HealthLeaders Media Corner Office - December 31, 2009 | Medicare Fraud Enforcement More Than Window Dressing View as a Webpage | Subscribe for Free
Medicare Fraud Enforcement More Than Window Dressing
Philip Betbeze, Senior Editor-Leadership

Healthcare reform will soon be behind us—at least the legislative portion. That means the mainstream media will be paying less attention to healthcare issues. That's good news. One year as the top domestic punching bag is enough. However, even if the media feeding frenzy moves on from healthcare, some legacies, like the recent increase in Medicare fraud enforcement, aren't so easily jettisoned.
[Read More]
  December 31, 2009

 
Editor's Picks
Marathon of Meaningful Use, EHR Standards Just Beginning
Just in time to ring in the new year, CMS and the Office of the National Coordinator for Health Improvement Technology released two anxiously-awaited regulations providing both the definition of "meaningful use" of electronic health records and the standards to improve the efficiency of health information technology used nationwide by hospitals and physicians. The initial set of criteria will focus on collecting data electronically, sharing this data with other healthcare providers and patients, and finally reporting the measures to the government. The second stage of criteria would be proposed by the end of 2011. This will focus on structured information exchange and continuous quality improvement. Stage 3, which will focus on decision support for "national high priority conditions" and population health, would come out in 2013. [Read More]
10 Issues that Congress will Need to Resolve in Final Reform Bill
After months of debate, discussion, disagreement, and discourse, the Senate approved its healthcare reform bill, the Patient Protection and Affordable Care Act (HR 3590), on Christmas Eve. But healthcare reform still has long way to go, as my colleague Janice Simmons notes in this article. She outlines 10 obstacles to reform that still need to be resolved, including issues surrounding insurance exchanges and the legislation's language regarding abortion, to name just a few. [Read More]
Florida AG Calls for Legal Review of Mandate in Federal Healthcare Legislation
Did someone say obstacles to healthcare reform? Florida Attorney General Bill McCollum says his office will conduct a legal review of the healthcare bills in Congress to determine the constitutionality of the individual mandate that makes health insurance a requirement. And on Dec. 30, 13 state attorneys general said in a letter to Congressional leaders that they will sue unless lawmakers remove a deal that gives Nebraska a break on Medicaid payments in exchange for that state's Democratic senator's vote for healthcare reform. The law violates the Constitution because it amounts to a tax break for citizens of one state, the group says. [Read More]
Success Story: Sisters of Mercy Health
Learn how the Sisters of Mercy implemented changes to improve service quality through IBM Service Management solutions. These solutions facilitate a business process transformation that fosters a culture of productivity and continuous improvement. Download the free copy of Success Story: Sisters of Mercy Health. (This headline is sponsored by IBM.) [Read More]
This Week's Headlines
Common ground seen in gulf between healthcare bills
USA Today - December 31, 2009
Miami-based Jackson Health System's cash pot falls to dangerous levels
Miami Herald - December 30, 2009
Mayo Clinic supports bill but seeks more action on how care is paid for
Wall Street Journal - December 28, 2009
Five Health Stakeholders Respond to Senate Reform Bill's Passage
Les Masterson, for HealthLeaders Media - December 24, 2009

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From HealthLeaders Magazine
20 People Who Make Healthcare Better

HealthLeaders December 2009
The very essence of healthcare is to make a difference for good. In our annual HealthLeaders 20, we offer profiles of some who are doing just that. [Read More]
Service Line Management
Emerging Service Lines

Hospitals that lead the way in emerging service lines may find themselves positioned to be market leaders in the future. Here's a look at which services are emerging and why. [Read More]
View from the Top

Counterintuitive Thinking During Difficult Times, Part 2: Bold Growth Strategies: In Part 1 of this article, bold revenue growth strategy requirements are described as possessing a concurrent moderate-to-high degree of innovation and impact. Four categories of such strategies were identified (i.e., acquisitions/mergers, physician-oriented, patient and employer-oriented, technology-oriented) and examples provided. To accomplish this end, management teams and boards should consider striving to put in place the following enablers of bold strategy generation. [Read More]
Audio Feature

Retail Clinics a Disruptive Innovation: I spoke with Paul Keckley, director of Deloitte's Center for Health Solutions, on the latest developments in retail clinics. The business model has gone through its adolescent stage, he says, but it's here to stay. Hospitals should get in on this game, because consumers want it, it's a disruptive innovation, and it can drive business to their primary care physicians and ultimately, the hospital. Think EMR. [Listen Now]
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