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April 26, 2011

Today’s issue is brought to you by AIS's Health Plan Week, the industry's leading source of objective business, financial and regulatory news of the health insurance industry.

Today's Featured Story

Four Minn. Insurers Agree to Cap Profits; Other States Could Push for Risk Sharing
Reprinted from Health Plan Week

Four not-for-profit health insurers in Minnesota agreed on April 5 to a one-time cap on profits generated from state-funded insurance programs. While Minnesota is unique in that only not-for-profit entities are allowed to provide coverage to residents, gaping budget holes could prompt other states to develop strategies that restrict insurer profits generated by public programs .... Read Full Story


From the AIS Blogs

CMS Packs Them In

It must be a sign of the times. This month's CMS Medicare Advantage and Part D Spring Conference in Hunt Valley, Md., was the hottest ticket of the year, as it attracted a capacity crowd of about 1,000 and had a waiting list in the three digits ... Read more


Quote of the Day

“It is almost impossible for hospitals to rethink that it’s not about revenue generated by illness, but really about building out wellness and preventive service. But it will be hospitals that will dominate the [ACO] landscape.”

— Sam Nussbaum, M.D., chief medical officer and vice president of clinical health policy at WellPoint, Inc., 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

64% … of “large” HIPAA breaches involve electronic data, with laptops (24%), desktop computers (16%) and portable devices (14 %) leading the way, according to David Holtzman, health information privacy specialist at HHS’s Office for Civil Rights, speaking at the recent HIPAA Summit in Washington, D.C.

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


FierceHealthPayer News from our partner FierceMarkets

Cigna Electronically Adds Doctors to Its Networks

Cigna has introduced new electronic contracting that it hopes will accelerate the process of adding new physicians and practices to its networks, reports Insurance Business Review ... Read more


Today from Washington

People on the Move

Wright Medical Group, an orthopedic company, named David Stevens interim president and CEO. Stevens will continue as chairman of the board....The National Community Pharmacists Assn. appointed John Coster head of its new Advocacy Center and senior vice president of government affairs. Coster was vice president of federal affairs and public policy at Rite Aid Corp.


Today's Featured Health Business Job Opening

SXC Health Solutions
Medicare Part D Compliance Officer
Lisle, Ill.

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Upcoming Webinars

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

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

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AIS's Directory of Health Plans: 2011
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