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!

June 6, 2017

Hot Topic

Here’s a look at Medicare Advantage plan sponsors’ compliance struggles and areas to which they should pay close attention:

2016 Audit Notices Highlight Growing Misclassification Issue
From Medicare Advantage News

Risk Adjustment Pressure Builds for MA Plans as DOJ Joins Second Qui Tam Suit
From Medicare Advantage News

As CMPs Grow, MA Plans Should Scan Pharmacy Benefit Operations
From Medicare Advantage News
Today's AIS Health Datapoint

5,199,400 ... is the number of 2017 Medicare Part D standalone prescription drug plan lives enrolled by market leader Humana Inc., which grew its PDP enrollment by more than 488,000 lives since 2016.


Quote of the Day

“Absent a mandate, there’s no reason for optimism [that] young people are going to be excited jumping into the pool.”

— Paul Lambdin, managing director of life sciences and health care at Deloitte, tells Health Plan Week about challenges in luring millennials into the insurance market.

Click here to read the HEALTH PLAN WEEK article in which this quote appeared — "Millennials’ Near-Term Enrollment May Fall Under AHCA, Report Says" (Free for HPW subscribers; $17 for non-subscribers.)


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