AIS's Directory of Health Plans 2010

How to Guarantee PBM Transparency, Reduce Rx Costs and Maximize Pharmacy Benefits; How to Amend HIPAA Business Associate Agreements to Comply With the HITECH Act; New Medicare Advantage Rates: Health Plan Strategies for Bids Due in June - Webinars


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Section-by-Section Summary of Reconciliation Bill (H.R. 4872)
(By the House of Representatives’ Committee on Rules)

A Side-by-Side Comparison of the Senate, House and Obama's Reform Proposals
(By the Kaiser Family Foundation)

Summaries of Coverage Provisions In House and Senate Reform Legislation
(By the Kaiser Family Foundation)

 

This Week's Health Business News

More Health Plans Implement Mandatory Mail-Order Pharmacy Programs, Yielding Greater Savings and Adherence Rates    
CMS Proposes Allowing Trial Supplies of Some Part D Drugs
Behind in Issuing HIPAA Regulations, HHS's Office for Civil Rights May Delay Some Enforcement     
Proven Strategies That Can Be Used to Question Employees Suspected of Wrongdoing     
Repeal of Antitrust Exemption for Insurers May Have Scant Effect on Competition

 

News from Washington and the States

President Obama Directs All Agencies to Expand Use of Payment Recapture Audits
New Report: Senate and House Reform Bills Would Both Reduce Uninsured Dramatically
N.Y. State Medicaid Task Force Gets Off to a Slow Start
FDA Approves Risk Evaluation and Mitigation Strategies for ESAs Used in Cancer Patients
HHS Inspector General Weighs National Probe of Entities that Bill for Excluded Providers

 
 
March's Featured Articles

Health Plan Business

Health Plans Work to Reduce the Health Risks and Costs From Elective C-Sections Before Full Term 

Medicare Advantage

Observers See Medicare Advantage Special Needs Plans Faring Well in 2010 Despite Payment Cuts and New Rules 
Managed Medicaid

CareSource Gets Majority of ABD Members in New Northern Ohio Pacts

Blue Cross and Blue Shield Plans

Not-For-Profit Blues Plans May Embrace For-Profit Subsidiaries

Pharmacy Benefit Management
Health Plans Adopt Prior-Authorization Rules for Genetic Tests, May Use Tests to Push Generics in the Future 
Specialty Pharmacy
Drug Risk Evaluation of Mitigation Strategies Can Benefit From Core Competencies of Specialty Pharmacy
Medicare Compliance
CMS: Supervising Physicians Can Be Anywhere on a Hospital’s Campus Under the Outpatient Prospective Payment System 
HIPAA Compliance
Health Plans Face HIPAA Privacy Rule Changes Under the New Genetic Information Nondiscrimination Act   

... from experienced health journalists who publish

 

 



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