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March 10, 2011

Today’s issue is brought to you by AIS's Report on Patient Privacy, the industry's #1 source of timely news and business strategies for safeguarding patient privacy and data security.

Today's Featured Story

CEs Brace for New Rule on Accounting of Disclosures in Electronic Health Records
Reprinted from Report on Patient Privacy

Since 2003, patients have had the right to obtain from health care organizations an “accounting of disclosures,” which would list all uses and transmissions of their protected health information — other than for treatment, payment or health care operations .... Read Full Story


From the AIS Blogs

Can PBMs Affect Plans’ Star Ratings?

During the Feb. 9 AIS-sponsored webinar on Medicare Star Ratings, Steve Arbaugh, principal of ATTAC Consulting Group, and Lisa Erwin, a senior consultant at ATTAC, both said that pharmacy benefit managers will play a significant role in helping plans analyze data they need to increase their star ratings. What do you think? ... Read more


Quote of the Day

“I think the mental health side of the [accountable care organization] is important, and I feel the mental health system in this country has been forgotten….One of the coolest things that could come out of this shift [toward ACOs] would be treating the whole person. And [ACO developers] who figure that out will be rewarded.”

— Richard Gendron, M.D. vice president of Holston Medical Group in Kingsport, Tenn., 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

20%…was the increase between 1990 and 2005 in babies born before the 37th week of gestation, with a 29% increase recorded between weeks 37 and 39, according to the CDC.

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


Today from Washington

People on the Move

China Nuokang Bio-Pharmaceutical Inc., a China-based biopharmaceutical company, promoted Tao Zhu to executive vice president of sales and marketing. Zhu was head of marketing agent management....Hall, Render, Killian, Heath & Lyman, a large health care law firm, hired Daniel Miller for its Milwaukee office. Miller was team leader of the health care group at Hirschboeck Dudek.


Today's Featured Health Business Job Opening

Presbyterian Health Plan
Director, Provider Reimbursement
Albuquerque, N.M.

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Upcoming Webinars

Social Media: How Insurers Can Strengthen Sales, Improve Member Health and Avoid Privacy Risks
Tuesday, March 22, 2011

Click here for details.

Beyond Buy and Bill: Managing Specialty Therapies Under the Medical Benefit
Tuesday, March 29, 2011

Click here for details.

Medical Homes: Health Plan Pilots that Have Improved Outcomes and Lowered Costs
Thursday, March 31, 2011

Click here for details.

New Reform-Driven Claims and Appeals Procedures: Practical Steps Plans Should Take Now
Tuesday, April 5, 2011

Click here for details.

CMS’s New Past Performance Assessment: Steps MA and Part D Plans Must Take Now to Avoid Harsh Penalties
Thursday, April 14, 2011

Click here for details.

Setting Out-of-Network UCR Rates: Evaluating FAIR Health’s New Benchmark Data and Other Alternatives for Insurers and Employers
Thursday, April 21, 2011

Click here for details.

AIS's Directory of Health Plans: 2011
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