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Feb. 23, 2011

Today’s issue is brought to you by AIS's Medicare Advantage News, biweekly news and analysis on the Medicare (and Medicaid) managed care programs.

Today's Featured Story

Quality Bonus Will Aid Plans Mainly Through Rebates, Not Big Payments
Reprinted from Medicare Advantage News

Despite the consensus in the Medicare Advantage industry that there is big money at stake in the new star-rating quality bonus demonstration program, former CMS official Tom Hutchinson said that it’s really just “nickels.” There is really “hardly any money” to be had under the program, he told attendees at World Research Group’s The Business of Medicare Advantage 2011 conference in Arlington, Va. ... Read Full Story


Quote of the Day

“I think the [health plan] industry determined that if you are paying a broker a percentage of premiums, and premium rates are going up 15%, 25% a year, your broker commissions are going up that much, too. Most plans aren’t that concerned about the financial impact this is going to have on brokers, because you can cut a broker’s commission by 50% and they’d still be earning about the same amount as they were earning five years ago, just because of how much premiums have increased.”

— Carl McDonald, director and senior analyst at Citi Investment Research, told AIS’s Health Plan Week.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared. (Free for HPW subscribers; $17 for non-subscribers).


Today's Datapoint

In nearly
20% … of cases, oncology professionals face barriers to delivering treatments because of clinical guidelines, according to a study conducted by Avalere Health for the Assn. of Community Cancer Centers.

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


Today from Washington

People on the Move

Masters Pharmaceutical, Inc. promoted Wayne Corona to president and chief operating officer. Corona was senior vice president of purchasing....Saint Thomas Health Services named Christopher Palombo CEO of the Dispensary of Hope. He was director at C.F. Palombo Consulting.


Today's Featured Health Business Job Opening

Public Sector Partners, Inc.
Managing Director
Worcester, Mass.

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