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!
Health Plan Week
Today’s issue is brought to you by AIS's Health Plan Week, the industry's leading source of objective business, financial and regulatory news of the health insurance industry. Sign up for a $91 two-month trial subscription today.

August 4, 2015

Today's Featured Story

CMS Plan on Knees, Hips Leaves Questions for Carriers Active in Bundled Care Space
Reprinted from Health Plan Week

Health insurers may view the new proposed CMS program to bundle knee and hip replacement surgeries in Medicare with some trepidation, as the effort may complicate their own efforts in the space and how they negotiate with providers who are part of the 75-market, five-year trial, according to some market consultants. But one insurer takes a nuanced approach to the CMS effort, telling AIS that bundles are a way to “dip your toe” in the alternative payment world, and as such are more of a starting point in preparing physicians for broader population health reimbursement models.... Read Full Story

 

Quote of the Day

“None of the obesity drugs have actually been shown to improve health outcomes, such as cardiovascular events (e.g., heart attack, stroke) or cardiovascular deaths of patients. There is some evidence that they decrease weight in the short term, blood pressure and blood glucose control. However, this does not always translate into improvements in the health of the patient. In addition, we don’t know what the long-term harms are associated with the drugs. So for these manufacturers to actually show a health benefit along with these drugs is incredibly difficult, because the weight loss is so modest that it would take a huge study to show any kind of health benefit and it would also take a pretty good-sized study to show the harms associated with the drugs.”

— Jim Carlson, Pharm.D., vice president for professional pharmacy services at OmedaRx, told AIS’s Drug Benefit News.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared. (Free for DBN subscribers; $17 for non-subscribers).

 

Today's Datapoint

$454 million ... in Medicare funds were saved in 2014 by CMS’s Fraud Prevention System, up 80% from two years ago, according to the third annual report on the program released by the agency on July 14.

From REPORT ON MEDICARE COMPLIANCE

 

FierceHealthcare News from our partner FierceMarkets

First Medicare-approved transitional care center opens for business

The first Medicare-approved, third party transitional care provider began taking patients this month. But it won't be long before other healthcare providers focus exclusively on this type of service.... Read more

 

Today from Washington

People on the Move

WellCare Health Plans, Inc. promoted South Carolina Chief Operating Officer Kathy Warner to state president....CTI BioPharma Corp. appointed Bruce Seeley executive vice president and chief commercial officer. He most recently was senior vice president and general manager of diagnostics for NanoString Technologies, Inc....Otic Pharma Ltd. named Gregory Flesher CEO. Flesher previously was chief business officer at Avanir Pharmaceuticals, Inc....Edmund Baxter joined Evercore as senior managing director in its health care division. Baxter previously had held the same title at Bank of America Merrill Lynch.

 

The Featured Story of the day may be accessed on the day it is transmitted without logging in to AISHealth.com. Thereafter, you may need to log in to access the Featured Story. If you haven’t yet registered on AISHealth.com, 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 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 email 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 © 2015 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)

 

 

Advertise with AIS

Upcoming Webinars
Save $50!

The SCAN/Express Scripts MA Pharmacy Quality Network Program: A Case Study in Improving Outcomes
Thurs., Aug. 6, 2015
Click here for details

Preparing for Super Statins: Strategies to Mitigate the Coming PCSK9 Cost Explosion
Thurs., Aug. 20, 2015
Click here for details

Stark Law DOs and DON’Ts: Physician Contracting Best Practices
Thurs., Sept. 17, 2015
Click here for details

Personalized Medicine Strategies for Plans and Providers
Wed., Sept. 30, 2015
Click here for details

Missed a Live Event?
Listen at your convenience to recent webinars with On-Demand or CD options!
Health Plan Week
AIS's Specialty Pharmacy Trends and Strategies: 2015
Improving Medicare Star Ratings: Practical Strategies for Health Plans and Providers