AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
AIS's Health Business Daily is a daily email newsletter with strategic business stories written by senior AIS reporters, as well as quick-and-easy news bites of interest to health care business leaders. Subscribe now to get an issue delivered to your inbox every morning!
Drug Benefit News
Today’s issue is brought to you by AIS's Drug Benefit News, biweekly news and proven cost management strategies for health plans, PBMs, pharma companies and employers. Sign up for an $86 two-month trial subscription today.

July 27, 2016

Today's Featured Story

Plans Inking New PBM Deals Must Watch for Loose Contract Terms
Reprinted from Drug Benefit News

Whether it comes to selecting a new PBM or renewing with an existing vendor, ironing out the details of a PBM arrangement is a notoriously convoluted and opaque process that can easily give way to loopholes. But by keeping an eye on several key areas, such as loosely defined terms and hidden revenue streams, plans can ensure that their contracts more closely reflect what they sought during the bidding process, advised two PBM contracting experts during a recent AIS webinar.... Read Full Story


Quote of the Day

“A regulator should be able to hear and see the train before the collision happens. Someone approved these rates [for ACA CO-OPs] to begin with. So what’s worse...that we knew [the financial downfall of CO-OPs] was going to happen, or that we didn’t know this was going to happen?”

— Dennis Smith, a principal at the law firm Dentons US LLP, told AIS’s Inside Health Insurance Exchanges.

Click here to read the INSIDE HEALTH INSURANCE EXCHANGES article in which this quote appeared — "Can State Regulators Forbid Insurers From Making Risk-Adjustment Payments?" (Free for HEX subscribers; $17 for non-subscribers.)


Today's Datapoint

43% ... of young adults (age 18 to 34) are willing to consider a network without their current provider for a lower premium, according to a recent survey by the Deloitte Center for Health Solutions.

Click here to read the HEALTH PLAN WEEK article in which this datapoint appeared — "Insurers Are Learning the Do’s And Don’ts for Selling to Millennials" (Free for HPW subscribers; $17 for non-subscribers.)


Today from Washington

People on the Move
Global Healthcare Alliance named James Dye vice president of business development. He most recently was chief development officer for MedSynergies....Cardiac Science appointed Devdatt Kurdikar CEO. He previously was general manager of men’s health for Boston Scientific....Martin Emerson joined Monteris Medical as president and CEO. He most recently was president and CEO of Galil Medical....TapImmune, Inc. promoted Strategic Advisor and Member of the Board John Bonfiglio to president and CEO.

The Featured Story of the day may be accessed on the day it is transmitted without logging in to Thereafter, you may need to log in to access the Featured Story. If you haven’t yet registered on, please take a minute to create a free account now and get free access to thousands of articles, blogs and much more.

Content questions or suggestions should be directed to Executive Editor Jill Brown at If you are interested in advertising in AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at

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 email to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week and Spotlight on Health Insurers.

Copyright © 2016 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

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

AISHealth  Follow AISHealth on Twitter  Follow AISHealth on Facebook  Follow AISHealth on LinkedIn



AIS E-Savings Club Weekly Specials

Upcoming Webinars

Effective Specialty Drug Strategies for the Pharmacy and Medical Benefits
Thurs., Aug. 11, 2016
Click here for details

How Customer Service Cost-Cutting Is Killing Enrollee Retention and Eroding Profits — And How to Fix It
Thurs., Aug. 25, 2016
Click here for details

Missed a Live Event?
Listen at your convenience to recent webinars with On-Demand or CD options!
Drug Benefit News
AIS's Directory of Health Plans: 2016 Is Shipping Now!