AIS's Health Business Daily
Strategic Business News from Experienced Health Care Reporters
at Atlantic Information Services, Inc.
Report on Medicare Compliance
Today’s issue is brought to you by AIS's Report on Medicare Compliance, the nation's leading source of news and strategic information on Medicare compliance, Stark and other big-dollar issues of concern to health care compliance officers.

November 20, 2014

Today's Featured Story

New Work Plan: HHS Office of Inspector General to Pursue Errors That Are Seen as Home Runs
Reprinted from Report on Medicare Compliance

There’s a different flavor to the HHS Office of Inspector General’s Work Plan for 2015, and it may cause hospitals and other providers to tinker more than usual with their compliance monitoring plans. A lot of the items on the Work Plan — which is a roadmap for audits, evaluations and investigations for the fiscal year that began Oct. 1 — seem to be designed to give the OIG a bigger bang for its buck, experts say.... Read Full Story

 

Quote of the Day

“With WellPoint’s acquisition of Bloom Health a while ago and Cigna’s announcement of their benefits marketplace earlier this year, Aetna was feeling like the odd player out and had a compulsion to quickly get into the private exchange market with a bona fide offering, which is what [Aetna’s purchase of the exchange technology platform bswift] brings them. I do think the jury’s out as to the viability of single-carrier proprietary private exchanges, but these are organizations that have demonstrated the ability to capitalize on other market mega trends and that’s what we’re starting to see relative to private exchanges.”

— Jay Savan, a partner at Mercer LLC, told AIS’s Health Plan Week

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

 

Today's Datapoint

11% ... is the annual rate of growth projected through 2020 for the sale of orphan drugs in the U.S., compared to approximately 4% for drugs that treat larger populations, according to the EvaluatePharma Orphan Drug Report 2014, from Evaluate Ltd.

From SPECIALTY PHARMACY NEWS

 

FierceHealthFinance News from our partner FierceMarkets

Hospitals push back on drug price increases

Hit hard by dramatic increases in drug costs, hospitals and healthcare systems are sorting their options and finding ways to push back.... Read more

 

Today from Washington

People on the Move

Armanino LLP promoted Jeff Russell to manufacturing industries practice leader of high tech and life sciences. Russell was previously consulting director....Intellipharmaceuticals International Inc. named Domenic Della Penna chief financial officer. He was most recently CFO of Teva Canada Limited....Bruce Matter joined AMC Health as senior vice president of sales and client development. Matter was previously sales and practice leader for GE Healthcare North America....BDO USA, LLP appointed Karen Meador, M.D., M.B.A., managing director of The BDO Center for Healthcare Excellence & Innovation. She was previously physician executive at the University of Texas Southwestern Medical School and Children’s Medical Center of Dallas.

 

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

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 e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week and Spotlight on Health Insurers.

Copyright © 2014 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 rbiehl@aishealth.com.

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

 

 

AIS E-Savings Club Weekly Specials

Upcoming Webinars
Save $50!

Hepatitis C Treatment: Payer Strategies to Improve Outcomes and Contain Costs
Mon., Dec. 8, 2014
Click here for details

Medicare Plans Serving the Disadvantaged: Strategies for Overcoming the Growing Financial Crunch
Thurs., Dec. 11, 2014
Click here for details

Missed a Live Event?
Listen at your convenience to recent webinars with On-Demand or CD options!
Report on Medicare Compliance
Get instant compliance news!
Follow AISCompliance on Twitter
Follow AISHealth on LinkedIn
Like AISHealth on Facebook
Bundled Payment Models: Bottom-Line Strategies for Insurers