Next-Generation Specialty Pharmacy Management Strategies for Health Plans


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April 7, 2008


"While states are committed to upholding their responsibility to Medicaid, we have significant concerns that the actions taken by CMS will effectively end the federal government's participation in many crucial components of the Medicaid program and inappropriately shift those costs to states. [The CMS regulations taking effect later this year that would shift billions of dollars in costs from the federal government to the states] are particularly onerous given the difficult fiscal situation in many states."

-- From a National Governors Association letter sent to Congress on Feb. 25, requesting a delay in the implementation of new Medicaid regs.

Today's Featured Story

Hospital Settles False Claims Lawsuit Stemming From Games It Allegedly Played With an Excluded Physician's Provider Number

$4.56 million

…was paid to lobbyists in 2007 by UnitedHealthGroup, according to public documents.


Metavante helps create a seamless consumer healthcare experience by enabling healthcare constituents (health plans, third party administrators, financial institutions, providers) to exchange information and funds. Visit http://marketing.metavante.com/curetheconfusion for a FREE report, "The Online Consumer Healthcare Experience Revealed." Or call 1-800-822-6758 for more information.


People On the Move
Caritas Christi Health Care, which includes several hospitals in Massachusetts, appointed Ralph de la Torre president and CEO. De la Torre was founder, president and CEO of the Cardiovascular Institute and Cardiovascular Management Associates at Beth Israel Deaconess Medical Center in Boston.…Titan Health Corp. named Roseanne Ottaggio, R.N., vice president of operations and Elaine Lang, R.N., director of facility planning and development. Ottaggio was an administrator for a New Jersey surgery center and Lang was an administrator for a start-up ambulatory surgery center in New Jersey.

Specialty Pharmacy: Stakeholders, Strategies and Markets 2007
This book includes hard data and statistics on the vendors serving the specialty pharmacy market, the products involved, and the strategies employed by payers for managing and delivering these products. Click here.

Today's Featured Health Business Job Opening

Highmark Inc.
Clinical Quality Program Analyst II
Pittsburgh


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


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Personal Health Records (PHRs): New Strategies for Health Plans
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April 23, 2008
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MANAGED MEDICARE AND MEDICAID FACTBOOK: 2008
Get up-to-date enrollment data on all Medicare Advantage plans.
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2000-2007 Survey Results: Pharmacy Benefit Trends & Data
Featuring hundreds of charts, tables and graphs on costs, benefit design, utilization and PBM market share.
Click here


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