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How More Health Insurance Adds Up to Less Healthcare
Cora Nucci, Senior Online Editor for HealthLeaders Media

More employers are offering health insurance to their employees, but workers are paying more and getting less than in previous years. That's according to the 2010 Employer Health Benefits Survey, released last week by the Kaiser Family Foundation and the Health Research & Educational Trust. A goal of the Affordable Care Act is to insure 95% of the U.S. population, but the Kaiser report suggests that coverage alone may not necessarily deliver more healthcare. [Read More]
cora nucci
  September 8, 2010

 
Editor's Picks
OIG Warns of Pre-Authorization Violations
A hospital that offers free insurance pre-authorization services to doctors and patients who need imaging tests "could potentially" be doing so in violation of federal anti-kickback statutes, says an advisory opinion issued Tuesday by the U.S. Office of Inspector General's Fraud Prevention and Detection Office. [Read More]
Physician Visits Down 7% in July
Total patient visits to physician offices were down 7.3% in July from the July 2009—the fourth consecutive month to post negative growth in physician visits, according to researchers with the North American offices of Deutsche Bank Securities. As a result, volumes for major outpatient service provider chains—such as labs, ambulatory surgical centers, and imaging—may continue to be constrained into the third quarter. [Read More]
3 Tips For HIPAA Privacy Officers
The HIPAA compliance world awaits two major final rules per HITECH—the breach notification final rule and the rule that covers modifications to the privacy, security and enforcement rules. But that's no reason to sit idle. These expert tips focus on strengthening relationships with Bas and collaborating with other stakeholders to enforce privacy rules. [Read More]
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Managed Care Headlines
California regulators seek up to $9.9 billion in fines from PacifiCare
The Los Angeles Times, September 8, 2010
Health Care Wastefulness Is Detailed in Studies
The New York Times, September 7, 2010
Health Net is cleared by state to raise premiums
The Los Angeles Times, September 8, 2010
Cost of Md. health plan not known
Baltimore Business Journal, September 7, 2010
Health insurance law at stake in R.I. governor's race
The Providence Journal, September 7, 2010
Growth slows in health spending
USA Today, September 2, 2010
 
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From HealthLeaders Magazine
Beyond Going Green

Expectations for environmental sustainability and stewardship are growing as healthcare leaders face heightened scrutiny from government and community. [Read More]
 
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Resources From HCPro

Learn how increased collaboration between providers and managed care payers has the potential to reduce costs, improve processes, and enhance patient care.
Discover how to integrate wellness into your DM programs.
Read about practical strategies for maximizing the effectiveness of health and disease management programs.
Learn how to educate and engage members.

Audio Feature
Payment Model Innovation: Sharing the Rewards of a Pay-For-Performance Program

Neal Peyser, Managing Director FTI Healthcare discusses the creation of payment incentives for better collaboration between hospitals and their medical staff. He describes how one facility was able to tap incentive payments from a commercial payer that were based on meeting quality and efficiency metrics, and share them with physicians. [Sponsored by FTI Healthcare] [Listen Now]
 
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