The AIS Guide to Blue Cross and Blue Shield Plans: 2010

Webinars on: Conducting Internal Investigations; Electronic Health Records; Star Ratings for Medicare Quality Bonuses; Medication Therapy Management


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Sept. 2, 2010

Today's Featured Story

Final Part D Agreement Between CMS and Drugmakers Provides More Time to Pay Health Plans    
Reprinted from MEDICARE PART D NEWS

CMS gave manufacturers additional time to pay sponsors in the final version of the Medicare Part D gap discount program manufacturers’ agreement, but industry experts are still split on whether the time allotted is sufficient....Read Full Story

Quote of the Day


Under reform, the traditional constituency for community health centers “will by and large be in Medicaid or a premium-subsidized benefits exchange product. They’re not going to be charity care anymore. So the centers have to be able to market to that new reality — with…billing systems, investing to make [facilities] attractive to choose — and they have to execute contracts with these exchange plans. And that’s a different business model. It’s a different world. They aren’t the only game in town now, [along] with the emergency room, for these people to get care.” 

Stephen Wood, senior vice president at Ingenix Consulting, told AIS's HEALTH REFORM WEEK.

Buy the issue of AIS'S HEALTH REFORM WEEK in which this quote appeared (PDF transmitted immediately).

Today's Datapoint

$19.5 billion…was the approximate cost of medical errors to American health plans and their members in 2008, according to a new report by the Society of Actuaries. 

 

Buy the issue of HEALTH PLAN WEEK in which this datapoint appeared (PDF transmitted immediately).

People on the Move

Joseph A. Frick will retire as president and CEO of Independence Blue Cross on Dec. 15. Frick will maintain a leadership role with IBC, serving as a vice chair of its board of directors and leading a newly created board committee that will focus on strategic partnerships and initiatives. Daniel J. Hilferty will become the new president and CEO. Hilferty was executive vice president and president of IBC's Health Markets unit.…Pharmacy benefit manager PharmaStar LLC named Rhonda Grabow chief operating officer. Grabow was vice president, strategic planning at Innoviant, Inc.

Today's Featured Health Business Job Opening

Harvard Pilgrim Healthcare

Chief Medical Officer

Burlington, Mass.

 

 



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Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aishealth.com. If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aishealth.com.


AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week.Copyright © 2010 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to rbiehl@aishealth.com.

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AIS E-Savings Club Weekly Specials

Upcoming Webinars

Proven Strategies for Conducting Internal Investigations
Tuesday, September 14, 2010
Click here for details.

Compliance Pitfalls to Avoid When Implementing Electronic Health Records
Thursday, September 16, 2010
Click here for details.

Star Ratings for Medicare Quality Bonuses:
Strategies for a New Era of
Performance-Based Measurement

Tuesday, September 21, 2010
Click here for details.

How More Robust Medication Therapy Management Can Improve Outcomes and Lower Costs
Tuesday, September 28, 2010
Click here for details.

Today’s issue is brought to you by:

AIS’s Pharmacy Benefit Survey Results
T
rack growth and consolidation in the industry, and trends in costs, utilization and benefit design. Available quarterly as Excel spreadsheets!  Click here for details.

A Comprehensive Guide to Managing Never Events and Hospital-Acquired Conditions
This looseleaf and CD companion is packed with strategies, tips and tools for managing never events and HACs. Click here for details.



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