Never-Event Payment Policies - How Health Plans Are Getting Tough on Preventable Hospital Errors; Implementing 'Medical Homes' to Improve Patient Care and the Bottom Line


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Visit AISEducation.com for more news and strategic information for today's business leaders

 

Welcome to AISHealth.com
Your one-stop source for news, data,
and strategic information on the
business of health care.

 

This Week's Health Business News

• Prescription Solutions Develops Model for Boosting Drug Safety and Lowering Costs for Elderly Patients
• Disruptive Physicians Heighten Hospital Risks at a Time When Collaboration Is Key to Effective Compliance
• Blues Plans Expand Hospital Pay-for-Performance Programs Into New States, Smaller Hospitals
• First-Quarter 2008 Was Worst Stock Performance for Public Health Plans Since Late-1997
• Incentives for Patients to Switch From Prescription to Over-the-Counter Drugs Can Produce Large Savings for Members and Plans Alike

 

News from Washington and the States

• Health Plans, PBMs Consider New Ways to Boost the Health Literacy of Their Members
• Maine Hospital Settles Medicare Billing Allegations for $1.15 Million
• Appeals Court Rules Against Blue Cross Blue Shield of Florida
Health Plans Applaud Passage of Genetic Antidiscrimination Bill
• Appeals Court Rules Against Treating Indigent Patients as ‘Ping-Pong Balls’

 
 
May's Featured Articles

Health Plan Business

• More Health Plans Adopt 'Never-Event' Policies That Don't Reimburse for Treatment Needed to Correct Medical Errors

Medicare Advantage

• CMS Could Soon Issue Guidelines or Regulations to Control Medicare Advantage Marketing
Managed Medicaid

• Colo. Access Joins State, CHCS In New Medicaid Pilot Program

Blue Cross and Blue Shield Plans

• To Appease Regulators and Providers, Calif. Blue Cross Says It Will No Longer Ask Doctors to Review Individual Applications
Pharmacy Benefit Management
• PBMs, Health Plans Are Working with States to Stem the Alarming Increase in Abuse of Prescription Drugs
Specialty Pharmacy
• New Single-Specialty Company Targets Efficiencies Through Integrated Approach to Oncology Management
Consumer-Directed Health Care Plans
• Health Plans Are Developing Powerful New Web-Based Personal Health Records to Allow Consumers to Manage Their Health
Medicare Compliance
• Enforcement Agencies May Soon Look at Hospitals for Improper Financial Relationships With Device Manufacturers
HIPAA Compliance
• California Expands Its Data Breach Notification Law to Include Medical Information and Insurance Data; Other States Likely to Follow


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Senators Rockefeller, Hatch and Wyden, and Congressmen Stark, Waxman, Camp and Rangel to Speak at Health Reform Conference July 10-11

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