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June 10, 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

NAIC Subgroup Offers 13 Options For Cutting MLRs’ Impact on Agents
Reprinted from AIS’s Health Reform Week

A host of options designed to reduce the adverse effect of medical loss ratios (MLRs) on sales agents and brokers is expected to be presented to a key committee of the National Association of Insurance Commissioners (NAIC) May 27. The 13 options are in a report, which doesn’t make any recommendations, in keeping with the request of NAIC’s Health Insurance and Managed Care (B) Committee. But the options could lead to NAIC suggestions to HHS this summer for changes in the MLR rules..... Read Full Story

 

From the AIS Blogs

Medicare ACOs: Will Anyone Want to Join the Party?

Medicare’s proposed experiment to coordinate care and share risk among providers isn’t winning many rave reviews from the provider community ... Read more

 

Quote of the Day

In its new proposed rule on accounting for disclosures in EHRs, HHS might as well be asking HIPAA entities to “fly to the moon on a jetpack. If this rule is adopted the way it is written, it will be horrendous.”

— Kirk Nahra, a partner in the Washington, D.C., office of Wiley Rein LLP, told AIS’s Report on Patient Privacy.

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

 

Today's Datapoint

Roughly
400,000…Americans, mostly children, would lose their Medicaid and CHIP coverage in 2013 if the reform law’s Medicaid “maintenance of effort” (MOE) provision were repealed, according to a recent Congressional Budget Office analysis.

From AIS's HEALTH REFORM WEEK.

 

Today from Washington

People on the Move

Catalyst Health Solutions, Inc. said that Hai Tran will step down as chief financial officer (CFO) effective July 15. Deirdre Kramer, corporate controller and senior vice president of finance, will serve as interim CFO….Walgreen Co. named Steve Pemberton divisional vice president (VP) of diversity and inclusion. Pemberton was chief diversity officer and VP of diversity and inclusion at Monster.com.

 

Today's Featured Health Business Job Opening

American Imaging Management
Technical Analysis Manager
Chicago

Place Your Ad Here
 

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aishealth.com. If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aishealth.com.

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week. Copyright © 2011 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to rbiehl@aishealth.com.

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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.

Just Announced! Accounting for HIPAA Disclosures in EHRs: How to Comply with Onerous New HHS Rules
Thursday, July 7, 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
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Disease Management and Wellness in the Post-Reform Era
The health reform law created major opportunities for care management and health promotion programs. Get guidance on navigating the new hurdles to implementation. Learn more.
Vendor Relations in Health Care
Compliance policies and procedures for hospitals, health systems and other providers, written by a veteran hospital compliance officer. Get more details.
 
AIS's Health Business Daily