Visit the All-new
With archives of AIS's Health Business Daily,
New features like the News Archives, AIS Blogs and more!
(Free registration required)

July 21, 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

Lobbying Dollars Shift From Legislators to Regulators, States as Reform Takes Shape
Reprinted from Health Plan Week

It’s been 16 months since the health reform law was enacted. While health insurers and their trade associations continue to spend millions on lobbying, the emphasis appears to have shifted away from lawmakers to regulatory agencies such as HHS, CMS and the Dept. of Labor, according to AIS ’s analysis of first-quarter reports released recently by the Secretary of the Senate as required under the Lobbying Disclosure Act .... Read Full Story


From the AIS Blogs

Health Reform Drives Physician Alignment Trend

Everyone wants a piece of the physician’s office these days, it seems. From Highmark Inc. to UnitedHealth Group’s subsidiary Optum Health, insurers seem to be reinstating a trend of partnering with or buying out physician practices. This was popular about 10 to 15 years ago, and now is a trend that health care observers say will accelerate in years to come, spurred by the health reform law ... Read more


Quote of the Day

“The only piece missing from [an integrated quality-centered health system] is the insurer. It is only a matter of time before the market starts to really drive [health insurers] to get back into the delivery process, as opposed to remaining a true third party as they have done in recent decades.”

— Mark Reiboldt, vice president at Atlanta-based Coker Capital Advisors, 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

19% to 33% … fewer costs are spent to provide medical care for Medicare Advantage PPO (as opposed to HMO) members, who also have a much higher average income than HMO members, according to John Gorman, CEO of Gorman Health Group LLC.

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


FierceHealthcare News from our partner FierceMarkets

Healthcare to add 4M jobs through 2018

The healthcare industry will experience some of the fastest job growth through 2018, with home health aides and personal and home care aides leading the pack at 460,900 new jobs and 375,800 new jobs, respectively. In fact, half of the 20 fastest growing occupations are in healthcare, according to Bureau of Labor Statistics data ... Read more


Today from Washington

People on the Move

The Commonwealth Fund said Pamela Riley, M.D., will direct its new program on vulnerable populations and will oversee The Commonwealth Fund/Harvard Minority Health Policy Fellowship Program. Riley comes from the New York State Health Foundation, where she focused on developing and managing grantmaking programs....Kantar Health, a health care focused consultancy, appointed Richard Martin CEO of Kantar Health Oncology. Martin was president and chief operating officer at MattsonJack.


Today's Featured Health Business Job Opening

Health Plan
Medical Director
Los Angeles

Place Your Ad Here

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week. Copyright © 2011 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to

AIS E-Savings Club Weekly Specials

Upcoming Webinars
Save $30!

Value-Based Pharmacy Benefits: How to Increase Medication Adherence and Return on Investment
Wednesday, August 10, 2011

Click here for details.

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

Click here for details.

Encounter-Data Requirements for Medicare Advantage: How to Get Ready for the Huge Change in January
Wednesday, September 14, 2011

Click here for details.

Health Plan Week
AIS's Health Business Daily