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April 8, 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

Hospitals Cite Ongoing Concerns on Quality Reg, Ask CMS to Tone Down Provisions
Reprinted from AIS’s Health Reform Week

The hospital industry, in commenting on a forthcoming regulation that will grade hospitals on their quality of care, is pushing for longer phase-in periods to adjust to the new outcomes-based performance measures. At the same time, the industry is reiterating longstanding concerns that the new program will overpenalize providers on hospital-acquired conditions. Hospital groups also asked CMS to reduce the role a patient feedback survey will have in this quality equation .... Read Full Story


From the AIS Blogs

Court Dismisses Suit for Erroneous Grand Jury Instructions, but Gives Feds Another Try

The U.S. District Court for the District of Maryland on March 23 dismissed a criminal indictment against former GlaxoSmithKline Vice President and Associate General Counsel Lauren Stevens. The feds alleged in a November 2010 indictment that Stevens obstructed an FDA investigation by withholding and concealing documents, and that she falsified and altered other documents ... Read more


Quote of the Day

Accountable care organizations have “all the pieces that drive consulting. There are legal, information technology and cultural changes needed to make it work, so lawyers are happy as hell, IT people are happy as hell and so are the management consultants.”

— Ian Morrison, a founding partner of Strategic Health Partners, told The Washington Post.


Today's Datapoint

$363 billion … (or 14.7% more) was spent by consumers in 2009 on “hidden health care costs” (other than docs, hospitals, drugs and insurance) not traditionally reported by the government, according to a new Deloitte report.



Today from Washington

People on the Move

Benecard Services Inc. named Drew Crawford president and CEO of its prescription benefit facilitator, Benecard PBF. Crawford was a principal with Crawford-Ross, a health care private equity joint venture....GenMark Diagnostics, Inc. appointed Hany Massarany president and CEO. Massarany was president of Ventana Medical Systems and head of Roche Tissue Diagnostics.


Today's Featured Health Business Job Opening

Arcadian Health Plan
Behavioral Health Case Manager - Licensed Social Worker
S. Portland, Maine

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Upcoming Webinars

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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Outcomes-Based Contracts: Innovative Payer Deals to Improve Member Health and the Bottom Line
Tuesday, April 19, 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

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New ACO Regulations: Discover the Opportunities and Pitfalls Ahead
Thursday, May 5, 2011

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

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Payer Strategies to Manage High-Cost Specialty Drugs That Will Hit the Market Soon
Thursday, May 12, 2011

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