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June 6, 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

Leasing, Hoteling Are Among Cost-Saving Strategies to Manage Insurers’ Real Estate
Reprinted from Health Plan Week

Although high costs associated with biologic drugs, trauma care and executive compensation may get more headlines, office space is the second-largest cost category for health insurers behind payroll. And health plans are increasingly adopting strategies for controlling real estate costs, including hoteling, leasing and telecommuting .... Read Full Story


From the AIS Blogs

New CERT Guidance from CMS Highlights E/M Errors

CMS on May 25 unveiled new guidance on evaluation and management (E/M) services, a prime target of the Comprehensive Error Rate Testing (CERT) program ... Read more


Quote of the Day

“I think people [involved in mature Accountable Care Organization ventures] are buying too much reinsurance…whereas, if they have faith in the ACO, traditionally what was ceded in the past to the re-insurer is a cost to you. So you should be looking at how to minimize reinsurance as a business expense.”

— Art Wilmes, Indianapolis-based principal and consulting actuary for Milliman, Inc., told AIS’s ACO Business News.

Click here to read the ACO BUSINESS NEWS article in which this quote appeared. (Free for ABN subscribers; $17 for non-subscribers).


Today's Datapoint

93%…of members surveyed recently by the American Medical Group Assn. said they would not enroll as a Medicare Accountable Care Organization under the current regulatory framework recently proposed by CMS.



Today from Washington

People on the Move

Health Dialog appointed Peter Goldbach, M.D., chief medical officer (CMO). Goldbach was president and CEO of Med-Vantage Inc....Todd Phillips, M.D., joined St. Joseph Medical Center as vice president of medical affairs and CMO. Phillips was vice president of medical affairs at Hanover Hospital.


Today's Featured Health Business Job Opening

Blue Shield of California
Medical Director for Quality, Disease Management, Behavioral Health and Wellness
San Francisco

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

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.

AIS’s Employer Health Plan Database and Directories
Also From AIS
A Guide to Complying With Stark Physician Self-Referral Rules
Make sure your contracts and business deals are Stark-proof with this 900-page book and companion CD. Click here for more information.
New from AIS – Inside Health Insurance Exchanges
Hard-hitting 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