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Feb. 10, 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

Transparency of Organizational Conduct, Employee Integrity Take Center Stage for Compliance Officers, With a Boost From Reform
Reprinted from Report on Medicare Compliance

The transparency of your organization’s conduct is at the heart of compliance, and is a trend that is reinforced by provisions of the health reform law. Consider the doors of your organization thrust wide open to scrutiny by the government and the public, in terms of business relationships, billing and quality of care .... Read Full Story


Quote of the Day

“An ACO has to have care management tools that ultimately will be very similar to those…payers use today. ACOs will have to figure out best practice and how to allocate care…and they will need to have tools for that.”

— Helen Blumen, M.D., the lead author of a new Milliman briefing paper on ACOs, told AIS’s ACO Business News.

Click here to read the ACO BUSINESS NEWS article in which this quote appeared. (Free for ABN subscribers; $17 for non-subscribers).


Today's Datapoint

30%…will be the average total premium increase for 200,000 individual policyholders after California Blue Shield’s three most recent rate hikes, when viewed together, according to Johnny Wong, spokesperson for the insurer.

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


Today from Washington

People on the Move

The College of American Pathologists named Charles Wagner vice president and general manager of its SNOMED Terminology Solutions division. Wagner was managing director for U.S. health care operations and global health care application delivery at Dell Services....Health Plan One, LLC appointed David Henderson chief financial officer. Henderson was vice president of finance and corporate development at Open Solutions.


Today's Featured Health Business Job Opening

Mayo Clinic
Division Chair – Government Relations
Rochester, Minn.

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