Winning Strategies for MA Plans and PDPs Under the Mid-July Medicare Law; Health Plan Strategies for Using Predictive Modeling in Underwriting


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AIS's Health Business Daily

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March 25, 2008


"As long as [Blue Cross Blue Shield of Michigan] remains the insurer of last resort and gets all the benefits that accrue with that, this is unacceptable. We all share the objective of leveling the playing field. Their solution is one that benefits Blue Cross Blue Shield at the expense of other carriers in the industry. This is self-serving legislation."

-- Richard Murdock, executive director of the Michigan Assn. of Health Plans, commenting on four bills passed by the state House to The AIS Report on Blue Cross and Blue Shield plans.

Today's Featured Story

Industry Analysts See Medicare Advantage Continuing to Grow in the Next Few Years

72%

…of Mississippi employers with fewer than 50 employees don't offer health coverage to their employees, according to the Center for Mississippi Health Policy.


Innovative Provider Payment Strategy or Capitation All Over Again?
An audioconference - April 3, 2008
Learn new provider-payment strategies health plans are experimenting with to replace the traditional fee-for-service model — from Robert Mandel, M.D., vice president of health care services at BCBSMA, and François de Brantes, CEO for Bridges To Excellence. Click here.

People On the Move
The Maryland Hospital Assn. named Carmela Coyle president and CEO, effective July 1. Coyle will succeed Cal Pierson, who in November said he was retiring after 16 years. Coyle is senior vice president for policy at the American Hospital Assn.…Amerinet, a health care group purchasing organization, promoted Robert Hardy to vice president of executive solutions and Christina Smith to senior director for the Amerinet Clinical Advantage program. Hardy was senior director of corporate business development for Amerinet, and Smith was an Amerinet clinical strategist.

AIS's Pharmacy Benefit Survey Results
Now available quarterly as Excel spreadsheets! These survey results track growth and consolidation in the industry, and trends in costs, utilization and benefit design. Click here.

Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aispub.com.

If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aispub.com
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Information contained in AIS's Health Business Daily is included with the understanding that Atlantic Information Services, Inc. is not engaged in rendering legal, accounting or other professional services. If legal advice or other expert assistance is required, the services of a competent professional person should be sought.


Sponsors

Medicare Part D: A Comprehensive Analysis of CMS Rules
Includes detailed chapters on sponsors, eligibility and enrollment, formularies, and CMS enforcement.
Click here.


ONCOLOGY DRUG MANAGEMENT: A WHITE PAPER ON MARKETPLACE CHALLENGES, OPPORTUNITIES AND STRATEGIES
Find out how to design a cost-effective oncology drug program.
Click here.


Health Plan Pay-for-Performance Programs: The Next Generation
P4P program trends and case studies.
Click here
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