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Health Plan Week
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September 30, 2016

Today's Featured Story

Obama Moves to Salvage Exchanges, Pay Insurers Billions Owed From Risk Corridors
Reprinted from HEALTH PLAN WEEK

To say the woes of the Affordable Care Act (ACA) exchanges have caught the attention of the Obama administration is safe given the president himself attended a White House meeting on Sept. 12 with health plans worried about the situation. The session was one development of many concerning the floundering marketplaces, with more carriers declaring themselves in or out — or in the case of ConnectiCare in Connecticut, out then in, Republicans warning CMS against settling insurers’ risk-corridors lawsuits, and demands from the industry that the administration toughen special enrollment periods (SEPs) and fix other bugaboos blamed for killing their exchange businesses.... Read Full Story


From the AIS Blogs

Speaker Sound Bites from MHPA 2016

Advanced data, analytics and social determinants of health were just a few of the running themes at the Medicaid Health Plans of America conference, which took place in Washington, D.C., from Sept. 21-23. Here’s what some of the speakers had to say on the importance of these elements in providing personalized and cost-effective care for managed Medicaid beneficiaries.... Read more


Quote of the Day

“[Aetna is] one of many insurers, large and small, that has been forced to reduce its public exchange participation due to an increasingly unstable marketplace. This isn’t a recent development, as more than 40 companies exited certain geographies for the 2016 plan year. Singling Aetna out may be politically convenient during election season, but this letter ignores realities and takes the focus away from needed reforms. The ACA is not sustainable without bipartisan action that improves access, affordability and quality of care for consumers.”

— Aetna spokesperson TJ Crawford told AIS’s Health Plan Week, responding to a letter from five Democratic senators to Aetna CEO Mark Bertolini, which lambasted the insurer for its “dangerous and irresponsible” action linking Aetna’s exchange participation to DOJ approval of Aetna’s deal to buy Humana Inc.



Today's Datapoint

At least
300 ... generic drugs covered under Medicare Part D had “extraordinary price increases” over a five-year period, according to a new report from the U.S. Government Accountability Office that found that Part D generic prices generally declined between the first quarter of 2010 and the second quarter of 2015.



Today from Washington

People on the Move

The New Jersey Hospital Asssociation said President and CEO Elizabeth "Betsy" Ryan is stepping down, effective in July 2017. The NJHA Board of Trustees will launch a search to fill the position….EpiThany appointed David Poston as chief operating officer. He previously served as chief financial officer at the Allen Institute….Intrexon Corp. named Lieutenant General (Ret.) Thomas P. Bostick, Ph.D., head of the company's environment sector. He recently retired as the U.S. Army Chief of Engineers and the Commanding General of the U.S. Army Corps of Engineers.


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