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Aug. 4, 2011

Today’s issue is brought to you by AIS’s Health Reform Week, the nation’s leading publication on the business implications of the massive changes for the health industry mandated by reform.

Today's Featured Story

Employers Lobby to Ease Coverage Mandate, Cite Huge Potential Costs
Reprinted from AIS’s Health Reform Week

A coalition comprised of 40-plus major employers and trade groups in the retail, restaurant and hospitality industries is lobbying the Obama administration to alter critical provisions in health reform implementation, including which firms are subject to penalties if they don’t offer “affordable” health coverage .... Read Full Story


From the AIS Blogs

What Kind of Impact Would a Combined Express Scripts-Medco Have?

By now, everyone likely has heard about — and weighed in on — Express Scripts, Inc.’s planned purchase of Medco Health Solutions, Inc. And while most comments focus on what such a transaction would mean for the PBM industry, not much attention has been given to its impact on the specialty pharmacy and mail-order industries ... Read more


Quote of the Day

“I think it’s probably gone.”

Stephen Wood, senior vice president at OptumInsight, on the likelihood that the federal budget axe will fall on the CLASS Act portion of the reform law, which is designed to help seniors pay for long-term care.

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


Today's Datapoint

20% … higher prices for sugary drinks nationally could result in 20% less consumption over the next decade and avoidance of 400,000 cases of diabetes, which could save $30 billion, according to Mark Bittman, writing in The New York Times “Sunday Review” on July 24.


FierceHealthcare News from our partner FierceMarkets

Overused palliative care doesn't address end-of-life wishes, experts say

Although the majority of people wish to die at home, 60 percent of chronically ill patients die at hospitals, and 20 percent die in nursing homes, according to Professor Deborah P. Waldrop of the University at Buffalo School of Social Work in a UPI article yesterday ... Read more


Today from Washington

People on the Move
Pinstripe Healthcare named Michael Dermont health care practice leader. Dermont was the director of business development for the Metropolitan Chicago Healthcare Council....New Directions Behavioral Health appointed Marge Ackermann executive director and regional vice president for its Florida operations. Ackermann was vice president of account management and implementation at Care Centrix.

Today's Featured Health Business Job Opening

Healthcare Company (Confidential)
Director, Compensation & Benefits
Westchester County, N.Y.

Place Your Ad Here

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

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Managing Oncology Drugs: New Challenges and Payer Solutions
Tuesday, August 23, 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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Hot Spots in the 2012 IPPS Regulation: Practical Strategies for Compliance Officers
Tuesday, August 30, 2011

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New Reform-Driven Claims and Appeals Procedures: Practical Steps Plans Should Take Now
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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Social Media Strategies for Insurers: How to Optimize Health Plan Online Efforts
Thursday, September 22, 2011

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