HealthLeaders Media Health Plan Insider - February 23, 2011 | Can ACOs Rescue Healthcare? View as a Webpage | Subscribe for Free
Can ACOs Rescue Healthcare?
Cora Nucci, HealthLeaders Media

As we await federal guidelines on accountable care organizations, let's not forget what's behind the coming changes. The 'A' in ACO is for 'accountable,' as in, we stand by this diagnosis, this care plan, these billing codes. [Read More]
  February 23, 2011

 
Editor's Picks
HIMSS 2011: Exchange is in the Air
Healthcare reform, meaningful use, interoperability, and privacy and security are hot topics among attendees at the annual CHIME and HIMSS conferences in Orlando this week, and this year there seems to be an increased emphasis on secure and accurate exchange of healthcare data. [Read More]
Medicare Fraud Strike Force Nabs 111 in 9 Cities
At least eight physicians, eight nurses, and several healthcare company executives were among those charged in the largest one-day sweep of its kind. Federal investigators say in total, those charged were responsible for at least $225 million in false billings. [Read More]
US Healthcare Costs Up 6% in 2010, But Growth Slowing
The growth rate of the average per capita cost of healthcare services covered by commercial health plans and Medicare programs in 2010 matched the lowest growth rates in four years, according to the Standard & Poor's Healthcare Economic Indices. [Read More]
HIE Innovators to Split $241M HHS Grant
Six states and a consortium of New England states will split the Department of Health and Human Services grant for developing health insurance exchanges for small businesses and individuals. [Read More]
Rounds: Orthopedic Leadership Strategies: Engage, Measure, and Perform
Forward-thinking orthopedic leaders are ensuring high performance and coordination among a carefully constructed caregiver team. Those leaders are also exploring the right metrics to know whether the outcomes they are tracking are the most meaningful to patients. Join the executive and clinical leadership team from nationally renowned MemorialCare Health System and orthopedic innovator Marshall Steele, MD, on March 29 for a three-hour dive into essential orthopedic leadership strategy. [Read More]
Healthcare Leaders Reveal Uncertainties About Industry Direction
Dedication to mission is strong and getting stronger, but just how to accomplish that mission is less certain, according to the just-released results of the 2011 HealthLeaders Media Industry Survey. [Read More]

Health Plan Forum
To Do No Harm: Safety as a Professional Obligation
One hundred thousand Americans are losing their lives each year in hospitals due to medical errors and medication-induced complications. To minimalize preventable deaths, health leaders should engage and educate their hospital board, use surgical checklists, and educate patients on proper medication adherence, one expert says. [Read More]


Managed Care Headlines
White House asks states to cut costs without dropping Medicaid coverage
The Washington Post, February 23, 2011

MI Blue Cross deal OKs rate increases of up to 9.3%
The Detroit News, February 23, 2011

Administration seeks clarity on health ruling
The New York Times, February 18, 2011

MA Gov. unveils health overhaul
The Boston Globe, February 18, 2011

Are Your Business Associates Accountable for HIPAA Compliance?
HealthLeaders Media, February 23, 2011


Sponsored Headlines
Case Study: Mayo Clinic helps radiologists pinpoint potential problems : Mayo Clinic transforms the way it processes and interprets medical imaging results to enable more accurate detection. Powerful algorithms pinpoint potential problem areas within medical images and flag them based on the probability of abnormality. This process transformation increases diagnostic sensitivity for detection of brain aneurysms through intelligent flagging of high-risk areas.

Case Study: University College London Hospitals: UCLH had to adhere to the 18wkRTT requirements stated by the U.K. government. The BPM based Patient Tracking System (PTS) enabled them to better manage their clinical pathways and resources and also help improve patient experience by reducing uncertainty in the scheduling of treatments.

Discover, Interact, and Optimize for Smarter Healthcare with BPM Powered by Smart SOA: This IBM® RedguideTM describes one of the most significant challenges in healthcare today: the need for healthcare providers to effect patient care positively and proactively in the face of increasing patient load and information overload. IBM WebSphere® business process management (BPM) powered by smart service-oriented architecture (SOA), or BPM powered by Smart SOA, has the potential to maintain the medical common body of knowledge. It also makes critical, current data available to practitioners in a manner that is consistent with the evidence-based, event-driven environment to which healthcare aspires. BPM powered by Smart SOA can also automate healthcare provider administrative and care delivery processes.

Stay Connected to Health Plan Insider
To help us ensure future delivery of Health Plan Insider, please add our "From" address—health_plan_insider@list.hcpro.com—to your address book or e-mail whitelist.
 
 
 
From HealthLeaders Magazine
Does E-Health Stand a Remote Chance?

As technology advances and costs fall, the use of telemedicine expands, but obstacles to achieving e-health success remain. [Read More]
 
Sponsor Health Plan Insider

Contact Paul Mattioli, Sr. Director of Sales, at pmattioli@healthleadersmedia.com or call 800.639.7477.
 

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
Will DOJ Quash Insurers' Most Favored Nation Clauses?

A recent Department of Justice lawsuit threatens the "most favored nation" clauses common to many insurer contracts with healthcare providers. Attorney Dale Grimes of Bass, Berry & Sims discusses the potential upheaval associated with this contracting mainstay. [Sponsored by Emdeon] [Listen Now]
 
MAGAZINE   |   NEWS   |   TERMS OF SERVICE   |   PRIVACY POLICY © 2011 HealthLeaders Media
If you prefer not to receive this email newsletter, you can unsubscribe here
Health Plan Insider © 2011 HCPro, Inc.
75 Sylvan Street, Suite A-101,
Danvers, MA 01923