Jan. 6, 2011

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.

Today's Featured Story

Medicare RACs and MACs Plan to Hammer Away at Unnecessary Hospital Admissions
Reprinted from Report on Medicare Compliance

RACs and MACs will coordinate “to leverage their resources” in the hunt for overpayments, a top CMS program-integrity official tells AIS. The one-two punch of MAC prepayment reviews and RAC postpayment audits is directed at inpatient errors, says George Mills, director of the Provider Compliance Group in CMS’s Office of Financial Management .... Read Full Story


Quote of the Day

“The insurers that want to play in this [state insurance exchange] market will need to engage very heavily with the states as they look at designing these markets in order to determine what they want in terms of product offerings.”

— Cindy Gillespie, a managing director at McKenna Long & Aldridge, 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

$27 billion…in capital in excess of the minimum threshold reserves required by the Blue Cross and Blue Shield Assn. were being held by 33 not-for-profit Blues plans as of Sept. 30, 2010, according to Citigroup Global Markets.

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


People on the Move

The Consumer Healthcare Products Assn. named Bill Head vice president of government affairs, effective Jan. 17. Head most recently led the government affairs department of the Generic Pharmaceutical Assn....Edison Machado, Jr., is joining IPRO, a health care assessment organization, as chief quality officer and vice president of strategic planning, effective Jan. 24. Machado was senior director for strategic partnerships at the National Quality Forum in Washington, D.C.


Today's Featured Health Business Job Opening

Aegis Medical Systems, Inc.
Clinic Director / Program Manager
Santa Barbara, Calif.

Place Your Ad Here

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aishealth.com. If you are interested in sponsoring 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. Copyright © 2011 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.