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March 23, 2011

Today’s issue is brought to you by AIS's Specialty Pharmacy News, a monthly newsletter designed to help health plans, PBMs, providers and employers contain costs and improve outcomes related to high-cost specialty products.

Today's Featured Story

Managing Side Effects and Waste Is Critical With Oral Oncology Drugs
Reprinted from Specialty Pharmacy News

As the number of FDA-approved oral cancer drugs continues to climb and their labels expand to include more indications, many payers are implementing programs to manage this class of drugs .... Read Full Story


From the AIS Blogs

As Maine Goes (on MLR Waiver), Will Rest of States With Problems Go Too?

The first domino now has fallen, but will the rest of them topple neatly in line? That is the question regarding state waivers from having to comply with new minimum medical loss ratio requirements in the health reform law following HHS's decision to grant Maine a three-year waiver in the individual market ... Read more


Quote of the Day

“I’m aware that I have not been able to convince everyone to be a member of the Affordable Care Act fan club.”

— President Obama, speaking at the National Governors Assn. annual meeting on Feb. 28.

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

15% … lower health care cost increases were experienced by employees enrolled in wellness programs, compared with employees who did not participate, according to a study from Blues plan operator Highmark Inc.



Today from Washington

People on the Move

Lithera, Inc., a clinical-stage company developing pharmaceutical and biomedical products, named George Mahaffey president and CEO. Mahaffey was CEO at Peplin, Inc....Kantar Health, a health care consultancy and marketing company, appointed Andrew Miniuks senior director, oncology market access Europe. Miniuks was a program director at the National Institute for Health and Clinical Excellence.


Today's Featured Health Business Job Opening

Confidential Regional Health Plan
Medical Director

Place Your Ad Here

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Upcoming Webinars

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

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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

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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.

Specialty Pharmacy News
AIS's Health Business Daily