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 12, 2008


"The inability to read, understand and act upon medicine [and] medical information makes it less likely that patients will...follow their medicine instructions. This in turn is likely to lead to inappropriate, inaccurate and unsafe use of medications."

— Ray Bullman, executive VP of the National Council on Patient Information and Education, told AIS's Drug Benefit News.

Today's Featured Story

Strong Utilization Review Committees Can Prevent Inappropriate Hospital Admissions

70%

…of members of Horizon Blue Cross Blue Shield of New Jersey who were initially prescribed a cardiovascular drug failed to pick up their first prescription within 60 days, according to data released by Horizon and CVS Caremark Corp.


New OptumHealth Webinar on 5/29/08
NCQA Quality Plus: Are You Prepared For The New Member Self-Management Standards?

At this live Webinar, you will:
o Understand these standards and their requirements
o Learn the 5 best practices that can improve the accreditation process
Register Now!

People On the Move
Medgenics, a biopharmaceutical company, appointed Ehud Shoshani, M.D., vice president of clinical affairs. Shoshani was CEO of Quintiles Israel.…Capital District Physicians' Health Plan (CDPHP), in Albany, N.Y., named John Bennett Jr., president and CEO. Bennett has been chairman of CDPHP's board for the past five years.

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
.


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.

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


AIS's DIRECTORY OF HEALTH PLANS: 2008
Features more than 4,600 key executive contacts, and contains year-end 2007 enrollment data.
Click here.

ONCOLOGY DRUG MANAGEMENT: A WHITE PAPER ON MARKETPLACE CHALLENGES, OPPORTUNITIES AND STRATEGIES
Find out how to design a cost-effective oncology drug program
Click here




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