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June 7, 2011

Today’s issue is brought to you by AIS's Specialty Pharmacy News, a monthly newsletter designed to help health plans, PBMs, providers and employers contain costs and improve outcomes related to high-cost specialty products.

Today's Featured Story

User Fee Program Could Have Dampening Effect on Biosimilar Entrants to U.S. Market
Reprinted from Specialty Pharmacy News

When the health reform law created an approval pathway for so-called biosimilars, the law left most of the heavy lifting up to the FDA. Among the issues the agency is grappling with is what kind of user fees to require from the manufacturers of these drugs .... Read Full Story


From the AIS Blogs

Blues Plans Prep for Exchanges

Although few details are known about how state or federally operated exchanges will work once they take effect in 2014, some Blue Cross and Blue Shield plans already are developing products with an eye toward how they'll perform in an exchange environment ... Read more


Quote of the Day

“One of the primary reasons that we are closer to [Medicare] insolvency is because there’s been a decline in real-wage growth. Without increases in real-wage growth, you have less money being taxed and less money going into the trust funds. To the extent that the reform law slows real-wage growth, and there’s a possibility that it could, it’s going to make it more difficult to keep Medicare or Social Security solvent in the out years.”

— Robert Goldberg, Ph.D., vice president and co-founder of the nonpartisan Center for Medicine in the Public Interest, 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

$57 million … was saved by the University of Michigan over eight years as a result of its self-funded, self-administered drug benefit plan that covers 92,000 staff, faculty, retirees and dependents.

Click here to read the DRUG BENEFIT NEWS article in which this datapoint appeared. (Free for DBN subscribers; $17 for non-subscribers).


FierceHealthcare News from our partner FierceMarkets

Patient privacy concerns loom large as providers shift to the cloud

The cloud is all the rage today, and healthcare providers are storing personal health information on remote servers for an increasing variety of purposes ... Read more


Today from Washington

People on the Move

Cerulean Pharma Inc. named Edward Garmey, M.D., chief medical officer and senior vice president. He succeeds John Ryan, who was named chairman of the company’s medical advisory board. Garmey was vice president for clinical development at ArQule, Inc....AdCare Health Systems, Inc. appointed Martin Brew chief financial officer. Brew was vice president of finance at Formation Capital, a private equity firm.


Today's Featured Health Business Job Opening

Director of Risk Management
Sioux Falls, S.D.

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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

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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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Specialty Pharmacy News
AIS's Health Business Daily