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May 25, 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

Researchers Find Much-Needed Comparative Effectiveness Research Data Hiding in Plain Sight at the FDA
Reprinted from Drug Benefit News

Proponents and critics of comparative effectiveness research (CER) alike often decry the dearth of quality data. Government agencies and private enterprise have tried to address the gap. Now a team of Harvard researchers has published a study in the May 4 issue of the Journal of the American Medical Association that suggests the glass is half-full rather than mostly empty.... Read Full Story


From the AIS Blogs

HHS to Insurers: Here’s Two Months

Two months. That was the primary concession HHS offered to health insurers today when it finalized the controversial regulation implementing insurance rate review.... Read more


Quote of the Day

“Your heart can be 99.9% pure but if 0.1% of it is entering into a [physician payment] transaction to induce referrals, you are guilty.”

— Bob Wade, an attorney with Krieg DeVault in Mishawaka, Ind., told AIS’s Report on Medicare Compliance

Click here to read the REPORT ON MEDICARE COMPLIANCE article in which this quote appeared. (Free for RMC subscribers; $17 for non-subscribers).


Today's Datapoint

200,000 … Medicaid recipients were informed by the New Jersey Department of Human Services that they must enroll in a managed care plan as soon as next month, a move that is expected to save the state $41 million in the budget year that begins July 1.



Today from Washington

People on the Move

Jane Cline will retire, effective June 30, from her post as West Virginia’s insurance commissioner. Before her appointment to that post in 2001, Cline was president of the National Association of Insurance…. Blue Shield of California named Steve Shivinsky vice president of corporate communications. He formerly served as vice president of corporate communications at Trinity Health


Today's Featured Health Business Job Opening

Catalyst Rx
Director, New Product Development
Anywhere in the U.S.

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

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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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