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!
AIS's Value-Based Care News
Today’s issue is brought to you by AIS's Value-Based Care News, a hard-hitting monthly newsletter on accountable care, medical homes, bundled payments, coordinated care and global payments. Sign up for a $63 two-month trial subscription today.

July 3, 2015

Today's Featured Story

FTC, OIG Signal More Scrutiny of Value-Based Pacts, Waivers, Risk
Reprinted from AIS's Value-Based Care News

Regulators from the Federal Trade Commission and the HHS Office of Inspector General are signaling increased scrutiny of accountable care organizations and other value-based payment arrangements, especially those making “creative” use of the antitrust and fraud and abuse waivers in place for Medicare ACOs..... Read Full Story

 

Quote of the Day

“Assuming the PCSK9 inhibitors are approved, the most important FDA decision will be for whom they approve this drug’s use. Will the FDA limit the approval to individuals at highest cardiovascular event risk, like those with familial hypercholesterolemia who are intolerant or resistant to statin therapy? Or will the FDA approve the PCSK9 inhibitors for anyone regardless of risk who is intolerant or resistant to a statin? Or will approval be somewhere in between?... Specialty drugs have typically been approved for use in small populations; the challenge with a specialty drug for the treatment of high cholesterol is that instead of one in 10,000 using the specialty drug for the condition, now 1 in 150 of all insured people may use the specialty drug at $10,000 a year. How do we ensure the pharmacy benefit remains affordable if one in 150 need to use a $10,000-a-year drug?”

— Patrick Gleason, Pharm.D., director of health outcomes at Prime Therapeutics LLC, told AIS’s Specialty Pharmacy News

Click here to read the SPECIALTY PHARMACY NEWS article in which this quote appeared. (Free for SPN subscribers; $17 for non-subscribers).

 

Today's Datapoint

More than
75%... of health exchange enrollees who tried to find a doctor found it easy or somewhat easy, and 67% were able to schedule an appointment within two weeks, according to the latest tracking survey from The Commonwealth Fund.

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

 

Today from Washington

People on the Move

Assurex Health named Peter Donato senior vice president and chief financial officer. Donato was most recently executive vice president and chief financial officer for Bovie Medical....Lisa Diehl Vandecaveye, M.B.A., joined the Joint Commission as general counsel. She was previously senior vice president and chief corporate responsibility officer at Beaumont Health....Ampersand Capital Partners appointed Patrick Walsh CEO of Avista Pharma Solutions and Accuratus Labs. Walsh was formerly CEO of AAIPharma Services.

 

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)

 

 

Save $50 on Upcoming Webinars

FREE webinar!
Web-Broker Entities: How WBEs Can Drive Future Exchange Enrollment

Tuesday, July 28, 2015

Learn how health plans and WBEs can work together to drive enrollment and retention — from thought leaders at Leavitt Partners and Softheon. Click here to sign up!

Spotlight on Health Insurers

AIS's Value-Based Care News
AIS’s Medicare and Medicaid Market Data: 2015
Anthem’s Cancer Care Quality Program: Pathways to Improve Care and Reduce Costs