HealthLeaders Media Corner Office - September 17, 2010 | The Best Leaders Know When to Get Out of the Way View as a Webpage | Subscribe for Free
The Best Leaders Know When to Get Out of the Way
Philip Betbeze, Senior Editor-Leadership

This month's cover story in HealthLeaders magazine is an interesting one. Yes, I wrote it, but you should read it anyway. It's interesting because I was stunned by how much simplicity there is in running a super-complex organization like a hospital or health system. At least that's what my self-deprecating sources would like you to think. I think it's much more complicated than they let on.
[Read More]
  September 17, 2010

 
Editor's Picks
Intelligence Report: Physician Alignment in an Era of Change
Hospitals are looking to employ more physicians and buy more medical groups; at the same time, hospitals are receiving an increase in inquiries from physician groups for employment. But this marriage is not without trepidation. Elements of payment reform are expected to put considerable strain on hospital-physician relations. In this exclusive, original research and analysis, we find out what 258 healthcare executives and clinical leaders think about these topics and more. [Read More]
Sebelius Talks Tough to Insurers, Needs to Take Action
I wish I had written this column. Instead, my colleague Cora Nucci takes aim at Department of Health and Human Services Secretary Kathleen Sebelius's recent bleating about insurers that "unjustifiably" raising premium rates. The insurance industry is an easy target to blame for rising healthcare costs and Sebelius is piling on. Whether she can bend the industry to her will and clamp down on rate hikes remains to be seen. It's not that Sebelius doesn't have a point. In fact while the administration is fiddling, the public sees some private health insurers racking up billions in surplus funds, beefing up executive compensation packages, and raising premium rates. But what exactly constitutes an "unjustifiable" rate increase? [Read More]
Hospitals Caught Between a Rock and a Hard Place Over 'Observation'
My colleague Cheryl Clark has an interesting discussion about "observation" status for patients as that concept applies to Medicare reimbursement. On one side, administrators and physicians are required by Medicare's strict billing criteria to place certain patients in "observation" status rather than admit them as regular inpatients, but hospitals can only submit claims for only one-third of what the facility would be reimbursed if the patients were officially admitted, even though the care of the patient and the expenditures are exactly the same. Why would they not admit the patient? Well, it's complicated. [Read More]
Premium Tax Credit Could Slash Private Health Insurance Costs
A health insurance premium tax credit that is part of the Patient Protection and Affordable Care Act could assist more than 28.6 million Americans in purchasing healthcare coverage—even if they have pre-existing conditions, change jobs, or experience drops in income, according to a study released Tuesday from Families USA. The value of the tax credits, slated to go into effect in 2014, is expected to be about $110.1 billion during the first year. [Read More]
Register Today for Lead Transformation: Accelerate Value, Quality, and Coordination

Join us October 21, live or virtually, for this complimentary, exclusive half-day leadership event that will bring leaders from top healthcare organizations to

  • Explore real paths to take today toward accountable care structures
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  • Gain physician partners through improved clinical integration and silo-busting communication

 

When: October 21, 8:30 am—12:30 pm (CST)
Where: The Fairmont in Dallas, Texas—attend live or virtually
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This Week's Headlines
Notions of Personal 'Sacrifice' Help Docs Take Gifts From Industry
Bloomberg Businessweek, September 15, 2010
OIG: Medicare May End Up Overpaying for ESRD Drugs
Janice Simmons, for HealthLeaders Media, September 16, 2010
Feds to Protect St. Vincent Catholic Medical Center Pensions
John Commins, for HealthLeaders Media, September 15, 2010
HHS Awards $31M for Prevention Projects
Bloomberg Businessweek, September 9, 2010
Florida docs slam American Medical Association in letter
John Commins, for HealthLeaders Media, September 16, 2010
Florida Hospital, United Healthcare agree to 4-year contract
Orlando Sentinel, September 16, 2010
Report: Open heart surgery sees downward trend
Bucks County Courier Times, September 16, 2010
MedAssets to Pay $850M to Acquire Broadlane Group
John Commins, for HealthLeaders Media, September 15, 2010

 

Webcasts/Audio Conferences
Physicians: Reimbursement and Retention (August 3)
A Better Way Than Pay For Call Coverage (July 15)
Marketing to Physicians: Increase Sales Success Through Measurement and Tracking (July 22)
 
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