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May 20, 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

$trong Earnings in 2010 Led to Hefty Paydays for Top Health Plan Executives
Reprinted from Health Plan Week

Strong revenues and earnings in 2010 translated to hefty paydays for executives at many publicly traded health insurance companies. While salaries for top executives fluctuated little between 2009 and 2010, stock awards and bonuses soared, according to AIS’s annual analysis of proxy statements filed in April with the Securities and Exchange Commission .... Read Full Story


From the AIS Blogs

Can Any Willing Pharmacy Really Participate in Part D Program?

American Pharmacies, a member-owned independent pharmacy cooperative operating in Texas, Arkansas, Louisiana, Oklahoma, New Mexico, Missouri, Mississippi and Tennessee, has asked CMS to rescind regulations allowing preferred pharmacy networks in stand-alone Prescription Drug Plans. According to the cooperative, these regulations allow Part D plans “to discriminate among pharmacies” and create “different classes of in-network pharmacies.” For example, the Humana-Walmart Preferred Rx plan “improperly provides strong financial incentives for patients to choose Walmart-owned pharmacies over other of the plan’s in-network retail pharmacies,” it asserted ... Read more


Quote of the Day

“For folks with mental illness, most of them rely on Medicaid, and anything that would reduce states’ obligation to cover them would be disastrous. If we roll back ‘maintenance of effort’ and people lose their Medicaid, then they’ll have virtually no access to mental health treatment and will wind up in emergency rooms and jails.”

— Chuck Ingoglia, vice president for public policy at the National Council for Community Behavioral Healthcare, 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

$760,000 … was the fine assessed by Mass. Attorney General Martha Coakley against United States Life Insurance Co., a subsidiary of AIG, for selling and marketing illegal health insurance in the state.



Today from Washington

People on the Move

PLC Systems Inc., a medical device technology company, named Susan Papalia vice president of clinical affairs. Papalia was vice president of clinical affairs at Correx, Inc....Orasi Medical appointed Rajiv Khosla president, CEO and a member of the board of directors. Khosla was vice president of business development at Biovail Pharmaceuticals, Inc.


Today's Featured Health Business Job Opening

Director of Client Experience
Glen Burnie, Md.

Place Your Ad Here

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Upcoming Webinars

Global Payments: Health Plan Strategies for the Brave New World of Accountable Care
Tuesday, June 14, 2011

Click here for details.

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

Click here for details.

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

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Guide to Health Insurance Reform
Also From AIS
New from the editors of AIS's Directory of Health PlansAIS’s Employer Health Plan Database and Directories
Valuable competitive intelligence on plans, sponsors, markets and more, for health plans, TPAs, employers, consultants and vendors. Learn more.

Complying with the Mental Health Parity and Addiction Equity Act
Find out about the legal requirements of the law and complex benefit design decisions that need to be made. Click here for details.
AIS's Health Business Daily