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May 19, 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

Insurers Seek Diversity Rather Than Scale in Acquiring Small, Savvy Firms
Reprinted from Health Plan Week

Flush with cash and a desire to diversify in the wake of the reform law, health insurers are snapping up firms that they hope will put them in position to thrive. Rather than expand their core business, health plan operators are banking that key acquisitions will help them gain efficiencies and shift or mitigate some of the insurance risk they carry .... Read Full Story


From the AIS Blogs

New York Is Now Reviewing Medicaid Providers’ Compliance Programs

The New York State Office of Medicaid Inspector General began compliance program effectiveness reviews late last year and now has a handful under its belt, so it’s telling Medicaid providers in the state what to expect via its website and public events. It’s also providing tools to prepare for the reviews ... Read more


Quote of the Day

“The markets [for the growth of the health insurance business internationally] are speculative, and insurers haven’t really figured out the formula yet, so they’re akin to explorers Lewis and Clark.”

Mark Reiboldt, vice president at Atlanta-based Coker Capital Advisors, told AIS’s Health Plan Week.



Today's Datapoint

61%…of compliance professionals, of the more than 500 health care entities surveyed recently by HCCA and the Society of Corporate Compliance and Ethics, thought an accidental breach of patient records by an employee was somewhat or very likely.



FierceHealthFinance News from our partner FierceMarkets

AMA wants the total repeal of Medicare fix

The American Medical Association, which has chafed against a potential 29.5 percent Medicare payment reduction to physicians in 2012 as part of the sustainable growth rate formula, has made its own recommendations to Congress to address the matter ... Read more


Today from Washington

People on the Move

Catalyst Health Solutions, Inc. named Wayne Dix senior vice president of operations and business transformation; Andrew Brynes chief financial officer (CFO) for business transformation; Babette Edgar president of government services; Mark Noga chief pharmacy officer for government services; Richard Keane president of the employer segment; and Chris Myers senior vice president of member services. Dix joins Catalyst from AXA Equitable where he held a variety of leadership roles. Brynes was CFO of Townsend Capital. Edgar was with Gorman Health Group where she ran the Medicare Part D consulting practice. Noga was vice president of clinical pharmacy for Medicare at Coventry Health Care. Keene was a senior vice president for OptumHealth/United Behavioral Health. And Myers has 20 years of experience with several employee benefits service operations and call centers, including CitiStreet, CIGNA and Bankers Trust.


Today's Featured Health Business Job Opening

Blue Shield of California
Vice President and Chief Compliance Officer
San Francisco

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