AIS's Health Business Daily

April 9, 2008

"[There have been] numerous occasions when we're working with a client and CMS came in for a [Part D] site visit and missed a ton of stuff.... [Or] CMS beat up a plan for infractions nowhere near as serious in nature as some of the public documentation [indicated].... One consistent thing we've seen is a lot of regional-office personnel could do with some retraining on audits, especially around some complicated stuff like appeals and grievances."

-- John Gorman, CEO of Gorman Health Group, LLC, told AIS's Medicare Part D Compliance News.

Today's Featured Story

E-Prescribing Can Cut Costs and Improve Patient Safety, but Physicians Are Slow to Embrace It

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…of the brand-name prescription drugs most commonly used by Part D beneficiaries have had their prices increased by pharmaceutical companies, according to a new report from AARP.

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People On the Move

Lockton Benefits Group, a consulting broker, appointed John Esslinger medical director. Esslinger was medical director at WellCare Health Plans in Atlanta and Tampa, Fla.… Medsphere Systems Corp., a developer of electronic health record systems and services, named John Danahy vice president of sales. Danahy was vice president of customer operations for new business in the western region at McKesson Corp.

Health Reform and the 2008 Elections:
What's Ahead for Health Care Access, Delivery and Financing
July 10-11, The Washington Court Hotel, Capitol Hill, Washington, D.C.
Speakers include Senators Rockefeller, Hatch and Wyden and Congressmen Stark, Waxman and Camp. You'll also hear reform perspectives from the Clinton, McCain and Obama presidential campaigns, leaders from prominent health business organizations, health policy analysts, and state legislators. Click here.

Today's Featured Health Business Job Opening

Blue Cross Blue Shield of Florida
Senior Director, Hospital Network Contracting
Jacksonville, Fla.

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