AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
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Specialty Pharmacy News
Today’s issue is brought to you by AIS's Specialty Pharmacy News, a monthly newsletter designed to help health plans, PBMs, providers and employers contain costs and improve outcomes related to high-cost specialty products.

November 21, 2014

Today's Featured Story

Genentech Irks Providers With Distribution Change for Infusibles
Reprinted from Specialty Pharmacy News

Although limited-distribution arrangements are not new to the specialty drug arena, one manufacturer’s changes to how its specialty pharmaceuticals are distributed are prompting outcries from providers and hospitals. In the latest development, a group of executives from academic medical centers are urging Congress to review the switch by manufacturer Genentech, Inc.... Read Full Story


From the AIS Blogs

Looking for a Laugh? Come to — and Enjoy — a No-Impact MedPAC MA Session

The Medicare Payment Advisory Commission may not be as influential these days as its creators envisioned, especially since the Congress it advises doesn’t even listen to its own members, let alone an outside body, but MedPAC’s meetings continue to have an entertainment value on their own. And this month’s Medicare Advantage (MA) session at the Nov. 6 portion of a two-day monthly meeting in Washington, D.C., was a good illustration.... Read more


Quote of the Day

“The U.S. Supreme Court may decide [in King v. Burwell, on the issue of the legality of premium subsidies awarded on the federal exchange,] that bad drafting trumps intent, and given a new majority in Congress with a history of disengagement on meaningful health reform, the prospect of a legislative remedy seems dismal. In that case, more governors and state legislators would face a critical decision: Does one sacrifice constituents’ access to health care in the pursuit of a partisan conflict?”

— William Pewen, Ph.D., who served as senior health policy advisor to former Sen. Olympia Snowe (R-Maine), now an assistant professor of public health and family medicine at Marshall University, told AIS’s Inside Health Insurance Exchanges

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


Today's Datapoint

$400 million ... is the price Aetna is planning to pay to purchase bswift, an exchange technology platform company.

Click here to read the HEALTH PLAN WEEK article in which this datapoint appeared. (Free for HPW subscribers; $17 for non-subscribers).


Today from Washington

People on the Move

Matt Kupec joined HelpMeSee as vice president of development and marketing. Kupec was previously co-founder and executive chairman of Text2Give, Inc....LEO Pharma Inc. appointed Barbara Osborne president and CEO of the U.S. region. She has been president and CEO of Molnlycke Health Care’s U.S. Wound Care Division since 2011....Maetrics named Roland Bydlon global marketing director. Bydlon previously managed EYP Advisors....Anterios, Inc. appointed Fabian Tenenbaum chief financial officer and chief business officer. Tenenbaum was most recently CEO of Iluminage Beauty, a division of Unilever....MELA Sciences, Inc. appointed board member Michael Stewart president and CEO, succeeding Rose Crane, who resigned. Stewart was previously chief operating officer and executive vice president for PhotoMedex.


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