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July 11, 2011

Today’s issue is brought to you by AIS's Medicare Advantage News, biweekly news and analysis on the Medicare (and Medicaid) managed care programs.

Today's Featured Story

IPAB Stirs Major New Fears in MA Industry; Board’s Impact Could Hit Smaller Plans Hard
Reprinted from Medicare Advantage News

A new fear may be starting to grip the Medicare Advantage industry. The Independent Payment Advisory Board (IPAB) created for Medicare as part of last year’s health reform law is likely to look to MA for a big chunk of the spending reductions it must find beginning in 2014 if Medicare cost growth exceeds the targeted rate each year, industry and other observers agree. And its potential actions in trying to squeeze costs out of the system could hit smaller MA plans the hardest .... Read Full Story


From the AIS Blogs

Stakeholders Up Their Expectations on ACOs at Conference

When asked to quantify what constituted a “successful” accountable care organization at the Second Annual Accountable Care Organization Summit June 27, a panel of health care observers didn’t hold back on their views ... Read more


Quote of the Day

“A 20% error rate among health insurers represents an intolerable level of inefficiency that wastes an estimated $17 billion annually. Health insurers must put more effort into paying claims correctly the first time to save precious health care dollars and reduce unnecessary administrative tasks that take time and resources away from patient care.”

— AMA board member Barbara McAneny, M.D., in a statement responding to the recent release of the AMA’s fourth annual National Health Insurer Report Card.

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

15% … of Medicaid enrollees were dual eligibles (with Medicare) in 2007 but they represented 39% of Medicaid spending, according to a June 17 memo from the House Energy and Commerce Committee’s Republican staff.

Click here to read the MEDICARE ADVANTAGE NEWS article in which this datapoint appeared. (Free for MAN subscribers; $17 for non-subscribers).


Today from Washington

People on the Move

Optum CEO Mike Mikan, who is leaving the company to head a private-equity firm, has been replaced by Larry Renfro, effective immediately, according to UnitedHealth Group, Optum’s parent company. Renfro joined UnitedHealth in January 2009 as CEO of its Public and Senior Markets Group….Krishnan Sridharan was promoted to vice president and head of sales of Latin America for Aetna Inc.’s International segment. Sridharan was vice president of strategy and business development.


Today's Featured Health Business Job Opening

TriWest Healthcare Alliance
Manager-Direct Contracting-Alaska
Anchorage, Alaska

Place Your Ad Here

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