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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April 15, 2008


"Our data indicate that there are better than 20 million adolescents and adults who have serious alcohol problems. About less than 2 million receive any treatment in the course of the year. And it's in the 100,000-or-less [range] who receive medications. There is a big gap."

-- Eric Goplerud, Ph.D., director of The George Washington University Medical Center's program Ensuring Solutions to Alcohol Problems, commenting to AIS's Drug Benefit News on what he termed the "tremendously underutilized" drugs available to treat alcohol dependency.

Today's Featured Story

Health Plans, CMS Try to Fix Medicare Marketing Problems With New Regulations, Best Practices

11

…preventable medical errors are included in WellPoint's new contract language that will cut off reimbursement to hospitals for services and treatments associated with "never events" — surgery performed on the wrong patient or body part, objects left in the body during surgery, and so forth.


Personal Health Records (PHRs): New Strategies for Health Plans
An audioconference - April 29, 2008
Learn strategies for effectively developing and deploying a PHR to serve the needs of stakeholders from Jan Oldenburg, Internet Services Group, Kaiser Permanente and Scott Heimes, SVP of consumer solutions for OptumHealth. Click here.

People On the Move
Amarillo Biosciences, Inc., a specialty pharmaceutical company, appointed Peter Mueller chief operating officer and director of research. Most recently, he headed Epicenter Consulting Inc., a New Jersey-based health care consulting firm that he founded in 2001.…Practice Greenhealth, a firm aimed at improving the environmental performance of the health care sector, named Robert Jarboe executive director. Jarboe comes to Practice Greenhealth with a background in creating nonprofits, nonprofit mergers and transitions of government organizations to nonprofit status.

2009 Medicare Advantage Rates: Immediate Strategies for Health Plans
An audioconference - April 29, 2008
Join Pat Dunks, principal and consulting actuary with Milliman, and Brian Weible, president of Wakely Consulting Group, to find out how to revise your product and pricing strategies to prepare the best possible bids before the submission deadline. 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.


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Senators Rockefeller, Hatch and Wyden and Congressmen Stark, Waxman and Camp to Speak at Health Reform Conference July 10-11.
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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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ONCOLOGY DRUG MANAGEMENT: A WHITE PAPER ON MARKETPLACE CHALLENGES, OPPORTUNITIES AND STRATEGIES
Find out how to design a cost-effective oncology drug program.
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