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July 29, 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

Seven Questions and Answers About HHS’s Proposed Reg on Exchanges
Reprinted from Health Plan Week

HHS on July 11 released its proposed regulations for the development and operation of insurance exchanges. HHS has made it clear that it wants stakeholders to weigh in on the proposals by providing a 75-day comment period. Industry observers interviewed by AIS say HHS might be flooded with comments given the number of unresolved issues and questions that haven’t been fully answered .... Read Full Story


From the AIS Blogs

Is Lower Medical Cost Utilization the New Normal?

After unexpectedly low medical service utilization helped boost health insurers’ earnings last year, many publicly traded insurers said they would not adjust pricing practices because they assumed utilization would return to more normal levels in 2011 ... Read more


Quote of the Day

“The devil is in the details. These [proposed insurance exchange] regs don’t offer details yet…and on more controversial issues such as privacy and some enrollment and governance issues, it’s almost like they punted. We’re building the car, but we don’t have the driver in there yet.”

— Amanda Austin, director of federal policy for the National Federation of Independent Business, 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

57% … of employers are now using PBMs, compared to 47% in 2009, according to a survey of 220 organizations that employ 2.5 million full-time employees that was conducted in late 2010 by Buck Consultants.

Click here to read the DRUG BENEFIT NEWS article in which this datapoint appeared. (Free for DBN subscribers; $17 for non-subscribers).


Today from Washington

People on the Move

The Keystone Peer Review Organization, Inc. named Barbara Knox vice president of product management. Knox was vice president of product management at SHPS....Zeke Duda, chief financial officer at Excellus BlueCross BlueShield, said he would retire at the end of the year. A successor has not named.


Today's Featured Health Business Job Opening

Confidential Managed Healthcare Services Company
Director, Internal Audit
Metro NY/NJ Area

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

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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