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April 14, 2011

Today’s issue is brought to you by Drug Benefit News, biweekly news, proven cost management strategies and unique data for health plans, PBMs, pharma companies and employers.

Today's Featured Story

Benefit Managers Alter Plans to Reap Savings Stemming From 2012 Generics
Reprinted from Drug Benefit News

With the patents of an unprecedented number of blockbuster brand drugs expiring in 2012, drug benefit managers are modifying their plan designs to take advantage of the savings offered by generic competitors. Foremost among the challenges they face is getting plan members to shift from brand to generic drugs. Accordingly, benefit managers are incorporating a host of tools and tactics into their plan designs to increase generic utilization .... Read Full Story


From the AIS Blogs

OCR Officials Send Clear Message on Internal Privacy Audits

In case the $5.3 million in penalties it assessed less than two months ago wasn’t strong enough, officials with the HHS Office for Civil Rights had a “clear message” for covered entities and business associates attending the 19th national HIPAA Summit in Washington, D.C. ... Read more


Quote of the Day

State single-payer legislation that is likely to become law should make Vermont “the first state in the country to make the first substantive step to deliver a health care system where health care will be a right and not a privilege, where health care will follow the individual, not be a requirement of the employer.”

- Vermont Gov. Peter Shumlin (D).

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

9.1% …was the rate hike the California Dept. of Insurance recently approved for individual products sold by Anthem Blue Cross, down from the 16.4% increase initially proposed by the insurer.



FierceHealthcare News from our partner FierceMarkets

Hospitals Shrinking as Largest Part of Health Spending Pie

While hospital care remains the largest single category of health care spending, its share as a percentage of total spending for healthcare is declining, according to a recent report from the American Hospital Association ... Read more


Today from Washington

People on the Move

Randy Stone has been named chief financial officer (CFO) of SCAN Health Plan Arizona and SCAN Long-Term Care Arizona. Stone was CFO at L.A. Care Health Plan....Genesys Health System appointed Betsy Aderholdt president and CEO. Aderholdt had been serving as interim co-CEO.


Today's Featured Health Business Job Opening

Homecare Dimensions
Registered Nurses
San Antonio

Place Your Ad Here

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Upcoming Webinars

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

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

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

Click here for details.

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