AIS's Directory of Health Plans 2010

Vendor Gifts and Relations: Strategies for Reducing Your Compliance Risks; Benefit Design Demands from Employers: Health Plan Challenges for Fall 2010; How to Guarantee PBM Transparency, Reduce Rx Costs and Maximize Pharmacy Benefits; New Medicare Advantage Rates: Health Plan Strategies for Bids Due in June - Webinars


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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)

House Reform Bill — Short Summary

House Reform Bill — Detailed Summary

This Week's Health Business News

Hospitals Grapple With DRG Bundling of Nondiagnostic Services; CMS Policy May Change   
Health Plans Can Save Significant 'Green' When Members Opt to Give Up Paper EOBs 
President Obama's Proposals for Medicare Advantage Draw Questions, Concerns About RADV Audits     
North Dakota Blues Plan Institutes a New 'Pay-at-Risk' Incentive Program   
Health Plan Oncology Strategies Result in First-Year Savings  

 

News from Washington and the States

House Committee Summons Top Health Plan Execs to Testify About Claims Denials
HHS OIG Cites Deficiencies in Hospital Methods to Screen Adverse Events
OPM Says PBM Transparency Bill ‘Goes Too Far’
Delaware Health System Pays $3.3 Million to Settle Stark Allegations
New CMS Rule Intends to Slow the Pace of Home Health Agency Acquisitions

 
 
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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