Jan. 27, 2011

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.

Today's Featured Story

Happy ‘Flu’ Year: As Season Ramps Up, Insurers Must Reach Vulnerable Members
Reprinted from Health Plan Week

First, the good news: This year’s influenza vaccine is said to be very effective at combating the three main circulating flu viruses: H3N2, H1N1 and type B. Now the bad news: Immunization rates are low — between 30% and 50% — even among those most at risk for flu-related complications. To help keep members out of the hospital, health plans must reach out to their members as well as to their network physicians to explain the importance of immunizations .... Read Full Story


Quote of the Day

“In oncology, one of the big problems is there are more and more oral agents. Doctors and nurses can’t see how patients are doing week to week and whether they’re having side effects. There’s a need for a new approach for orals.”

— Elan Rubinstein, Pharm.D., founder and principal of the consulting firm EB Rubinstein Associates, 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

10%…is the threshold under new proposed HHS rules that would trigger the need for health insurers to disclose their rate hikes of 10% or greater in the individual and small-group markets.

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


People on the Move

PerformRx, a pharmacy benefits manager, named Denise Kehoe vice president of sales and marketing. Kehoe was national strategic executive for managed care sales and contracting at Walgreen Co....Aceto Corp. promoted Guillaume Saint-Clair to international vice president of pharmaceutical intermediates. Saint-Clair was manager of European pharmaceutical intermediates and specialty chemicals businesses.


Today's Featured Health Business Job Opening

HCA (Hospital Corporation Of America)
Director, Billing and Compliance

Nashville, Tenn.

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