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 9, 2008


"Health insurance companies are proposing new pricing methods for high-priced prescription drugs, asking patients to shell out hundreds and even thousands of dollars of their earnings for medications they need to survive." This shifts costs from health insurers "onto backs of struggling low- and middle-income families."

— New York State Senate Democratic Leader Malcolm A. Smith, upon the introduction of state legislation that would prohibit health plans and PBMs from implementing Rx drug plans with a Tier 4 category for expensive specialty drugs.

Today's Featured Story

Shaky Economy Prompts a Slow Migration to Low-Cost Health Insurance Coverage

9%

…of U.S. workers drink alcohol in ways that contribute to absenteeism and higher health care costs, according to a new report from The George Washington University Medical Center.


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
LifeCare, Inc., a provider of specialty care services, hired Chuck Green as chief marketing officer. Green was the principal of his own full-service marketing communications consulting business…Donal Quinn has been appointed new head of the diagnostics division of the Siemens Healthcare Sector. Quinn was executive vice president and chief customer officer of the diagnostics division. He succeeds Jim Reid-Anderson, who on May 1 became the new CEO of this sector.

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.

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

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.


Health Plan Pay-for-Performance Programs: The Next Generation
P4P program trends and case studies
Click here

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




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