AIS's Health Business Daily is a daily email newsletter with strategic business stories written by experienced AIS Health reporters, as well as other information of interest to health care business leaders — including news from the nation’s leading health insurers, developments from the federal and state governments that impact the health care industry, and exclusive datapoints from Subscribe now to get an issue delivered to your inbox every morning!
March 7, 2017

Hot Topic

This week pharmaceutical access is in the news, after CMS fined multiple Medicare Part D plans millions of dollars for improperly denying drug claims. Here’s a look at AIS’s recent coverage on the topic:

As CMPs Grow, MA Plans Should Scan Pharmacy Benefit Operations
Medicare Advantage News

Aggravated by Errors, CMS Hikes Fines on Part D, MA Plans
Drug Benefit News

As CMS Rolls Out $9.6M in CMPs, 2015 Audits Show Part D Compliance Defects
Drug Benefit News

Mom's Meals Nourish Care
Today's AIS Health Datapoint

40% ... is Moda Health's market share in the individual market in Oregon. With 92,030 members, Moda Health was the leading insurer in the Oregon individual market in 2016.


Quote of the Day

“We have a way to go before the government starts writing checks.”

— Bruce Merlin Fried, a partner in Dentons’ health care practice in Washington, D.C., told Health Plan Week about Moda Health Plans’ legal victory over HHS in a case over the Affordable Care Act’s risk corridors program.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "A New Hope: Moda’s Risk-Corridors Ruling Sparks Cautious Optimism Among Carriers" (Free for HPW subscribers; $17 for non-subscribers.)


Advertise with AISThe Featured Story of the day may be accessed on the day it is transmitted without logging in to Thereafter, you may need to log in to access the Featured Story. If you haven’t yet registered on, please take a minute to create a free account now and get free access to thousands of articles, blogs and much more.

Content questions or suggestions should be directed to Executive Editor Jill Brown at If you are interested in advertising in AIS's HEALTH BUSINESS DAILY, please contact BJ Taylor at

AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this email to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at atlantic_subscription.cfm

Copyright © 2017 Managed Markets Insight & Technology, LLC. All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to

With archives of AIS's Health Business Daily, features like the News Archives, AIS Blogs and more! (Free registration required)