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June 30, 2011

Today’s issue is brought to you by AIS's Medicare Part D News, monthly business, compliance and management news and strategies to help Part D plans increase enrollment, boost revenues and minimize their risks of CMS fines, penalties and repayments.

Today's Featured Story

CMS Updates Marketing Guidelines, Tweaks Foreign Language, Recordkeeping
Reprinted from Medicare Part D News

As Part D and Medicare Advantage (MA) sponsors get ready for the upcoming shortened marketing period, they need to pay close attention to CMS’s 2012 marketing guidelines released May 18. The guidelines include a few changes that will have a significant impact on plans, said Jeff Fox, president of health care consulting firm Gorman Health Group, LLC .... Read Full Story


From the AIS Blogs

AMA’s Report Card Inspires Health Insurers to Improve

According to the AMA’s fourth annual National Health Insurer Report Card, insurers had an average claims-processing error rate of 19.3% — up 2% from last year’s study. While interviewing health insurers about the findings, I was surprised to hear praise for AMA’s work in this area. The report cards, they explained, inspired them to make improvements ... Read more


Quote of the Day

“The individual mandate…is bad constitutionally, it’s bad philosophically, it’s a breach and abuse of the federal government’s powers…and it is unnecessary.”

— Former Minnesota Gov. Tim Pawlenty (R) speaking at The AHIP Institute on June 16.

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

14% … was the increase in the number of people covered by health savings account-compatible plans since last year, for a total of 11.4 million, according to a new survey by AHIP.



FierceHealthFinance News from our partner FierceMarkets

Hospitals with high readmissions get priority in CMS pilot program

Many of Florida's largest hospitals scored poorly enough in Medicare readmissions that they will get placement preference in a new pilot program to cut down on such rates, reports Health News Florida ... Read more


Today from Washington

People on the Move

Queen of the Valley Medical Center in Orange, Calif., promoted Walt Mickens to president and CEO. He succeeds Dennis Sisto, who is retiring. Mickens was chief operations officer....MedData, a supplier of medical billing services, appointed Brenda Brown director of compliance audits and education. Brown was coding director for MBI Solutions, Inc.


Today's Featured Health Business Job Opening

Medicare Compliance Officer
Albuquerque, NM

Place Your Ad Here

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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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Just Announced!
2012 Plan Design: What New Products Will Health Plans and Employers Roll Out This Fall?

Thursday, July 21, 2011

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Managing Oncology Drugs: New Challenges and Payer Solutions
Tuesday, August 23, 2011

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