Visit the All-new
With archives of AIS's Health Business Daily,
New features like the News Archives, AIS Blogs and more!
(Free registration required)

March 25, 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

GOP Plan to Challenge Mandatory Spending Could Affect Exchanges, Prevention Fund
Reprinted from AIS’s Health Reform Week

State health insurance exchanges and the new prevention fund could falter under a proposal by House Republicans to eliminate mandatory funding provisions in the health reform law — although its chances of success depend upon acceptance by the Senate, and that’s unlikely, health care observers say .... Read Full Story


From the AIS Blogs

Tufts, Harvard Pilgrim End Merger Talks; State Officials Examine Compensation Packages

So after a brief courtship with intent to marry, it turns out Harvard Pilgrim and Tufts Health Plan feel they’re better off as just friends ....Read more


Quote of the Day

HHS’s recent medical loss ratio waiver for Maine “does demonstrate that HHS wants to work with the states and find solutions to potential market disruptions. I think it gives hope to other state regulators that HHS will listen to their concerns.”

— Sandy Praeger, Kansas Insurance Commissioner, 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

$67 billion … more in government subsidies would be required through 2019 for every 10% increase in the cost of reform’s essential-benefit mandates, according to Jonathan Gruber, Ph.D., a professor of economics at MIT who spoke at a recent AHIP forum.

Click here to read the AIS's HEALTH REFORM WEEK article in which this datapoint appeared. (Free for HRW subscribers; $17 for non-subscribers).


Today from Washington

People on the Move

Bovie Medical Corp., a manufacturer and marketer of electrosurgical products, promoted Robert Saron to president. Saron has been a director of the company since 1988, and was the chief sales and marketing officer....Access Pharmaceuticals, a biopharmaceutical company, named Anthony Mottola vice president of managed care and market access. Mottola was vice president of trade at BioScrip.


Today's Featured Health Business Job Opening

University Physician Associates of New Jersey
Coding Compliance Analyst
Newark, N.J.

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

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week. Copyright © 2011 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to

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

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.

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

Click here for details.

Read a sample issue of AIS's Health Reform Week
AIS's Health Business Daily