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April 25, 2011

Today’s issue is brought to you by AIS's Medicare Advantage News, biweekly news and analysis on the Medicare (and Medicaid) managed care programs.

Today's Featured Story

MA Plans Gear Up for Shortened 2012 AEP With Ideas Designed to Shrink Sales Cycle
Reprinted from Medicare Advantage News

Medicare Advantage plans already are gearing up for an Annual Election Period (AEP) this fall that is almost mind-boggling in its challenges. First and foremost, the total time for marketing and sales combined is shrinking to 10 weeks from the previous 13. Second, because of the compressed period and earlier start for sales (Oct. 15 instead of Nov. 15), marketing materials need to be into CMS for review by June 30. Third, MA plans’ Annual Notice of Changes (ANOCs) in benefits must arrive in beneficiaries’ homes by Sept. 30, making it important to reach members with marketing pieces shortly after that if the changes are negative .... Read Full Story


From the AIS Blogs

Help Wanted

If you’re a social media manager hoping to use your skills at a health insurer, today may not be your day. Or tomorrow, for that matter. But if your ideal job description includes health reform, you might be in luck... Read more

Quote of the Day

“Typically the first layer of defense [against security breaches of patient information] is your firewall system. That’s your DMZ. If the hacker or the attacker penetrates all layers of security you have in place, but you have encrypted that device or information appropriately…that would be a deterrent. You can afford to lose the laptop. You cannot afford to lose the PHI on the laptop.”

— Ali Pabrai, chairman and CEO of ecfirst, told the recent 19th National HIPAA Summit.

Click here to read the REPORT ON PATIENT PRIVACY article in which this quote appeared. (Free for RPP subscribers; $17 for non-subscribers).

Today's Datapoint

115,000 … state employees in Illinois will have to change their health insurance plan next month after the state said it was dropping Health Alliance and Humana Inc. from its health program.


Today from Washington

People on the Move

BenefitVision named Charles Schwartz vice president of enrollment. Schwartz joins BenefitVision after 10 years as a customer service oriented call center executive....The National Association of Chain Drug Stores appointed Joel Kurzman director of state government affairs. Kurzman was a senior policy manager at Abbott Laboratories.


Today's Featured Health Business Job Opening

American Imaging Management
Health Care Strategy Consultant

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Upcoming Webinars

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.

Optimizing Drug Benefit Plan Designs for the Coming Wave of Generic Competition
Tuesday, May 17, 2011

Click here for details.

Medical Loss Ratio Regs: What 2010 Data Suggest About Potentially Huge Rebates in 2011
Thursday, June 23, 2011

Click here for details.

Medicare Advantage News
Also From AIS
Conducting Internal Investigations in Health Care Organizations
A practical guide on how to resolve allegations of wrongdoing, by former HHS IG Richard Kusserow. (Includes CD with adaptable policy and form templates.) Click here.

Disease Management and Wellness in the Post-Reform Era
The health reform law created major opportunities for care management and health promotion programs. Get guidance on navigating the new hurdles to implementation. Learn more.
AIS's Health Business Daily