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AIS's Health Business
Daily
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March
27, 2008
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"I've
seen cases where the provider is talking about reimbursement
rates and making a business decision not to accept
Medicare Advantage patients, but overall it is a relatively
small number of providers."
-- Abby L. Block, director of CMS's Center for Beneficiary
Choices, told AIS's Medicare Advantage News.
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$36.7
million
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…will
be paid by CVS Caremark Corp. to the federal government,
23 states and Washington, D.C., to settle claims that
it fraudulently billed Medicaid for a more expensive
form of a drug used to treat ulcers and heartburn.
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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. |
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People
On the Move |
DocSite,
a Web-based patient registries and point-of-care decision
support firm, hired Mark Rampel as vice president
of engineering. Rampel has more than 20 years of entrepreneurial
software development experience.…Tuality Healthcare,
a not-for-profit, independent, community-based health
care system in Portland, Ore., named Janelle Gilge
director of rehabilitation services. Gilge had been
interim director since June 2007. Prior to Tuality,
she was an administrative resident at Stillwater
Medical Group in Stillwater, Minn. |
Medicare Part D: A Comprehensive
Analysis of CMS Rules
This 217-page book includes chapters on sponsors, eligibility
and enrollment, formularies, and CMS enforcement - and
distills from thousands of pages of government regulations
and guidance the major rules, guidelines and deadlines
you need to comprehend this program. 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.
| 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. |
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Specialty
Pharmacy: Stakeholders, Strategies and Markets 2007
Features hard data on vendors serving this market, products
involved, and strategies for managing and delivering SP
products.
Click
here
AIS's
Pharmacy Benefit Survey Results
Track growth and consolidation in
the industry, and trends in costs, utilization and benefit
design. Available quarterly as Excel spreadsheets!
Click
here
Managing
Cancer Care: Strategies to Improve Outcomes and Lower
Costs
Strategies and pricing methodologies that health plans
have been instituting to rein in costs.
Click
here
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