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HealthLeaders Media Finance - December 13, 2010 | Will HL7 Create Payer/Provider Symbiosis?
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Will HL7 Create Payer/Provider Symbiosis?
Karen Minich-Pourshadi, Senior Editor
Medical claims processing errors cost the healthcare industry an estimated $15.5 billion in 2010, according to the American Medical Association National Health Insurer Report Card. To lessen the financial load, some providers are using initiatives of Six and Sigma and HL7 to address operational, training, policy, and technical issues between payers and providers.
[Read More]
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December 13, 2010
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Editor's Picks
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Get Ready for Union Worksite Soliciting
The National Labor Relations Board, which has leaned toward organized labor since President Obama took office two years ago, may soon ease restrictions against union worksite soliciting during organizing campaigns. That's the opinion of Jay Krupin, a veteran labor relations attorney with the Washington, DC-based firm EpsteinBeckerGreen.
[Read More]
3 Actions That Could Save Community Hospitals
I get a kick out of trying to predict what our healthcare system will look like 10 years from now. It doesn't look good for independent standalone community hospitals, unless your hospital happens to be of the critical access variety. Why do I believe that? Well, think of hospitals in the 30-300-bed category as the hardware store in the middle of town. Think of the bigger, multi-hospital systems as the Home Depots of the healthcare world.
[Read More]
IHI Forum Reflections: 10 'Aha' Moments
I've spent the last three days at the Institute for Healthcare Improvement's 22nd annual quality forum in Orlando. It's the first IHI forum to be held since the passage of the Patient Protection and Affordable Care Act. Now, the realization that the way care is provided and paid for will undoubtedly change cataclysmically has sunk in for many providers.
As attendees readied to return home, I stood in the hallways and randomly asked attendees—nearly all who responded were doctors and hospital officials—for their "Aha!" moments from the conference. I asked them to tell me, specifically, what excited them the most about what they heard, from a practical standpoint, and what they would try to change first when they returned.
[Read More]
Intelligence Report: Hospital Mergers & Acquisitions
Brand-new research shows that 64% of healthcare leaders expect an increase in M&A activity between acute care hospitals and both diagnostic imaging and ambulatory surgery centers. As the transaction tide continues to rise, the newest HealthLeaders Media Intelligence Report, Hospital Mergers & Acquisitions: Opportunities and Challenges, reveals key insights to help keep you afloat. [Read More]
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Webcast: Service Line Strategies Workshop: Back and Spine Care
Successful spine and back care service lines require a foundation rooted in market knowledge, organizational commitment, and physician alignment, as well as the fluidity to adapt to ever-changing conditions, including reimbursement changes, technological advances, and a growing patient preference for non-surgical options. Join HealthLeaders Media on December 14 for this 90-minute Webcast and Q&A, and discover ways to position your back/spine service line for success.
[Register today]
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Finance Forum
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10 Strategies for Healthcare M&A Success
The majority of healthcare merger and acquisition transactions fail to produce the desired financial and strategic results. The often-overlooked key to success is strategic communications planning, says one expert.
[Read More]
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Sponsored Headlines
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: Digital has been widely embraced by consumers and by many parts of the enterprise. But the adoption of digital channels—Web sites, mobile apps, online sales and customer service, and other smart touches—has often occurred in a piecemeal way. This has resulted in three potential mishaps.
: The vast majority of customer environments are mixed environments. In this IBM® podcast you'll hear how an open approach provides you with choice. So instead of ripping out a perfectly good infrastructure, you can integrate what you've already invested in and create additional business value.
: IBM has defined a forward-looking vision for how organizations will turn today's customer experiences into exceptional experiences that drive business results. Join us on September 21 to hear Kristen Lauria, Vice President of Marketing & Channels at IBM, talk about this vision and introduce two innovative clients who are achieving results today by bringing together the right combination of capabilities online.
: For a business to stay competitive, it needs to be more productive and respond quicker to business opportunities. Watch this demo to see how IBM® WebSphere® Portal software enables you to connect your users with the right people, applications, and information—to drive business efficiency and success.
: With so many insurance companies to choose from, how can you stand out from the rest? Watch this demo to see how one insurance company did just that. By using IBM® WebSphere® Portal and related Lotus® software, their customers can now learn about products, file claims and much more; while their agents have access to the tools and resources they need.
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Finance Headlines
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Congress Passes 'Doc Fix' Bill; Obama Calls for Permanent Fix
HealthLeaders Media, December 9, 2010
Tenet Rejects CHS' $7.3B Acquisition Offer
HealthLeaders Media, December 10, 2010
20 People Who Make Healthcare Better
HealthLeaders Magazine, December Issue
How Release-of-Information Outsourcing Can Curb Economic Risk
HealthLeaders Media, December 10, 2010
Healthcare Spending Poised for Global Surge
HealthLeaders Media, December 10, 2010
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| From HealthLeaders Magazine |
The Physician's Place in the ACO
Development of accountable care organizations may be critical to holding down costs and improving quality. But how will doctors' roles change? [Read More]
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| Service Line Management |
Creating Stroke Systems of Care
If U.S. healthcare is headed toward a model that eliminates fragmentation and emphasizes continuity and cooperation, stroke care may be leading the way and making a difference in patients' lives.
[Read More]
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Money Talk
A look at one hospital's struggles to improve
Mayo Clinic, Rochester, MN
Rating: AA-
Outlook: Positive
Affected Debt: $1.7 billion
Agency: Standard & Poor's Ratings Services
Remarks: S&P revised its rating outlook to positive from stable and affirmed its AA- rating on various issuers' debt issued for Mayo Clinic. At the same time, S&P affirmed its various other ratings on numerous bonds issued on behalf of Mayo Clinic. Offsetting credit factors include liquidity levels that are still below similarly rated organizations. S&P also considers Mayo Clinic's asset allocation aggressive, with approximately 50% of Mayo's long-term fund in alternative assets. S&P also cites its potential exposure to future Medicare and Medicare physician reimbursement reductions.
[Read More]
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Webcasts
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