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June 29, 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

For Small Carriers, Exchanges May Open Door to New Markets
Reprinted from Health Plan Week

Small carriers that participate in state insurance exchanges could find new opportunities to compete with larger competitors, particularly if they have experience in individual products and/or Medicaid. Moreover, the exchanges could create an opportunity for small carriers to enter new markets .... Read Full Story


From the AIS Blogs

ADEs: Are They on Your Radar Screen?

PBMs and health plans are under increasing pressure to address adverse drug events. Do you think PBMs and health plans are doing enough to prevent ADEs?... Read more


Quote of the Day

“Uncle Sam is the new payer subsidizing premiums, and the leading health plans will all be on the exchange with benefit plans that will look a lot like the plans employees will be leaving behind [if they drop coverage]. It gets a lot harder for the employer to make such a decision when the fine is taken into consideration….”

— Robert Laszewski, president of Health Policy and Strategy Associates, LLC, told AIS’s Health Plan Week.



Today's Datapoint

$1.3 billion … in rebates to customers would have been paid by publicly traded health plans in 2010 had the minimum medical loss ratio regs been in effect, according to Citigroup Global Markets analyst Carl McDonald.



Today from Washington

People on the Move

B. E. Smith named Ronald Hirsch, M.D., physician advisor for the firm’s case-management consulting services. Hirsch is an attending physician at Signature Medical Associates....Curaxis Pharmaceutical Corp. said it has replaced the company’s board of directors and the some members of its executive management team. Joining the board will be Timothy Wright, Terence Novak, Michael George, Michael Miller, Ivan Gothner and Stephen Leary. Bert Spilker, M.D., who is a current board member, will continue to serve on the board. All other present members of the board have elected to resign from their board and officer positions, according to the company. Wright will assume the duties of chairman and interim CEO, and Judith Geaslen will continue to serve as the company’s vice president of finance.


Today's Featured Health Business Job Opening

Confidential Medical Practice Management Company
Regional Senior Vice President - West
Western U.S. (Flexible)

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