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| Sample Newsletters | MarketPlace AIS Products & Services |
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AIS Health Plans MarketplaceScroll down to read short descriptions of AIS's Health Plan products. Newsletters
Listing More Health Plan products are available at the AIS Pharmacy Benefit MarketPlace Print an order form: If you do not wish to place your order online, click here to download a printable order form (PDF file), then submit your order via fax or mail, as directed on the form.
AIS’s HEALTH REFORM WEEK is a weekly newsletter that delivers timely, reliable news and sound strategies to help health care managers reinvent their business and protect their bottom line. A subscription provides business executives with a steady stream of sharp ideas from top managers with plans and providers alike ... along with special insight from policymakers and how-to guidance by top consultants and attorneys in each market. 45 issues annually ($365 for 1-year Charter Subscription); includes print copy and e-mail delivery.
THE AIS REPORT ON BLUE CROSS AND BLUE SHIELD PLANS, valuable news and penetrating analysis of new products, market share, strategies, conversions, financing, profitability and strategic alliances of Blue Cross and Blue Shield plans. Written by insightful managed care writer/analyst Jill Brown. (Published independently by AIS. Not affiliated with or sponsored, endorsed or approved by the Blue Cross Blue Shield Association or any of the independent Blue Cross and Blue Shield companies.) 12 issues annually ($477 per year) or 2-month intro ($72 for 2 issues); both include print copy and e-mail delivery.
HEALTH PLAN WEEK, timely business, financial and regulatory news of the health insurance industry — with the inside news, targeted data and expert analysis that will help you monitor all of the changes ahead under health reform and improve your organization's bottom line. The health plan industry's most respected and widely read weekly news source since 1991. 45 issues annually ($677 per year) or 2-month intro ($91 for 8 issues); both include print copy and e-mail delivery.
MEDICARE ADVANTAGE NEWS, timely news and strategies to boost revenues, increase enrollees and cut costs in Medicare Advantage and Medicaid managed care. 24 issues annually ($471 per year) or 2-month intro ($69 for 4 issues); both include print copy and e-mail delivery.
THE AIS GUIDE TO BLUE CROSS AND BLUE SHIELD PLANS, a competitive intelligence resource from the editors of The AIS Report on Blue Cross and Blue Shield Plans. It contains reliable information on Blues plans’ products, market strategies, acquisitions and alliances — including financial projections and hard-to-find data on revenues, earnings, enrollment and medical loss ratios. (Published independently by AIS. Not affiliated with or sponsored, endorsed or approved by the Blue Cross Blue Shield Association or any of the independent Blue Cross and Blue Shield companies.) ($427) CD version also available.
AIS’S 2003-2007 HEALTH PLAN ENROLLMENT STATISTICS: COMPARATIVE 5-YEAR MARKET SHARE, TRENDS AND DATA, exclusive data compiled from AIS’s proprietary database. This comprehensive analysis of 5 years’ worth of comparable health plan enrollment data includes national enrollment for all U.S. health insurance companies offering fully insured medical coverage, with state-specific breakdowns and enrollment by product type where available. Includes CD with raw data and a summary report. ($6,235) AIS’s DIRECTORY OF HEALTH PLANS, the most comprehensive resource available on the U.S. health plan market — more than 500 pages of thoroughly researched and verified information. It contains the most up-to-date enrollment data and contact information for health plans and primary care preferred provider networks operating in the U.S. Database also available on CD, so you can easily create the specific kind of analysis best suited to your needs. ($652)
THE AGING OF AMERICA: IMPLICATIONS FOR THE BUSINESS OF HEALTH CARE is packed with data, trends, projections and other research findings on how Baby Boomers are about to reshape U.S. health care ... with contributions from organizations like The Brookings Institution, First Consulting Group, The Commonwealth Fund, RAND Corp. and The Urban Institute; and government agencies like the Administration on Aging, CDC, Congressional Budget Office, Congressional Research Service, Institute of Medicine, Census Bureau, and Bureau of Labor Statistics. Separate chapters focus on how Boomers will impact hospitals and other providers, health plans, long-term and home care services, age-related diseases, and much more. ($187)
COMPLYING WITH THE MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT provides insight for health plans and plan sponsors into the Mental Health Parity and Addiction Equity Act’s legal requirements. Written by experienced health benefits attorneys John R. Hickman, Esq., and Laurie Kirkwood, Esq., of the law firm of Alston & Bird, LLP, the book provides hands-on guidance for making complicated benefit design decisions that comply with the parity requirements. ($179)
HEALTH INSURANCE PLAN-DESIGN TRENDS FOR GROUP AND INDIVIDUAL MARKETS contains valuable insight and examples from health insurers, brokers and agents, employers and other industry observers on how the changing needs of employers are being met. This report takes a comprehensive look at how new plan designs are altering the employee benefits landscape, and examines trends among employers, individual health plans, account-based plans, wellness programs and other disease management initiatives. ($84) PDF version also available.
HEALTH PLAN FACTS, TRENDS AND DATA, a best-selling annual book brimming with insightful news on important trends that are re-shaping the health care industry, and reliable data, directories and other valuable resources you can put to work today! Written and organized by AIS's experienced health reporting staff. ($398)
HEALTH PLAN PAY-FOR-PERFORMANCE PROGRAMS: THE NEXT GENERATION explores the dramatic change in the scope and depth of pay-for-performance (P4P) programs during the past several years. This book looks at such trends as P4P programs with specialist physicians and PPOs, P4P programs with hospitals and programs geared toward specific diseases, and also contains three case studies from well-respected health insurers. ($124) PDF version also available.
HEALTH PLAN STRATEGIES FOR THE INDIVIDUAL MARKET contains valuable insight on the benefit design innovations, marketing tactics and legal challenges being faced by health plans in the individual (non-group) commercial health plan market. This report features enrollment data, exclusive insight from executives at Blue Cross and Blue Shield plans, Aetna, CIGNA and others on balancing premiums against rising medical costs, and detailed analysis of coverage rescission issues. ($84) PDF version also available.
HEALTH PLAN STRATEGIES FOR VALUE-BASED BENEFIT DESIGN examines the experiences of health plans and employers that have implemented value-based benefit design programs, and provides details of how companies adjusted copays and other benefits, provided incentives to join disease management programs, educated enrollees and measured results. It includes case studies and presentations from pioneers in the value-based insurance design movement, with best practices — and key pitfalls to avoid — when launching a new program. ($84) PDF version also available.
HEALTH REFORM’S IMPACT ON COMMERCIAL AND MEDICARE HEALTH PLANS addresses administrative challenges posed by the reform law, and delves into the likely impact of the act on coverage, benefit designs, medical costs and pharmacy benefits. In this report, insiders close to HHS and in leadership positions at health plans, provider organizations and PBMs spell out what form the rules might take — and who will be the winners and losers. ($84) PDF version also available.
KEY FINANCIAL INDICATORS FOR LEADING HEALTH PLANS, a quarterly spreadsheet with up-to-date financial data points for 50 leading health plans. The Excel file compares nine indicators — premium revenue, hospital/medical costs, pharmacy costs, total medical costs, medical cost ratio, administrative costs, administrative expense ratio, net income (loss) and net margin. ($141 per quarter)
MANAGED MEDICARE AND MEDICAID FACTBOOK, a valuable resource with information on rates, benefit designs, enrollment, contacts, trends and strategies on the Medicare Advantage, Medicare Part D and managed Medicaid programs. Conveniently tracks the enrollment trends, plan design information and market share statistics you need in the strategic planning process. Written and organized by AIS's experienced health reporting staff. ($443) Expanded CD version also available.
MEDICARE PART D: A COMPREHENSIVE ANALYSIS OF CMS RULES distills from thousands of pages of CMS regulations and guidance the major rules, guidelines and deadlines you need to comprehend the complex Medicare drug benefit program. It includes nine detailed chapters on sponsors, eligibility and enrollment, formularies, CMS enforcement and much more. ($124)
MEDICARE PLAN MARKETING IN THE REGULATORY CROSSHAIRS: NEW ENFORCEMENT INITIATIVES provides information on meeting current — and future — rules from CMS and the HHS Office of Inspector General on marketing of Medicare Advantage and Part D plans. This report includes details of new requirements, what proposed new regulations are likely to mean for enforcement in the future, and lessons learned from regulatory actions already taken against violators. ($84) PDF version also available.
THE NEXT GENERATION OF DISEASE MANAGEMENT: 2009 AND BEYOND, a thought-provoking book that provides expert insight into where the DM industry is headed. Ten leaders in the DM industry weigh in on pressing issues such as: the build-versus-buy debate; using predictive modeling; measuring results; integrating care coordination; leveraging technology; and much more. ($223)
SPECIAL NEEDS PLANS: REGULATORY CHALLENGES AND MARKET STRATEGIES answers questions about major developments in Medicare Advantage Special Needs Plans (SNPs) during the past few years, from both a business and regulatory standpoint. Find out what the most successful SNPs are doing, what problems other SNPs are running into, and what impact the health reform law will have on SNPs. The report also includes a comprehensive directory of SNPs and their enrollment. ($84) PDF version also available.
Webinars are listed
below in reverse chronological order, STAR RATINGS FOR MEDICARE QUALITY BONUSES: STRATEGIES FOR A NEW ERA OF PERFORMANCE-BASED MEASUREMENT, a 90-minute Webinar on September 21, 2010. Find out how to succeed in the star-rating system. John Gorman, founder and CEO of Gorman Health Group, LLC, and Frank Ingari, CEO of Essence Healthcare, will pinpoint the kinds of operational and clinical process elements needed to boost star ratings and earn the bonus dollars that can be the key to surviving in the post-reform era. ($329)
MEDICARE PLAN MARKETING FOR FALL 2010: STRATEGIES TO FIT THE HUGE CHANGES AHEAD, a 90-minute Webinar first held on June 23, 2010. Find out what Medicare Advantage and Part D marketing strategies your plan should consider to prepare for the upcoming enrollment season, amid the most challenging and complicated Medicare marketing environment in history. Speakers are: Dennis Barnes, founder and president of Marketing Direct, Inc. (MDI), and Jeff White, vice president, marketing and development of Physicians Health Choice. CD or On-Demand Recording available. ($329)
THE IMPACT OF REFORM ON BROKERS AND AGENTS, a 90-minute Webinar first held on June 10, 2010. Learn how reform provisions such as the MLR floor and insurance exchanges will affect future business for brokers and agents. Scott Leavitt, owner of Scott Leavitt Insurance & Financial Services, Donald Garlitz, a benefit consultant with FirstWest Benefit Solutions, and John Prible, vice president of federal government affairs at the Independent Insurance Agents and Brokers of America, Inc. (IIABA), will provide perspectives on strategies agents and brokers should employ to protect their bottom line and job security. CD or On-Demand Recording available. ($329)
THE REGULATION OF MEDICAL LOSS RATIOS: MAJOR CHANGES HEALTH PLANS SHOULD DESIGN NOW, a 90-minute Webinar first held on May 25, 2010. Learn what federal MLR rules are likely to include, the impact these rules have had in states such as New Jersey that already require MLR floors and rebates to consumers, and steps insurers should take to prepare for this major change in how they will need to operate soon. Speakers are: Thomas A. Carroll, a managing director at Stifel Nicolaus, and Robert Meehan, vice president of consumer and senior markets at Horizon Blue Cross Blue Shield of New Jersey. CD or On-Demand Recording available. ($329)
INDIVIDUAL AND SMALL-GROUP INSURANCE: HOW TO GRAB MARKET SHARE BEFORE REFORM, a recording of a 90-minute audioconference held on December 16, 2009. Get an overview of the rapidly changing sales and marketing landscape for small-group and individual products, and learn practical steps for reaching these key customer groups in 2010 — from Mark Carroll, a founding partner of Small Business Insurance Solutions (SBIS), C. Steven Tucker, founder and principal broker of Small Business Insurance Services, and Scott Leavitt, owner of Scott Leavitt Insurance & Financial Services. ($329)
COMPETITIVE BIDDING UNDER MEDICARE ADVANTAGE: SURVIVAL STRATEGIES FOR PLAN SPONSORS, a recording of a 90-minute audioconference held on December 3, 2009. Get vital insights on how to plan for and succeed in an MA environment based on competitive bidding, from two experts at Ingenix Consulting — Stephen P. Wood, senior vice president, and Kirk Twiss, vice president, actuarial consulting. ($329)
PREPARING YOUR MA PLAN FOR THIS FALL’S RISK ADJUSTMENT AUDITS: STRATEGIES TO REDUCE YOUR COMPLIANCE AND FINANCIAL RISKS, a recording of a 90-minute audioconference held on October 28, 2009. Get valuable information on how to prepare for imminent and potentially very costly MA RADV audits. Anne Crawford, compliance officer of Medicare Parts C and D for Highmark Blue Cross Blue Shield, provides details on strategies you need to design and implement immediately to ensure that your processes meet CMS’s submission requirements. ($329)
WHAT HEALTH INSURANCE COOPERATIVES WOULD MEAN FOR HEALTH PLANS, a recording of a 90-minute audioconference held on August 12, 2009. Get practical intelligence on the health insurance co-op model and how it would affect the health insurance market. Speakers James O’Connor, a principal and consulting actuary at Milliman Inc., and Allan Wearing, sales and marketing director at Group Health Cooperative of South Central Wisconsin, answer questions about how co-ops would work and what steps private insurers should take to prepare for the possible inclusion of co-ops in health reform legislation. ($329)
MEDICARE PART D REFORM: STRATEGIES TO PREPARE FOR POTENTIALLY ENORMOUS CHANGES IN 2010, a recording of a 90-minute audioconference held on August 6, 2009. With Medicare Part D a major focus of pending health care reform legislation, there is an urgent need for Part D plan sponsors to work with their PBMs and other first-tier entities to prepare for possible changes. Susan Hayes of Pharmacy Outcome Specialists and Steve Arbaugh of ATTAC Consulting Group provide details of what to do now to prepare for the potential impact of various health care reform proposals on Part D. ($329)
WHAT A ‘PUBLIC OPTION’ WOULD MEAN FOR HEALTH PLANS, a recording of a 90-minute audioconference held on June 30, 2009. Get an inside view of what a public health insurance option might look like, what impact it would likely have on health plan operations, enrollments and revenues, and what private carriers can do to survive — from Scott Keefer, vice president of policy development for the Center for Policy and Research at America’s Health Insurance Plans (AHIP), and Diane Archer, an attorney and co-director of the Health Care for All Project at the Institute for America’s Future. ($329)
INDIVIDUAL MANDATE AND GUARANTEED ISSUE: WHAT PLANS CAN DO TO PREPARE FOR THE POTENTIALLY ENORMOUS CHANGES AHEAD, a recording of a 90-minute audioconference held on June 18, 2009. Two leading health policy experts — Rosemarie Day, deputy director and chief operating officer of the Commonwealth Health Insurance Connector Authority, and Kevin Wrege, president of PULSE Issues & Advocacy LLC and a consultant to the Council for Affordable Health Insurance — discuss the likely impact of guaranteed issue and individual mandate rules, and what health plans can do to prepare for their possible adoption. ($329)
NEW MENTAL HEALTH PARITY LAW: WHAT HEALTH PLANS MUST DO NOW TO COMPLY, a recording of a 90-minute audioconference held on November 19, 2008. Three experts on the new legislation — Rhonda Robinson Beale, M.D., chief medical officer for UnitedHealth Group subsidiary OptumHealth Behavioral Solutions, Kathleen Mahieu, a senior consultant in Hewitt Associates, LLC’s Health and Productivity Solutions group, and John Hickman, Esq., head of Health & Welfare Benefits in the Employee Benefits and Executive Compensation Group at Alston & Bird, LLP in Atlanta — share their strategic insights on specific actions that your organization can take to control costs while ensuring the availability of the newly mandated behavioral health care benefits. ($329)
FINAL MEDICARE MARKETING RULES: THE TIME TO CHANGE AND COMPLY IS NOW!, a recording of a 90-minute audioconference held on October 23, 2008. Gorman Health Group’s managed care marketing and regulatory experts Jeff Fox and Jean LeMasurier detail the steps you should be taking to ensure that your MA and Part D marketing is effective and compliant, both in the upcoming open-enrollment season and beyond. ($329)
HEALTH PLAN STRATEGIES FOR USING PREDICTIVE MODELING IN UNDERWRITING, a recording of a 90-minute audioconference held on August 26, 2008. Hear two experienced health plan executives outline how their companies use predictive modeling tools to improve the accuracy and profitability of underwriting efforts. Speakers are: Swati Abbott, president of MEDai, Inc., and Sharon Howe, director of underwriting for LifeWise Health Plans in Oregon and Arizona, subsidiaries of Premera Blue Cross. ($329)
IMPLEMENTING ‘MEDICAL HOMES’ TO IMPROVE PATIENT CARE AND THE BOTTOM LINE: STEPS THAT HEALTH PLANS AND PROVIDERS SHOULD TAKE, a CD of a 90-minute audioconference held on May 21, 2008. Two of the nation’s top Medical Home experts — Joe Gifford, M.D., senior medical director of The Regence Group, and Pranav Kothari, M.D., co-founder of Renaissance Health — describe sensible first steps that health plans and providers could take to create, partner with and reward Medical Home practices. ($329)
NEVER-EVENT PAYMENT POLICIES: HOW MAJOR HEALTH PLANS ARE GETTING TOUGH ON PREVENTABLE HOSPITAL ERRORS, a recording of a 90-minute audioconference held on May 13, 2008. Learn how to implement and enforce never-event payment methods — from Charles Cutler, M.D., Aetna’s chief medical director for national accounts, Jay Schukman, M.D., medical director of Anthem Blue Cross Blue Shield of Virginia, and Leah Binder, CEO of The Leapfrog Group. ($329) Available on CD or as an MP3 file.
HEALTH PLAN STRATEGIES FOR HIGH-TECH IMAGING TESTS, a CD of a 90-minute audioconference held on November 29, 2007. Learn specific steps you can take to address rising costs and formulate coverage polices for advanced and emerging high-tech imaging procedures (MRIs, CT scans and PET scans, CT angiography, functional MRI’s for Alzheimers’s disease) — from Ken Patric, M.D., vice president and chief medical officer at BlueCross BlueShield of Tennessee and Diane Hayes, vice president of research and development for medical technology assessment firm, Hayes, Inc. ($329)
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1100 17th Street, NW, Suite 300, Washington, DC 20036
Phone 202-775-9008 or 800-521-4323; E-mail customerserv@aishealth.com
1100 17th Street, NW, Suite 300, Washington, DC 20036
Phone 202-775-9008 or 800-521-4323; E-mail customerserv@aishealth.com