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May 24, 2011

Today’s issue is brought to you by Report on Medicare Compliance, the nation's leading source of news and strategic information on Medicare compliance, Stark and other big-dollar issues of concern to health care compliance officers.

Today's Featured Story

Hospitals Try to Increase Interaction With Compliance Officers and Senior Leaders
Reprinted from Report on Medicare Compliance

In a sign that compliance has arrived, senior executives and board members are working more closely with compliance departments at hospitals and health systems.... Read Full Story


From the AIS Blogs

Two OIG Reports Cover ePHI Security

The HHS Office of Inspector General (OIG) on May 16 released two reports about security of electronic protected health information (ePHI) at covered entities that take some agencies to task on their security oversight policies and practices.... Read more


Quote of the Day

The upcoming ruling on health reform by the 4th U.S. Circuit Court of Appeals in Virginia “is an interesting start. I think people who support [the reform law] are probably happy with the composition [of the 4th Circuit judges’ panel, all of whom were appointed by Presidents Clinton or Obama]. But ultimately the case will go to the Supreme Court, and there will be highs and lows between now and then, so one Circuit isn’t the end-all and be-all….A year or two from now, nobody will care who won the Circuit Court [ruling in Virginia]. It will depend on who wins at the Supreme Court.”

— Joel Hamme, a partner in the law firm of Powers, Pyles, Sutter & Verville PC, 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

$20.7 million … was the 2010 annual compensation for Ronald Williams, Chairman/CEO of Aetna, Inc. (who retired as CEO in November 2010 and as chairman in April 2011), making him the top paid health plan exec in the U.S.



FierceHealthPayer News from our partner FierceMarkets

Rate hikes to get increased scrutiny

Although insurance companies have seen three straight years of record profits, they continue pushing for higher premiums that they say will protect against any sudden increase in demand or cost of care... Read more


Today from Washington

People on the Move

The Healthcare Distribution Management Association named John Parker vice president of communications. Parker was formerly the senior director for external affairs at UnitedHealth Group…. Hibernia Atlantic named Kathy Perone chief operations officer. She was president of XLNT Technologies.


Today's Featured Health Business Job Opening

Blue Sheld of California
Chief Privacy Official
San Francisco, CA

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Upcoming Webinars

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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