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May 16, 2011

Today’s issue is brought to you by Drug Benefit News, biweekly news, proven cost management strategies and unique data for health plans, PBMs, pharma companies and employers.

Today's Featured Story

14 Years Later, Plans, Providers Still Grapple With DTC Drug Ads on TV
Reprinted from Drug Benefit News

Nearly a decade and a half after the FDA cleared the way for direct-to-consumer (DTC) pharmaceutical advertising on television in the U.S., the jury remains out on whether those ads are in the best public interest. While the patient-consumer remains the primary target of such ads, it’s the physicians, pharmacists, plans sponsors and benefits administrators in the trenches of care delivery who continue to struggle with their impact .... Read Full Story


From the AIS Blogs

A Weighty Matter for MA Plans

A CMS memo may have escaped many Medicare Advantage plans' scrutiny — but it shouldn't have. That's because what plans say and don't say in response to CMS's request for comments on weighting of quality and performance measures may be a big determinant of star ratings, and thus payment for plans, in the future. ... Read more


Quote of the Day

“People are curious. They’ll plug anything [into their computers], especially if it’s enticing. Take a CD and write ‘Fourth Quarter Bonuses’ on it and leave it sitting in the lunch room. Somebody will put it in.”

— Randy Romes, with LarsonAllen LLP, speaking at the recent HCCA Compliance Institute about the increasing threats to health care entities from cyber criminals.

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

$14 to $18 … is the likely value of a stolen medical identity, as opposed to $1 to $5 for a stolen credit card number, according to Greg Porter, founder of Allegheny Digital, speaking at a 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).


Today from Washington

People on the Move

Medtronic named Omar Ishrak chairman and CEO, effective June 13. Ishrak was president and CEO of GE Healthcare Systems....Momenta Pharmaceuticals, Inc., a biotechnology company, appointed Nic Scalfarotto vice president of regulatory affairs. He was a principal at Strategic Regulatory Consulting, L.L.C.


Today's Featured Health Business Job Opening

Blue Shield of California
Medical Director for Quality, Disease Management, Behavioral Health and Wellness
San Francisco

Place Your Ad Here

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Upcoming Webinars

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

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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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Health Plans vs. Drug Coupons: Tactics to Combat Brand-Name Drug Promotions
Wednesday, July 13, 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
Also From AIS
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