| Welcome
to AISHealth.com
Your one-stop source for news, data,
and strategic information on the
business of health care.
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This Week's Health Business News |
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Recovery Audit Contractor Program Is On Hold While GAO Weighs
Protests by Two Vendors That Lost Bids
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Likely Medicare Advantage Cuts Under Obama Could Prompt Health
Plans to Leave Some Markets
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Health Net Faces Scrutiny Over Allegedly Improper Sales Tactics
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Health
Plans Set Sights on Individual Market as More Employees Lose Jobs
and Benefits
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BC/BS Assn.'s Federal Employee Program Plan Counters Its Rate
Hike With New Drug Benefits
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| News from Washington and the States
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Obama Reform Plans Could Create Hurdles, Opportunities for Health
Plans
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CMS Will Halt Preadministration Payments for IVIG Administration
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OIG Ruling Sets the Stage for Aligning Incentives to Improve Quality
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Senate Finance Chair Baucus (D-Mont.) Issued ‘Call to Action:
Health Reform 2009’
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DOJ: Health Care Cases Make Up ‘Lion’s Share’ of
2008 Settlements |
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| November's
Featured Articles |
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Health Plan Business |
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Health Plans Should Focus on the Activities of Their Brokers and
Agents to Avoid Medicare Penalties |
| Medicare Advantage |
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CMS Proposes Significant New Reporting Requirements for Medicare
Advantage Plans Beginning in January |
| Managed Medicaid |
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N.M. Begins Medicaid Coordinated Long-Term Care Coverage Aug.
1
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| Blue Cross and Blue Shield Plans |
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CareFirst Is Among Blues Plans Facing Renewed Scrutiny of Its Reserves
and a New Threat of Oversight |
| Pharmacy
Benefit Management |
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Biotech, Pharma Firms Eye New Payment Models Based on Value |
| Specialty
Pharmacy |
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Health Plans Are Urged to Demand More From Specialty Pharmacies
in Therapy Management |
| Consumer-Directed Health Care Plans |
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Banks Could Give Insurers a Run for Their HSA Money by Selling Health
Coverage |
| Medicare
Compliance |
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Congress Moves to Boost Attorney-Client Privilege; Know What Is
and Isn't Protected |
| HIPAA
Compliance |
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New Privacy Risk: Patients Who Assume Someone Else's Identity to
Obtain Treatment |
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... from experienced
health journalists who publish
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