The AIS Bookshelf

Health Plan Business

application/pdf icon"Disease Management and the Medical Home," a chapter from Disease Management and Wellness in the Post-Reform Era
application/pdf icon"Benefit Design," a chapter from Health Plan Facts, Trends and Data: 2011-2012
application/pdf icon"Measuring Benefits Under Mental Health Parity," a chapter from Complying with the Mental Health Parity and Addiction Equity A
application/pdf icon"Product Offerings and Contracts in Specific Markets," a chapter from The AIS Guide to Blue Cross and Blue Shield Plans: 2012

Health Reform

application/pdf icon"Financial Impact of Medical Loss Ratio Regulations," a chapter from A Practical Guide to Federal Medical Loss Ratio Requirement
application/pdf icon"Health Care Reform and Regulatory Survival Strategies," a chapter from The AIS Guide to Blue Cross and Blue Shield Plans: 2012
application/pdf icon"Insurance Exchanges," a chapter from Health Plan Facts, Trends and Data 2011–2012

Medicare Advantage and Part D

application/pdf icon"Strategies for Marketing Medicare Advantage and Part D Plans," a chapter from Managed Medicare and Medicaid Factbook: 2012
application/pdf icon"Strategies for Boosting Star Ratings," a chapter from CMS Star Quality Ratings: Shifting Strategies for MA and Part D Plans
application/pdf icon"Costs and Premiums for Medicare Advantage and Part D," a chapter from Managed Medicare and Medicaid Factbook: 2012

Pharmacy Benefit Management

application/pdf icon"Prescription Drug Costs Per Prescription, by Cost Component, Brand and Generic," from Pharmacy Benefit Trends and Data
application/pdf icon"PBM Prescription Volume and MailOrder Growth," from Pharmacy Benefit Trends and Data
application/pdf icon"Adherence Strategies and Challenges," a chapter from Improving Adherence and Containing Rx Costs
application/pdf icon"Pharmacy Strategies for Health Plans and Employers," a chapter from Health Plan Facts, Trends and Data: 2011- 2012

Compliance

application/pdf iconInitiating and Conducting Internal Investigations
application/pdf iconCompliance, Enforcement and Fraud and Abuse Under Reform
application/pdf iconThe Stark Law Exceptions
application/pdf iconMedicaid Compliance Strategies

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Managed Medicare & Medicaid Factbook 2012
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The AIS Guide to Blue Cross and Blue Shield Plans: 2012
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