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May 23, 2011

Today’s issue is brought to you by AIS’s Health Reform Week, the nation’s leading publication on the business implications of the massive changes for the health industry mandated by reform.

Today's Featured Story

Severely Mentally Ill May Overrun Medicaid, Exchanges With Pent-up Services Demand
Reprinted from AIS’s Health Reform Week

Individuals with severe mental disorders, who are now more likely to be uninsured than is the population as a whole, will represent a disproportionately large amount of the increased demand for services under health reform, especially in Medicaid, according to a recently published study. Overall, post-reform Medicaid will cover nearly one in four severely mentally ill Americans, nearly double what the public program now covers, the researchers report .... Read Full Story


From the AIS Blogs

Coming This Summer: New Webinar and Monthly Newsletter Devoted to Insurance Exchanges

Can’t get enough of insurance exchanges? Me either. I’ve been waist deep in insurance exchanges for the past month. Along with conducting scores of interviews for our debut issue of Inside Health Insurance Exchanges, I recently assembled a powerhouse panel for a June 21 webinar. There appears to be an amazing amount of interest in this topic. This will be the third exchange webinar I’ve moderated since August! ... Read more


Quote of the Day

“A lot of insurance companies in developing countries have security as a product line. If your car breaks down in Sao Paulo, your coverage might get a tow truck to you…as well as an armed guard on a motorcycle who will wait with you for the tow truck.”

— Bill Baker, national partner in charge of KPMG’s Health Care Transaction Services practice, told AIS’s Health Plan Week.



Today's Datapoint

90% … of American families living above the federal poverty level will be able to afford health insurance under the reform law, according to a new report from the left-leaning Commonwealth Fund.



Today from Washington

People on the Move

Charles Cox has been named vice president and market medical officer of Humana Inc. for commercial operations in Arizona, Colorado, Nevada and Utah. Cox was vice president and chief medical officer at CarePlus Health Plan Inc. in Miami....Christus Spohn Health System promoted Estela Chapa to chief operating officer for the health system, and Paul Gaden to COO at Christus Spohn Hospitals Memorial and South. Chapa previously oversaw operations at Christus Spohn Hospital Memorial, and Gaden fills Chapa's former position.


Today's Featured Health Business Job Opening

Presbyterian Health Plan
Director, Provider Reimbursement
Albuquerque, N.M.

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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

Click here for details.

Insurance Exchanges: How Health Plans and Employers Should Prepare for the Radical Changes Ahead
Tuesday, June 21, 2011

Click here for details.

Medical Loss Ratio Regs: What 2010 Data Suggest About Potentially Huge Rebates in 2011
Thursday, June 23, 2011

Click here for details.

ACO Results and Strategies: A Case Study in Three-Way Risk Sharing
Thursday, June 30, 2011

Click here for details.

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

Click here for details.

Read a sample issue of AIS's Health Reform Week
From the editors of AIS's Directory of Health Plans — AIS’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.

Inside Health Insurance Exchanges
Monthly news and strategies on the details of state health insurance exchanges that will help you succeed in the insurance marketplace of tomorrow. Click here for details.
AIS's Health Business Daily