AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
Health Plan Week
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.

September 30, 2014

Today's Featured Story

Research on E-Cigarettes Is Needed to Determine Policy Specifics
Reprinted from Health Plan Week

With research on electronic cigarettes scant and federal regulation nonexistent, health insurers are tight-lipped regarding how new data and guidance might affect established smoking policies. Electronic cigarettes, or e-cigarettes, are battery-operated mechanisms that convert liquid nicotine into vapor, eliminating many of the harmful agents found in tobacco smoke. Little research has been done to determine their potential health hazards, however, and insurers are hesitant to speculate on how or if e-cigarettes could be incorporated into health benefit plans in the future once more is known and forthcoming FDA regulations are in place, market sources say.... Read Full Story


Quote of the Day

“Some payers are already establishing a ‘non-preferred’ or ‘more costly’ generic tier for products that have experienced significant inflation. If generic inflation continues, I expect to see more plans with multiple generic tiers.”

— Adam Fein, Ph.D., president of Pembroke Consulting, Inc., told AIS’s Drug Benefit News

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared. (Free for DBN subscribers; $17 for non-subscribers).


Today's Datapoint

$94 million ... has been invested by Covered California in the state-run insurance exchange’s outreach campaign for 2015, including $46 million in new advertising, $14.6 million in new community outreach grant funding, and $33.4 million in funds that community outreach groups will spend in coming months for renewal and enrollment, the exchange said recently.

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


FierceHealthPayer News from our partner FierceMarkets

Docs leery of sharing risk with payers in value-based reimbursement

Physician distrust of payers is a significant impediment to creating value-based reimbursement programs, according to a new survey from global business advisory firm FTI Consulting. In fact, 41 percent of physicians who do not participate in a value-based relationship point to distrust of payers as the major reason.... Read more


Today from Washington

People on the Move

Health Care Service Corporation named Robert Imes vice president for health care policy, based in Washington, D.C. He is responsible for supporting HCSC's public policy, legislative affairs and compliance activities. Previously, Imes was the acting associate deputy director for policy and regulations at CMS’s Center for Consumer Information and Insurance Oversight, as well as acting director of the agency's oversight group. Prior to that position, he worked in the Washington, D.C., office of the Blue Cross and Blue Shield Association as a policy director....The New Jersey Hospital Association promoted Neal Eicher to vice president of government relations and policy, leading NJHA's state policy development and advocacy efforts. He joined NJHA in 2008 as a policy analyst and was promoted to director in 2013.


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