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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May 1, 2008


"It is our opinion that [health plans] are going to be much bigger government contractors. Medicare, Medicaid and state health initiatives [are] going to drive incremental enrollment growth and earnings over the next several years. Medicare will be a cornerstone of that growth."

— Tom Carroll, an equities analyst at Stifel Nicolaus Capital Markets, told AIS's Health Plan Week.

Today's Featured Story

Incentives for Patients to Switch From Prescription to Over-the-Counter Drugs Can Produce Large Savings for Members and Plans Alike

30%

…of today's health care spending is for care that is inappropriate, Alissa Fox, VP of legislative and regulatory policy at the Blue Cross and Blue Shield Association, told The AIS Report on Blue Cross and Blue Shield Plans.


New Webcast: Learn How to Create and Manage the Modern Healthcare Formulary, May 13th - Move beyond spreadsheets and proprietary databases, by building your digital healthcare platform with an online formulary. Create your own rules/criteria, and verify results in seconds. Join us and learn how easy formulary can be when you make the rules. Register now.


People On the Move
Diplomat Specialty Pharmacy hired Mike Maynard as director of national accounts. Maynard was an integrated delivery network/renal account manager with Roche Pharmaceuticals.…The Cooperative Exchange, the association for health care transaction clearinghouses, named new officers. They are President Doug Bilbrey of SSI Group, Inc.; Vice President Ana English of ENS, an Ingenix (UnitedHealth Group) company; and Treasurer Charlotte Martin of Gateway EDI.

Never-Event Payment Policies: How Major Health Plans Are Getting Tough on Preventable Hospital Errors
An Audioconference - May 13, 2008
Learn how to implement and enforce never-event payment methods — from Aetna's chief medical director for national accounts, medical director of Anthem Blue Cross Blue Shield of Virginia, and The Leapfrog Group. Click here to register today.

Today's Featured Health Business Job Opening

Puget Sound Health Partners
Chief Operating Officer
Seattle


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.


Sponsors

Senators Rockefeller, Hatch and Wyden and Congressmen Stark, Waxman and Camp to Speak at Health Reform Conference July 10-11.
Click here.


Implementing 'Medical Homes' To Improve Patient Care and the Bottom Line: Steps That Health Plans and Providers Should Take
An audioconference
May 21, 2008

Register today.






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