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July 10, 2017

Today's Featured Story    

Year-Round Readiness Helps With CMS Pilot MTM Enforcement Audit
Reprinted from DRUG BENEFIT NEWS

Without a year-round audit readiness approach, SCAN Health Plan would not have been able to successfully negotiate the complexity and challenge of a CMS pilot medication therapy management (MTM) enforcement audit, according to Crystal Chang, manager of clinical pharmacy services at SCAN. Because SCAN, the Long Beach, Calif.-based managed care plan, was the first plan to be audited in the 2016 pilot, “it was a learning experience” for both CMS and SCAN, Chang said... Read Full Story

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Today's AIS Health Datapoint

117,236 ... is the number of lives enrolled in California's dual-eligibles demo program, as of June 2017. Inland Empire Health Plan's IEHP DualChoice plan is the state's largest demo plan, with 23,813 members.

From AIS's MEDICARE AND MEDICAID MARKET DATA

 

People on the Move

Geisinger named Karen Murphy executive vice president, chief innovation officer and founding director of the Steele Institute for Healthcare Innovation. Murphy is Pennsylvania’s secretary of health, and previously served as director of CMS’s State Innovation Models Initiative….Community Health Accreditation Partner (CHAP) said CEO Karen Collishaw has resigned. Barbara McCann, chair of CHAP’s board, will serve as interim president and CEO….Dennis W. Pullin was named president and CEO of New Jersey health system Virtua, succeeding Richard P. Miller. Pullin now serves as president of Medstar Harbor Hospital and senior vice president of MedStar Health.

 

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