Next-Generation Specialty Pharmacy Management Strategies for Health Plans


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AIS's Health Business Daily

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April 18, 2008


"When [Kaiser] does something, the other carriers have to compete, especially when Kaiser's pricing of its [new] products is so affordable.... Kaiser and the other [national] staff models, which have historically been prepaid first-dollar health care organizations, are actually in a better position to make the transition [to deductible products] in California than are the large capitated [independent practice associations]."

— James Knight, M.D., CEO of Consumer Directed Health Care, Inc. and chairman of the 1st Pacific Bank of California, discussing Kaiser Permanente's surging enrollment in deductible plans with AIS's Health Plan Week.

Today's Featured Story

Despite Excessive Alcohol-Related Health Costs and Lost Productivity, Available Prescription Drug Therapies Remain Underutilized

60%

…was the approximate increase in account-based plan enrollment by the nation's Blue Cross and Blue Shield plans as of Jan. 1, up to 4 million lives from 2.5 million one year earlier, according to a survey by AIS's Inside Consumer-Directed Care.


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.

People On the Move
HealthEdge, a software developer for the health care industry, appointed Terry Beck senior vice president of sales. He was vice president of sales at MEDecision, Inc.…SeniorMetrix, a vendor of evidenced-based tools for post-acute care management, hired Sharon Potter as product manager for the company's LiveSafe product. Potter was healthcare payment solutions relationship manager at Metavante Corp.

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.

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.


Sponsors
2009 Medicare Advantage Rates: Immediate Strategies for Health Plans
An audioconference
April 29, 2008

Register today.


MANAGED MEDICARE AND MEDICAID FACTBOOK: 2008
Get up-to-date enrollment data on all Medicare Advantage plans.
Click here.


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


Upcoming Health Business Meetings
List your event! Find out about upcoming conferences!
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