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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.

From ACO BUSINESS NEWS.

 

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.



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