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July 27, 2011

Today’s issue is brought to you by The HCCA-AIS Medicaid Compliance News, monthly news and valuable how-to strategies for identifying and reducing today’s top Medicaid compliance risks.

Today's Featured Story

New CMS Office Attempts to Make Caring for Dual Eligibles Easier
Reprinted from The HCCA-AIS Medicaid Compliance News

A new division at CMS tasked with coordinating care for beneficiaries eligible for both Medicaid and Medicare was launched in April and is working with states to untangle the web that results from caring for these patients with complex needs. The issue is significant because providers such as acute care hospitals and skilled nursing facilities tend to transfer patients back and forth because of payment limitations, resulting in cost shifting and low-quality care .... Read Full Story


From the AIS Blogs

MA Plans Must Keep Eyes on Moving Debt-Ceiling Targets

While each day seems to bring a new approach, Medicare Advantage plans need to keep a close watch on what happens in the ongoing negotiations to lift the U.S. debt ceiling. The reason is that depending on which option is selected, MA plans could see either their business prospects improve or get worse — or some of each ... Read more


Quote of the Day

“If a drug had [the same result for diabetes as weight loss by the patient], it would be amazing and every doctor would prescribe it.”

Tom Beauregard, executive vice president at UnitedHealth Group, 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

$1.33 … is the return on investment for every $1 spent on decreasing copays for medications, according to the results of a three-year study commissioned by the Florida Health Care Coalition.

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

UCare named Michael Lynch, M.D., associate medical director. Lynch was medical director at Community Health Partnership, Inc., a non-profit, contracted Medicare/Medicaid care management organization based in Eau Claire, Wis....Catalyst Health Solutions, Inc. appointed Timothy Pearson chief financial officer and executive vice president, effective Aug. 22....Pearson was CFO and executive vice president at MedImmune, the global biologics business for AstraZeneca PLC.


Today's Featured Health Business Job Opening

Director of Client Experience
Glen Burnie, Md.

Place Your Ad Here

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Wednesday, August 10, 2011

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New Insurance Exchange Regs: Strategies for Health Plans, Brokers, Providers and Employers

Wednesday, August 24, 2011

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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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