Feb. 15, 2012

Today’s issue is brought to you by AIS's Health Plan Week, the industry's leading source of objective business, financial and regulatory news of the health insurance industry.

Insurers Seek New Ways to Promote Medical Homes to Physicians
Reprinted from Health Plan Week

WellPoint, Inc. and Aetna Inc. have recently launched programs in an effort to promote the adoption of the patient-centered medical home model as well as tie physician reimbursement more closely to patient outcomes, under the belief that improved care coordination leads to lower medical costs and improved patient health .... Read Full Story

Pharma, Providers Bear the Brunt of 2013 Budget Cuts

When the White House said its proposed 2013 budget calls for more than $350 billion in cuts to HHS over 10 years, health insurers could be excused for assuming the worst, after getting a major hit in fees via the health reform law ... Read more

“Align yourself with someone you trust when you are choosing advisers [to counsel you about data breaches]. Breaches are viewed as very lucrative. Every law firm is marketing its expertise in managing a breach but few have a depth of experience. Breach response firms, as well as cyber-risk firms, are offering bundled services, some of the components of which are over-priced or unnecessary in particular cases.”

— Jon Neiditz, a partner with Nelson Mullins Riley & Scarborough LLP, told AIS’s Report on Patient Privacy.

From REPORT ON PATIENT PRIVACY.

Today's Datapoint

40… hospitals nationwide have now settled false claims cases in the government’s national kyphoplasty enforcement initiative, in which hospitals are allegedly billing for the treatment for spinal fractures on an outpatient basis when, according to the feds, they could have been performed outpatient.

From REPORT ON MEDICARE COMPLIANCE.

• Congressional Record
• Federal Register

Venable LLP named Ilene Ringel Heller counsel in the firm’s Food and Drug Law practice in Washington, D.C. Heller was associate director of legal affairs at the Center for Science in the Public Interest....Amedica Corp. promoted Eric Olson to president and CEO. Olson was president of the company's subsidiary Amedica Spine.

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aishealth.com. If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aishealth.com.

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 e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week. Copyright © 2012 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 rbiehl@aishealth.com.

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