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| Sample Newsletters | MarketPlace AIS Products & Services |
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Government News |
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| Recent
Issues | |||
May 5, 2008
(1) Nearly half all U.S. adults lack the "health literacy" skills necessary to understand and act on basic health information — a problem that costs pharmaceutical payers billions of dollars annually on misused medications and contributes to roughly 1.5 million adverse drug events every year, experts say. As a result, some health plans and pharmacy benefit managers contacted by AIS are taking steps to address the health literacy issues of their members in an attempt to improve therapeutic outcomes and the bottom line.…(more)
(2) Henrietta Goodall Hospital in Sanford, Maine, has paid $1.15 million in a civil agreement to settle allegations that it submitted improper billings to Medicare, said the U.S. Attorney's Office for the District of Maine.…(more)
| 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. |
(3) Florida's Third District Court of Appeals found in favor of Palmetto Pathology Services in a suit against Blue Cross Blue Shield of Florida.....(more)
(4) Health plans
contacted by AIS say they are overwhelmingly supportive of the landmark
genetic testing bill that passed the House May 1. Once signed into
law, which is expected, insurers will be unable to deny health coverage
or set premiums based solely on an individual's genetic predisposition
to a disease…(more)
| This book and CD features the results - plus analyses - of AIS's quarterly PBM surveys, from 2000 to 2nd quarter of 2007. It contains hundreds of charts, tables and graphs on costs, benefit design, utilization and PBM market share, plus a directory of PBMs, PBAs, and SPPs. Click here. |
(5) The U.S. Court of Appeals for the First Circuit ruled in the patient's favor in an EMTALA case in Puerto Rico, saying that, under the hospital's argument, indigent patients could be treated as Ping-Pong balls.…(more)
(6)
CMS released the "Hospitals — Restraint/Seclusion Interpretive
Guidelines & Updated State Operations Manual Appendix A.".…(more)
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With more than 4,600 key executive contacts — this 500-page directory contains year-end 2007 contact and enrollment data for every health plan and preferred provider network operating in the U.S. Also available on CD-ROM. Click here. |
(7) Lawanda Jackson, a former UCLA Medical Center administrative specialist, has been indicted for selling protected health information in violation of HIPAA, said the U.S. Attorney's Office for the Central District of California.…(more)
| MEDICARE
PART D COMPLIANCE NEWS Monthly news and strategies on implementation and compliance with the Medicare drug benefit — marketing, enrollment, formularies, rebates, claims pricing, and fraud, waste and abuse. Includes biweekly Part D E-Letters and access to special Part D Web site. Click here. |
(8) The government is suing two private-practice cardiologists in separate civil suits to recover damages from salaries they took from the University of Medicine and Dentistry of New Jersey while improperly referring cardiac patients, said the U.S. Attorney's Office for the District of New Jersey.…(more)
(9) CMS has a new educational resource about the Medicare Claims Review Program on its Web site.…(more)
(10) CMS has updated its Medicare Part D enrollment guidance for 2009 with a draft document that includes a new tool to determine enrollment application dates, new disenrollment models for Medicare-Medicaid dual-eligible beneficiaries, and a polishing of previous guidance.…(more)
Additional
government news can be found at
AIS's
HEALTH BUSINESS DAILY
| Sponsors |
|
Senators Rockefeller,
Hatch and Wyden and Congressmen Stark, Waxman and Camp to Speak
at Health Reform Conference July 10-11. Click here. 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.  AIS's Health Business Job Openings Looking for a job? Listing a job? Click here. |