Visit the All-new
With archives of AIS's Health Business Daily,
New features like the News Archives, AIS Blogs and more!
(Free registration required)

Feb. 11, 2011

Today’s issue is brought to you by AIS's Medicare Part D News, monthly business, compliance and management news and strategies to help Part D plans increase enrollment, boost revenues and minimize their risks of CMS fines, penalties and repayments.

Today's Featured Story

2011: The Year Utilization of Generic Drugs Moves Past Brand Names?
Reprinted from Medicare Part D News

As the Medicare coverage gap discount program goes into effect for 2011, the focus is on brand-name drugs and the chances of utilization rates going up in light of the discount. But one pharmaceutical insider actually refers to 2011 as “the year of the generic” and advises plans to not forgo them in favor of brand-name drugs in all situations .... Read Full Story


Quote of the Day

Actuarial certification of rate hike filings “is not the biggest [job] we do, but we have to look at [insurers’] incurred claims and tie that to their financial statements. You need to look at trend, age/gender, benefit plan adjustments, geographic-area adjustments, group size….It’s not just a matter of ‘lift up the hood, everything looks OK and put down the hood.’ It’s more like taking apart the engine and putting it back together again.”

— Mike Sturm, consulting actuary with Milliman, Inc., 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

45%...of employers favor the development of accountable care organizations, with the percentage rising to 52% for employers with more than 500 employees, according to a survey by the Midwest Business Group on Health.



Today from Washington

People on the Move

Natus Medical Inc. named John Buhler president and chief operating officer. Buhler was president and CEO at SenoRx, Inc....MedVentive Inc. appointed Dan Underberger vice president and medical director. Underberger was a cofounder of Peminic Inc.


Today's Featured Health Business Job Opening

Health Alliance Medical Plans
Director of Pharmacy
Urbana, Ill.

Place Your Ad Here

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at

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 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