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May 13, 2011

Today’s issue is brought to you by ACO Business News, a hard-hitting monthly newsletter on the latest industry actions to design and create ACOs, for hospitals, physicians, health plans and their advisers.

 
Today's Featured Story

Specialty Docs Have Concerns Over Role in Medicare ACOs
Reprinted from ACO Business News

In reviewing CMS’s recently proposed regulations on developing ACOs, one specialty physician group responded with an immediate request: Don’t shut us out of the process .... Read Full Story

 

From the AIS Blogs

Health Reform: 20 Years Ago and Today

In the very first issue of Health Plan Week's predecessor newsletter, Managed Care Week, a four-page spread asks "Is The Time Ripe For A National Health Plan?" The article, published May 20, 1991, outlines a multitude of options that will sound familiar to anyone who followed the 2010 health reform debate .... Read more

 

Quote of the Day

“I’m not surprised [the FDA] is struggling with the regs [on online direct-to-consumer drug ads], because it’s going to be very complicated balancing basic interests in free speech and having an open business environment with the appropriate need to protect the public. With how viral social media has become, it’s an area where great harm or great good can be done. Things that are web-based can touch an awful lot of people for very little money.”

— Glen Stream, M.D., president-elect of the American Academy of Family Physicians, told AIS’s Drug Benefit News.

Click here to read the DRUG BENEFIT NEWS article in which this quote appeared. (Free for DBN subscribers; $17 for non-subscribers).

 

Today's Datapoint

$2,750 … with 30% coinsurance was the deductible under health insurance exchanges (under the “bronze” or lowest benefit plan) that was projected by three actuarial firms commissioned by the Kaiser Family Foundation. With no coinsurance the deductible was pegged at $6,350.

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

Catalent Pharma Solutions, Inc. appointed Harry Jeffreys vice president of quality management systems and compliance. Jeffreys was the quality assurance executive at GE Healthcare....RxTrials, Inc. named Adam Chasse vice president of business development. Chasse was head of prime sites at Quintiles.

 

Today's Featured Health Business Job Opening

WellPoint, Inc.
Investigator Sr.
Atlanta

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.

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week. Copyright © 2011 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to rbiehl@aishealth.com.

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Register for the FIS Healthcare Payment Solutions webinar, Payer and Provider Collaboration – Strategies to Ensure Mutual Success – May 26, 2011; 2:00 p.m. EDT. www.fisglobal.com/
transformation

Upcoming Webinars

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

Click here for details.

Global Payments: Health Plan Strategies for the Brave New World of Accountable Care
Tuesday, June 14, 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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ACO Results and Strategies: A Case Study in Three-Way Risk Sharing
Thursday, June 30, 2011

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Payer Strategies to Manage High-Cost Specialty Drugs That Will Hit the Market Soon
Thursday, July 14, 2011

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Managed Medicare and Medicaid Factbook 2011
 
AIS's Health Business Daily