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May 4, 2011

Today’s issue is brought to you by Report on Patient Privacy, the industry's #1 source of timely news and business strategies for safeguarding patient privacy and data security.

 
Today's Featured Story

Office for Civil Rights Pushes ‘Culture of Compliance,’ Shares Data on HIPAA Breaches and Investigations
Reprinted from Report on Patient Privacy

The HHS Office for Civil Rights has a “clear message” for covered entities and business associates, in case the $5.3 million in penalties it assessed less than two months ago wasn’t strong enough. “We are serious about enforcement,” said the new OCR hire who actually has “enforcement” in her title — Valerie Morgan-Alston, OCR’s new deputy director for enforcement and regional operations.... Read Full Story

 

From the AIS Blogs

The Quest to Save Brokers

In weekly conference calls of a small National Association of Insurance Commissioners working group, a possible solution to a troublesome side effect of the health reform law may be starting to get formed. At issue for the Health Care Reform Actuarial Working Group of NAIC's health actuarial task force is what to do about the impact on minimum medical loss ratio (MLR) rules on the pay and thus the very existence of health insurance brokers.... Read more

 

Quote of the Day

"It’s very hard for me to see anyone other than hospitals running [ACOs]. I think what you’re going to get is a lot of consolidation and a lot of pricing power [for hospital systems]. I don’t see the ACO regulations creating this; I see them adding fuel to the fire."

— Robert Galvin, M.D., CEO of Equity Healthcare and former director of global health at General Electric Co., at the recent World Health Care Congress in Washington, D.C.

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

$7,000 … per year in additional premiums and coinsurance for the average Medicare beneficiary would result by 2022 from the GOP deficit reduction plan, according to the Democratic leadership on the House Energy and Commerce Committee.

Click here to read the AIS's Health Reform Week article in which this datapoint appeared. (Free for HRW subscribers; $17 for non-subscribers).

 

Today from Washington

People on the Move

Blue Cross and Blue Shield of Kansas City appointed Blake Williamson, M.D., chief medical officer (CMO). Williamson was vice president and CMO at TriSource….bioVIGIL named Peter Mojica chief technology officer and chief information officer. Mojica was vice president of product management at Awarepoint Corp.

 

Today's Featured Health Business Job Opening

Confidential Managed Healthcare Services Company
Director, Internal Audit
Metro NY/NJ Area

Place Your Ad Here
 

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aishealth.com. If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aishealth.com.

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

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Strategies for Managing Part D Specialty Formulary Tiers
Wednesday, June 15, 2011

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Insurance Exchanges: How Health Plans and Employers Should Prepare for the Radical Changes Ahead
Tuesday, June 21, 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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