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July 1, 2011

NOTE: AIS's Health Business Daily will not be published July 4 because of the Independence Day holiday. The next issue will be Tuesday July 5.

Today’s issue is brought to you by Drug Benefit News, biweekly news, proven cost management strategies and unique data for health plans, PBMs, pharma companies and employers.


Today's Featured Story

Analysts See End to Walgreen/Express Scripts Squabble, but Are Divided on When
Reprinted from Drug Benefit News

Industry analysts who follow the retail drug and pharmacy benefit sectors are divided over how long they think it will take before Walgreen Co. and Express Scripts, Inc. come to an agreement and end their high-profile feud .... Read Full Story


From the AIS Blogs

Will IPAB Be Coming After MA?

On the surface, it would seem that Medicare Advantage plans have little reason to be concerned about the Independent Payment Advisory Board (IPAB) created under the health reform law to control Medicare spending ... Read more


Quote of the Day

“There’s very good evidence that when you look at the alternatives to get to universal coverage, the only one that seems to get there with adequate reliability is the individual mandate.”

— Glen Stream, M.D., Spokane, Wash.-based president-elect of the American Academy of Family Physicians, discussing the AMA’s June 20 vote to support the individual mandate.

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

5% … is CMS’s new threshold (down from 10%) for the percentage of non-English-speaking residents in a Medicare Advantage or Part D service area that would trigger the need for marketing materials and other communications to be available in other languages.



Today from Washington

People on the Move

The TriZetto Group, Inc. promoted Sal Gentile to president of its Blue Cross and Blue Shield Market business unit. Gentile has held several leadership positions in TriZetto’s National Accounts business unit....Dominion Dental Services named Ann Quinlan vice president of operations and promoted Mike Davis to executive vice president in addition to being chief operating officer. Quinlan was the CEO and owner of an insurance brokerage firm.


Today's Featured Health Business Job Opening

Boehringer Ingelheim
Change Control Associate
Bedford, Ohio

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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

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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

Click here for details.

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

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AIS’s Employer Health Plan Database and Directories
Also From AIS
New from AIS – 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.
Conducting Internal Investigations in Health Care Organizations
A practical guide on how to resolve allegations of wrongdoing, by former HHS IG Richard Kusserow. (Includes CD with adaptable policy and form templates.) Click here.
AIS's Health Business Daily