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April 29, 2011

Today’s issue is brought to you by AIS's Report on Medicare Compliance, the nation's leading source of news and strategic information on Medicare compliance, Stark and other big-dollar issues of concern to health care compliance officers.

Today's Featured Story

Health Reform Is Hotly Debated, but Fraud and Abuse Brings Both Parties Together
Reprinted from Report on Medicare Compliance

Even if parts of the health reform law were to somehow be changed, don’t expect any weakening of its program-integrity provisions. There is bipartisan support for fraud-and-abuse measures in Congress, according to Kim Brandt, chief health care investigative counsel for the Senate Finance Committee’s Republican staff and former CMS Medicare program integrity chief .... Read Full Story


From the AIS Blogs

Allegra Unscripted: Plans Write Off Blockbuster of Yesteryear, Now OTC

Allegra (fexofenadine HCI), the popular allergy-relieving antihistamine, may become even more popular now that it has the FDA’s stamp-of-approval for over-the-counter sales. Sanofi-Aventis racked up $452 million in sales in 2010, according to IMS Health ... Read more


Quote of the Day

Impending federal guidance on automatic enrollment into group plans “is going to be huge. Many employers are waiting…to find out how these rules will affect their plans….I think a lot of people are on the edge of their seats on this. I’m hearing it will be out in the next month or so.”

— Amy Gordon, a partner in the Chicago office of McDermott, Will & Emery, told AIS’s Health Reform Week.

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

8% …is the reduction in health care costs for a couple retiring in 2011 (compared to 2010) as a result of reduced out-of-pocket expenses for prescription drugs for many Part D beneficiaries.



Today from Washington

People on the Move

The Medical Society of New York named Paul Hamlin president. Hamlin is a pulmonologist who previously ran a private practice and now works for the North Shore-Long Island Jewish Health System....Aegerion Pharmaceuticals, Inc., an emerging biopharmaceutical company, appointed Mark Fitzpatrick chief financial officer (CFO). Fitzpatrick was vice president, CFO and assistant secretary at Proteon Therapeutics, Inc.


Today's Featured Health Business Job Opening

American Imaging Management
Technical Analysis Manager

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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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Guide to Health Insurance Reform
Also From AIS
Managed Medicare and Medicaid Factbook 2011
Get up-to-date enrollment data, benefit designs, directories, trends and strategies on the Medicare Advantage, Medicare Part D and managed Medicaid programs. Learn more.

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