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June 24, 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

Will Employers Drop Coverage After 2014? Probably…Not, Industry Observers Tell AIS
Reprinted from Health Plan Week

Nearly one-third of employers will “definitely” or “probably” drop insurance coverage and send employees to state insurance exchanges in the years after 2014 — the year the exchanges are slated to be operational — according to a new report that has attracted a lot of attention in the mainstream media. But industry observers contacted by AIS are dubious that employer-based coverage — particularly among large employers — will change much once exchanges are up and running .... Read Full Story


From the AIS Blogs

AHIP to CMS: Learn From Us on ACOs

Technically, the Medicare Shared Savings Program is about accountable care organizations (ACOs) in Medicare fee-for-service, not the health-plan sector. Nevertheless, the largest trade group for health insurers is urging CMS to “learn from, and build on, private sector accountable care models.”... Read more


Quote of the Day

“I was concerned about service-area contractions [in Medicare Advantage bids for 2012], but I don’t think we’ll see many of them.”

Bonnie Washington, senior vice president at Avalere Health LLC, told AIS’s Health Plan Week.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared. (Free for HPW subscribers; $17 for non-subscribers).


Today's Datapoint

$3.5 commissions and fees reported by employers were recorded in plan year 2009 by Connecticut General Life Insurance, which tops all TPAs in AIS’s Employer Health Plan Database and Directories.



Today from Washington

People on the Move

WellPoint, Inc. named Harlan Levine, M.D., executive vice president of Comprehensive Health Solutions. Levine comes from Towers Watson, where he served as a national practice leader for the firm's health management business....Wolters Kluwer Pharma Solutions, a developer of scientific information and analytics to the pharmaceutical and biotech fields, appointed Bob Jansen and Michelle Woker co-presidents of its health care analytics business. Jansen will serve as president and chief commercial officer of Healthcare Analytics, and is responsible for all client and market facing functions. Woker was named president and chief operating officer of Healthcare Analytics, and will handle all technology, delivery and operations functions.


Today's Featured Health Business Job Opening

University Physician Associates of New Jersey
Coding Compliance Analyst
Newark, N.J.

Place Your Ad Here

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Commercial ACO Results and Strategies: A Case Study in Three-Way Risk Sharing
Thursday, June 30, 2011

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Accounting for HIPAA Disclosures in EHRs: How to Comply with Onerous New HHS Rules
Thursday, July 7, 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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Health Plan Week
New From AIS
From the editors of AIS's Directory of Health Plans — AIS’s Employer Health Plan Database and Directories
Valuable competitive intelligence on plans, sponsors, markets and more, for health plans, TPAs, employers, consultants and vendors. Learn more.
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