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March 21, 2011

Today’s issue is brought to you by AIS’s Health Reform Week, the nation’s leading publication on the business implications of the massive changes for the health industry mandated by reform.

Today's Featured Story

Delayed Rules on Accountable Care Organizations Are Expected Soon Amid Sizable, Ongoing Interagency Debate
Reprinted from AIS’s Health Reform Week

After months of delay, federal regulators are expected to issue much-anticipated draft regulations in March for Medicare Accountable Care Organizations (ACOs) as another step in implementing health reform. Yet sources report that "big issues" related to ACO regulation still remained unsettled as of March 1.... Read Full Story


From the AIS Blogs

Are Enough Beneficiaries Eligible to Participate in MTMPs?

While it’s still early in 2011 to get a good read on how Medication Therapy Management Programs are faring this year, the American Pharmacists Association (APha) is getting ready to roll out its annual MTMP digest for the 2010 contract year.... Read more


Quote of the Day

"For all Republicans, whether they are governors or whether they’re in Congress, the key question is whether they’re willing to work to try to achieve reasonable changes in [health reform] legislation or whether they just want to be obstructionist. I suspect the offer the president made [for new state flexibility to implement reform] is not going to be received as it should by the Republicans."

— Ron Pollack, executive director of the advocacy group Families USA, 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

More than
90%...of the nursing facilities audited recently by the HHS Office of Inspector General employed one or more individuals who had a criminal conviction.

Click here to read the REPORT ON MEDICARE COMPLIANCE article in which this datapoint appeared. (Free for RMC subscribers; $17 for non-subscribers).


Today from Washington

People on the Move

Delta Point, Inc., a consulting firm that specializes in sales performance and developing business relationships, named Ed Weimer executive account director. Weimer was director of immunology training at Centocor OrthoBiotech….Streamline Health Solutions, Inc., a developer of document workflow tools for hospitals, appointed Rick Leach senior vice president and chief marketing officer. Leach was senior vice president of health solutions at A.D.A.M., Inc.


Today's Featured Health Business Job Opening

Catalyst Rx
Director, Clinical Services
Anywhere in the U.S.

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

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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

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

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

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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.

Medicare Advantage Marketing for 2012: Steps to Take Now to Succeed Amid Reform-Driven Changes
Tuesday, May 10, 2011

Click here for details.

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