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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 and the AIS Consumer-Directed Care 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.
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 BlueCross BlueShield 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.
MEDICARE PART D COMPLIANCE NEWS, monthly news and strategies to help you monitor enforcement actions, assess your true compliance risks and design compliance programs and strategies that will save you time and reduce your risk of penalties and payments to CMS. You’ll get valuable updates on how Part D will be impacted by health reform. 12 issues annually ($467 per year); includes 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 BlueCross BlueShield 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. ($622)
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 PLAN BUSINESS OUTLOOK 2010 addresses key issues health plans, the pharmaceutical industry and other related health care sectors will face in the coming year. AIS’s experienced health reporters interviewed dozens of leading experts across the health care industry to compile this report with valuable insights and forecasts for 2010. ($59) 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.
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 packed with rates, benefit designs, directories, trends and strategies on the Medicare Advantage (MA) program and managed Medicaid. Features coverage of the overhauled Medicare program, including new payment rates, and practical information on the Part D drug benefit, Special Needs Plans, MA private fee-for-service, and much more. Written and organized by AIS's experienced health reporting staff. ($418) CD version also available.
NEW MARKETING RULES AND ENFORCEMENT AFFECTING MEDICARE ADVANTAGE AND PART D PLANS is filled with ideas for how health plans can boost their focus on complying with CMS marketing rules and the provisions of the Medicare Improvements for Patients and Providers Act (MIPPA). It includes case studies and analysis of CMS actions, including the suspension of marketing and enrollment against several major MA and Part D plans, and new corrective action plans reached with many other plans. ($69) 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)
Meetings are listed
below in reverse chronological order,
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@aispub.com
1100 17th Street, NW, Suite 300, Washington, DC 20036
Phone 202-775-9008 or 800-521-4323; E-mail customerserv@aispub.com