Jan. 25, 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

Think Outside the Box to Improve Research Billing Compliance and Capture Revenue 
Reprinted from Report on Medicare Compliance

Billing correctly for services provided during clinical trials requires thinking outside the box, especially with the revenue growth opportunity provided by health reform .... Read Full Story


Quote of the Day

“It’s unfortunate it needed a [California] law to get insurers to take these first steps toward a more sane, more just health system [that provides child-only coverage], but it shows how states like California can take the lead in health reform.”

— Anthony Wright, executive director of the consumer advocacy group Health Access California, told AIS’s Health Reform Week

Click here to read the AIS's HEALTH REFORM WEEK article in which this quote appeared. (Free for HRW subscribers; $17 for non-subscribers).


Today's Datapoint

30% to 40% … of the pharma pipeline is related to specialty drugs, which “will be very helpful to members…but will be expensive,” according to Laurie Amirpoor, Pharm.D., staff vice president of clinical program policy at WellPoint, Inc.

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


People on the Move

Tetraphase Pharmaceuticals appointed Patrick Horn, M.D., chief medical officer. Horn was vice president, clinical and medical affairs at Dyax Corp.... GSI Health, a health information tools firm, named Lori Evans Bernstein president. Evans Bernstein was chief executive of the provider solutions division of ActiveHealth Management, a health management company owned by Aetna Inc.


Today's Featured Health Business Job Opening

Blue Shield of California
Director of Small Group Sales
Woodland Hills, Calif.

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