The AIS Guide to Blue Cross and Blue Shield Plans: 2010

Webinars on: Conducting Internal Investigations; Electronic Health Records; Star Ratings for Medicare Quality Bonuses; Medication Therapy Management


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Section-by-Section Summary of Reform Law
(By the House of Representatives’ Committee on Rules)

Implementation Timeline for Reform Law
(By the Kaiser Family Foundation)

For more on reform, including regulations, click here.

 

This Week's Health Business News

Bad Economy Lifts Enrollment in Student Plans, but Reform Rules Are Unclear  
Genetic Testing Promises Better Health Outcomes for Plans  
As Medication Therapy Management Programs Become More Robust, Plans Need to Compare Cost to Health Status   
CMS Boosts Scrutiny of Quality Programs of Medicare Advantage Plans
States Push for Rate-Hike Authority as HHS Mulls Taking More Active Role Itself

 

News from Washington and the States

Calif. Senate Approves State-Sponsored Health Insurance Exchange
CMS May Not Task Part D Plans With the Job of Collecting New Premiums
Okla. Supreme Court Rules that a Proposed 1% Fee on Health Insurance Is Unconstitutional
Medicare Trustees Report that Part D Program Is in Financial Balance
Mass. Expands Rx Drug Tracking System to Deter Substance Abuse, ‘Doctor Shopping’
 
 
August's Featured Articles

Health Plan Business

Coventry Feeds Its Appetite for Small Regional Plans With Proposed Acquisition of Mercy Health Plans 

Medicare Advantage

Berwick’s Appointment as CMS Administrator Draws Cheers From Medicare Advantage Consultants and Executives 
Blue Cross and Blue Shield Plans

Blues Plans ‘Practice What They Preach’ With Onsite Health and Fitness Programs  

Disease Management

Wellmark’s Strict Smoke-Free Policy Inflames Iowa Civil Liberties Group

Pharmacy Benefit Management
CVS Caremark, Walgreens Mend Fences With New Network Deal  
Specialty Pharmacy
Biosimilars Provision in Health Reform Law Could Reap Billions in Savings
Medicare Compliance
CMS RAC Chief: Medical-Necessity Audits Are Coming, Will Be ‘Big Mountain to Climb’ for Hospitals
HIPAA Compliance
Precautions Must be Taken to Address Privacy Risks of Popular Patient Websites   

... from experienced health journalists who publish

 


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