AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
Drug Benefit News
Today’s issue is brought to you by Drug Benefit News, biweekly news and proven cost management strategies for health plans, PBMs, pharma companies and employers.

October 20, 2014

Today's Featured Story

CVS Will Pay $6 Million to Resolve Medicaid False Claims Allegations
Reprinted from Drug Benefit News

CVS Health’s CVS/caremark PBM unit will pay the U.S. $6 million to settle allegations that it knowingly failed to reimburse Medicaid for prescription drug costs that were the responsibility of private health plans administered by the PBM, the U.S. Department of Justice said on Sept. 26. The settlement comes as a result of a whistleblower lawsuit filed by former Caremark employee Donald Well.... Read Full Story

 

From the AIS Blogs

The Challenge of Innovation in Pharma

Specialty drugs have been in the news often lately, mainly because of their high prices. But many of them offer benefits over traditional drugs, according to a study by researchers with the Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center.... Read more

 

Quote of the Day

“The security of your platform [with confidential patient data] is only as good as the security of the weakest vendor who has access to your server.”

— Robert Trusiak, chief compliance officer and associate general counsel at Kaleida Health in Buffalo, told the audience at a recent American Health Lawyers Assn. Fraud and Compliance Forum.

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

1.8% ... is the average increase in premiums for products sold in 2015 on Colorado’s state-run exchange, according to the state’s Division of Insurance.

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

 

Today from Washington

People on the Move

The American Academy of Actuaries appointed Tom Wildsmith president for the 2015-2016 term. Wildsmith, who was previously vice president, is senior public policy manager for Aetna, Inc. and succeeds Mary Miller....Alameda Health System named Bonnie Panlasigui chief administrative officer for Alameda Hospital. She was previously chief operating officer of Lutheran Health Network’s Dupont Hospital....Thomas Smith, M.D., joined Ameritox as chief medical officer. He was previously chief medical officer for Mallinckrodt Pharmaceuticals....ForSight VISION5 named Lisa Garrett vice president of finance and administration. She was previously chief financial officer and vice president of human resources for Corventis, Inc., which was recently acquired by Medtronic.

 

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