and investigations for the fiscal year that began Oct. 1 — seem to be designed to give the OIG a bigger bang for its buck, experts say.... Read Full Story


Quote of the Day

“With WellPoint’s acquisition of Bloom Health a while ago and Cigna’s announcement of their benefits marketplace earlier this year, Aetna was feeling like the odd player out and had a compulsion to quickly get into the private exchange market with a bona fide offering, which is what [Aetna’s purchase of the exchange technology platform bswift] brings them. I do think the jury’s out as to the viability of single-carrier proprietary private exchanges, but these are organizations that have demonstrated the ability to capitalize on other market mega trends and that’s what we’re starting to see relative to private exchanges.”

— Jay Savan, a partner at Mercer LLC, told AIS’s Health Plan Week

Click here to read the HEALTH PLAN WEEK article in which this quote appeared. (Free for HPW subscribers; $17 for non-subscribers).


Today's Datapoint

11% ... is the annual rate of growth projected through 2020 for the sale of orphan drugs in the U.S., compared to approximately 4% for drugs that treat larger populations, according to the EvaluatePharma Orphan Drug Report 2014, from Evaluate Ltd.



FierceHealthFinance News from our partner FierceMarkets

Hospitals push back on drug price increases

Hit hard by dramatic increases in drug costs, hospitals and healthcare systems are sorting their options and finding ways to push back.... Read more


Today from Washington

People on the Move

Armanino LLP promoted Jeff Russell to manufacturing industries practice leader of high tech and life sciences. Russell was previously consulting director....Intellipharmaceuticals International Inc. named Domenic Della Penna chief financial officer. He was most recently CFO of Teva Canada Limited....Bruce Matter joined AMC Health as senior vice president of sales and client development. Matter was previously sales and practice leader for GE Healthcare North America....BDO USA, LLP appointed Karen Meador, M.D., M.B.A., managing director of The BDO Center for Healthcare Excellence & Innovation. She was previously physician executive at the University of Texas Southwestern Medical School and Children’s Medical Center of Dallas.


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