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December 5, 2016

Today's Featured Story

CMS Socioeconomic Adjustments Don’t Move Stars Much for Adherence Measures
Reprinted from Drug Benefit News

Differences in medication adherence measures did have an effect on CMS’s 2017 star quality ratings as part of an interim adjustment used to address socioeconomic status (SES) in the star quality ratings program. But the overall effect of the SES adjustment was quite small, affecting only a handful of Medicare Part D plans, according to an analysis from Inovalon Inc. and its health care consulting subsidiary, Avalere Health.... Read Full Story


Quote of the Day

“Among many other things, [replacement of the ACA, which would include a two-year transition period, would involve] a repeal of: the individual and employer mandates and certain mandated taxes (e.g., the health insurer fee (HIF) and Cadillac tax), and repeal of Medicaid expansion. The Congressional Budget Office (CBO) scored this bill as having an all-in net decrease in the deficit of $516 billion over a 10-year period. Most notably, a number of the amendments in H.R. 3762 would not take effect until after 2017, or two years after this bill would have been enacted. [This could mean many aspects of the ACA would] live in a purgatory-like state until after 2019. One element of the ACA law that could be discontinued in the immediate-term would be the federal funding for exchange cost-sharing subsidies; these payments were never actually appropriated by the Congress but have been disbursed by the Obama administration instead through executive action.”

— Scott Fidel, a securities analyst for Credit Suisse, said in a Nov. 15 research note.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "Brokers, Consumer-Driven Plan Proponents See Chance for Positives Under Trump" (Free for HPW subscribers; $17 for non-subscribers.)


Today's Datapoint

9 ... protests challenging the Department of Defense’s $58 billion TRICARE Awards for 2017 were all rejected by the Government Accountability Office on Nov. 14, according to various media reports.



Today from Washington

People on the Move
AbleTo, Inc. appointed Clifford A. Farren, Jr. chief financial officer. Farren most recently was vice president of finance for QuintilesIMS’s U.S. business unit....PerfectServe named Greg White chief operating officer. White previously was senior vice president and general manager of Allscripts Healthcare Solutions' TouchWorks EMR Division....Champions Oncology, Inc. said Dr. Philip Breitfeld, a member of the company's board of directors, was named chief strategic and innovation officer. Breitfeld most recently was global vice president at Quintiles. In addition, current CEO Joel Ackerman would become chairman of Champions’ board of directors, while current President Ronnie Morris will take over as CEO. Finally, Dr. David Sidransky, the founder of Champions and current chairman, will assume the role of lead director. 

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