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July 25, 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

Proposed Highmark/WPAHS Affiliation Is Further Evidence the Game Is Changing
Reprinted from Health Plan Week

Highmark Inc. said June 28 that it is pursuing an affiliation deal with financially troubled West Penn Allegheny Health System (WPAHS). If approved, the deal calls for Highmark to pump $475 million into the health system over the next four years, including $75 million to fund scholarships for students attending medical schools affiliated with the health system .... Read Full Story


From the AIS Blogs

Chief Counsel to Inspector General Describes New Audit Strategy

The chief counsel to HHS Inspector General Dan Levinson revealed more about the OIG's new hospital audit strategy - Medicare compliance reviews - in recent testimony on Capitol Hill ... Read more


Quote of the Day

The tone from HHS regarding its two new proposed regulations on insurance exchanges is “We’re going to be really flexible. We’re going to work with you. I felt like both of these regs were primers: ‘Here is what an exchange is. You can do it this way. You can do it that way,’ …but there is not a lot of detail.”

— Tom Hutchinson, a former top CMS official who is now a managing director with SNR Denton US LLP, told AIS’s Health Reform Week.

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% … weight loss can reduce the chances that an individual who is at-risk for diabetes will develop the disease, according to a study from NIH and CDC.

Click here to read the HEALTH PLAN WEEK article in which this datapoint appeared. (Free for HPW subscribers; $17 for non-subscribers).


Today from Washington

People on the Move

Crawford & Co., a developer of claims-management tools, named Vanessa Elkins-Rogers vice president of vendor management. Elkins-Rogers was director of sourcing and supply chain operations at Johnson Controls....Catalyst Health Solutions, Inc. appointed Timothy Pearson chief financial officer (CFO) and executive vice president, effective Aug. 22. Pearson was CFO and executive vice president at MedImmune.


Today's Featured Health Business Job Opening

American Imaging Management
Health Care Strategy Consultant

Place Your Ad Here

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Wednesday, August 10, 2011

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Managing Oncology Drugs: New Challenges and Payer Solutions
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New Insurance Exchange Regs: Strategies for Health Plans, Brokers, Providers and Employers

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Tuesday, September 13, 2011

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

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Also From AIS
Managed Medicare and Medicaid Factbook 2011
Get up-to-date enrollment data, benefit designs, directories, trends and strategies on the Medicare Advantage, Medicare Part D and managed Medicaid programs. Learn more.
A Comprehensive Guide to Managing Never Events and Hospital-Acquired Conditions
This looseleaf and CD companion is packed with strategies, tips and tools for managing never events and HACs. Click here for details.
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