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December 12, 2016

Today's Featured Story

Sources: Price Pick for HHS Puts a Face on ACA Dismantling
Reprinted from Health Plan Week

President-elect Donald Trump (R) on Nov. 29 selected staunch Affordable Care Act (ACA) opponent Rep. Tom Price, M.D. (R-Ga.), for secretary of HHS and Seema Verma, president and founder of SVC Inc., a health care consultancy in Indianapolis, to be administrator of CMS. She is a confidant of Vice President-elect Mike Pence. Price, a former orthopedic surgeon, is the rare Republican who not only opposed the ACA and pushed for its repeal, but who also authored a replacement proposal. His Empowering Patients First Act of 2015 features refundable tax credits for health insurance coverage, provisions for states to form high-risk pools and reinsurance pools, and a ban on the use of comparative effectiveness research to deny coverage of a prescription drug or medical device.... Read Full Story


Quote of the Day

“In New York, we have a state-run exchange that is separately funded [from the ACA]. There is a chance that the state, depending on how the administration approaches a possible ACA repeal, will respond separately [and go their own way on exchanges].”

— John Bennett, M.D., the CEO of Albany-based CDPHP, recently told AIS’s Health Plan Week.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "CDPHP CEO Weighs in on What Election May Mean for Plans" (Free for HPW subscribers; $17 for non-subscribers.)


Today's Datapoint

1 billion ... medication errors will be prevented over the next decade by PBMs, according to The Return on Investment (ROI) on PBM Services, a study by Visante commissioned by the Pharmaceutical Care Management Association.



Today from Washington

People on the Move
BlueCare Tennessee, the Medicaid subsidiary of BlueCross BlueShield of Tennessee, named Jeremy Martinez vice president and chief financial officer. He previously served in executive finance and operations roles at the Washington state business unit of Centene Corp.’s Coordinated Care subsidiary....Select Medical Corp., a subsidiary of Select Medical Holdings Corp., appointed Scott Nordlund executive vice president, partnership growth and innovation. He most recently was chief strategy and business development officer at Trinity Health....Horizon Blue Cross Blue Shield of New Jersey hired Mary Ann Christopher as vice president, clinical operations and transformation. Prior to joining Horizon, she was president and CEO of Visiting Nurse Service of New York.

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