Implementing 'Medical Homes' to Improve Patient Care and the Bottom Line; New MA and Part D Marketing Rules; Lower Rx Costs in PBM Contracts


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AIS Subscription Publications

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The AIS Report on Blue Cross and Blue Shield Plans
Drug Benefit News
A Guide to Auditing Health Care Billing Practices
A Guide to Complying With Stark Physician Self-Referral Rules
Health Plan Week
HIPAA Patient Privacy Compliance Guide

 

Inside Consumer-Directed Care
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Medicare Part D Compliance News

Report on Medicare Compliance
Report on Patient Privacy
Report on Research Compliance
Specialty Pharmacy News

 

Newsletters:

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 ($464 per year) or 2-month intro ($72 for 2 issues); both include print copy and e-mail delivery.

DRUG BENEFIT NEWS, unique information gathered in AIS's own surveys of HMOs and pharmacy benefit management companies. Timely news and data on the business of pharmaceuticals ... and practical cost management strategies from experts throughout the industry. Includes data on high-cost drug categories, inside info on what HMOs and PBMs are doing, and information that will help you benchmark results and experiences. 24 issues annually ($537 per year) or 2-month intro ($86 for 4 issues); both include print copy and e-mail delivery.
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INSIDE CONSUMER-DIRECTED CARE brings you timely news and insightful analysis on how the trend toward consumer-directed health plans will affect utilization of medical services, insurance premiums, and your bottom line. You'll get concise details on topics like who's getting what contracts, how plans are being structured, how to get employees to buy in, critical factors for plan success, whether incentives will foster use of cost-effective care, and how plans and employers will educate and communicate with beneficiaries. Get reliable intelligence on what's working and what's not and why. 24 issues annually ($446 per year) or 2-month intro ($82 for 4 issues); both include print copy and e-mail delivery.
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HEALTH PLAN WEEK (formerly Managed Care Week), timely business, financial and regulatory news of the health insurance industry — with the inside news, targeted data and expert analysis that will help improve your organization's bottom line. Since 1991, this newsletter has been the industry's most respected and widely read news source.Written by insightful managed care writer/analyst Jill Brown. 45 issues annually ($677 per year) or 2-month intro ($91 for 8 issues); both include print copy and e-mail delivery.
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The HCCA-AIS MEDICAID COMPLIANCE NEWS, monthly news and valuable how-to strategies for identifying and reducing the top Medicaid compliance risks. Co-published by the Health Care Compliance Association (HCCA) and AIS. 12 issues annually (Charter Subscription price: $367 per year; HCCA member discount available); subscriptions include print copy and e-mail delivery of the newsletter.
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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 ($454 per year) or 2-month intro ($69 for 4 issues); both include print copy and e-mail delivery.
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MEDICARE PART D COMPLIANCE NEWS, news and strategies on implementation and compliance with the new Medicare drug benefit — marketing, enrollment, formularies, rebates, claims pricing, and fraud, waste and abuse. 12 issues annually ($467 per year) or 2-month intro ($71 for 2 issues); subscriptions include print copy and e-mail delivery of the newsletter, biweekly "Part D E-Letters" and access to a special Part D Web site for easy access to all original documents.
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REPORT ON MEDICARE COMPLIANCE, the industry's top source of news and analysis on Medicare compliance, fraud and abuse, billing errors, and a range of complex compliance issues. Includes unique strategic guidance not available anywhere else ... from the desk of veteran compliance reporter Nina Youngstrom, who has written this newsletter since 1992. 45 issues annually ($628 per year) or 2-month intro ($92 for 8 issues); both include print copy and e-mail delivery.
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REPORT ON PATIENT PRIVACY, practical guidance on the confidentiality of patient information and a wide range of complex issues in your HIPAA compliance. Includes how-to news about risk assessments, the use and disclosure of protected health information, safeguarding PHI, business associates, education and training, audits and compliance reviews, recordkeeping and reporting. 12 issues annually ($403 per year) or 2-month intro ($61); both include print copy and e-mail delivery.
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REPORT ON RESEARCH COMPLIANCE, co-published by the National Council of University Research Administrators (NCURA) and AIS, provides the best information there is to help institutions avoid the negative publicity, financial setbacks, and management problems that compliance requirements can create. 12 issues annually, plus weekly e-mail newletters and unlimited access to a password-protected Web site. ($368 for NCURA members, $468 for non-members.)
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SPECIALTY PHARMACY NEWS, a monthly newsletter with news and strategies for managing high-cost biotech and injectable products, designed to help health plans, PBMs, providers and employers manage costs more aggressively and deliver biotechs and injectables more effectively. Contains information on benefit design, provider contracting, reimbursement, network building, claims management, formulary decisions, and other pharmacy management issues. 12 issues annually ($495 per year or 2-month intro ($84 for 2 issues); both include print copy and e-mail delivery.
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Looseleaf Services

A GUIDE TO AUDITING HEALTH CARE BILLING PRACTICES, step-by-step guidance on one of the most challenging problems in Medicare compliance. The guide addresses how to recognize problems, auditing components of your billing process, auditing your IS billing systems, dealing with special billing problems, and much more. Comprehensive looseleaf with quarterly updates and monthly news summaries. ($397 annually).
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A GUIDE TO COMPLYING WITH STARK PHYSICIAN SELF-REFERRAL RULES is a comprehensive looseleaf service written by a team of experienced health care attorneys. It features easy-to-follow explanations of the prohibitions and exceptions under the Stark rules, chapters devoted to the special Stark interests of different stakeholders, summaries of Stark Advisory Opinions issued by the OIG, and copies of regulations and other formal documents. Subscription includes quarterly updates and quarterly news summaries. ($511 annually)
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HIPAA PATIENT PRIVACY COMPLIANCE GUIDE contains practical guidance and how-to tools from many of the nation’s top HIPAA advisers and practitioners. This looseleaf guide identifies 14 of the most complex and troublesome areas of your HIPAA compliance and addresses each with easy-to-understand summaries of HIPAA requirements and mounds of practical tools — sample forms, notices, waivers, checklists, decision trees, procedures, contract language, timelines, and other practical tools. Comprehensive looseleaf with quarterly updates. ($467 annually)
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