HealthLeaders Media PhysicianLeaders - June 9, 2011 | Disease Management Wins Drive Essentia Toward an ACO View as a Webpage | Subscribe for Free
Disease Management Wins Drive Essentia Toward an ACO
Joe Cantlupe, Senior Editor

Essentia Health System is preparing to become involved in an accountable care organization. A key catalyst for its progress in this direction was its ability to reduce heart failure readmission rates through its disease management program. [Read More]
  June 9, 2011

 
Editor's Picks
CMS Opens Medicare Transparency Proposal for Comment
Under a proposed Centers for Medicare & Medicaid Services rule, Medicare and private sector claims data could be used to produce public reports that evaluate the performance of physicians, other healthcare providers, and suppliers. [Read More]
APIC, SHEA Seek to Block Infection Disclosure Rules in CA
A California lawsuit seeking to block state requirements that acute care facilities report surgical site infections for certain surgical procedures is drawing national support, in part because of concerns that state rules go far beyond the intent of the statute known as "Nile's Law," and did not go through required prior review. [Read More]
MLR Testimony Heard by House Subcommittee
Political lines were quickly drawn at a meeting of the House Energy and Commerce Committee's subcommittee on health where testimony about medical loss ratios was heard from representatives of small businesses, insurance underwriters, policy analysts, consumer advocates, and health plans. [Read More]
U.S. Senator Calls for CMS Probe of 12,400% Drug Price Hike
A U.S. Senator is accusing URL Pharma Inc. of price gouging after the pharmaceutical company raised the price of its exclusive gout treatment drug from 4 cents per pill to $5 per pill, an increase of 12,400%. [Read More]
Breakthroughs: The Coordinated ED
Your emergency department is at the forefront of access and quality. Dynamic health systems are maximizing the efficiency, throughput, and patient experience of today?s ED in a shrinking reimbursement environment. In this free report, leading hospital systems?Scripps Health, Grady Health System, Mercy Medical Center, and Cambridge Health Alliance?share insights and lessons learned on maximizing the ED. [Read More]
Impact Analysis: Leaders Respond to CMS' Proposed ACO Regulations
The proposed regulations are indeed out, but what do they really mean to your organization and the industry? Get reactions from leaders at hospitals, health plans, and physician practices that are already well-versed in ACOs, including Monarch Healthcare, Alegent Health, Kaiser Foundation Health Plan /Kaiser Foundation Hospitals, Geisinger Health System, Dean Health System, and Scripps Health. [Read More]
 
Business Rx
Health Coaching Plays Role in the ACO
The challenge most providers face with accountable care organizations is not just how to manage risk, but also how to assist and coach patients on making positive and sustained changes in their lifestyles.[Read More]
 
 
Physician News
Blue Shield of CA Announces $180M Refund, Cap on Income
Margaret Dick Tocknell, for HealthLeaders Media, June 8, 2011
VA Cancer Care Rivals Private Sector Quality
Cheryl Clark, for HealthLeaders Media, June 7, 2011
WellPoint to Buy CareMore
John Commins, for Healthleaders Media, June 8, 2011
12 Hospitals Fined for Patient Harm, Deaths in CA
Cheryl Clark, for HealthLeaders Media, June 6, 2011
ProjectFeds Earmark $42M for FQHC Demo Project
Margaret Dick Tocknell, for HealthLeaders Media, June 7, 2011
Hospitals Add 4,100 Jobs in May
John Commins, for HealthLeaders Media, June 6, 2011
PMH Trustees OK Affiliation with Duke LifePoint
John Commins, for HealthLeaders Media, June 6, 2011
How to survive a privacy breach audit
Government Health IT, June 8, 2011
Vists to ER rise despite MA health law
The Boston Globe, June 8, 2011

Webcasts/Rounds

August 16: The Real Value of ACOs

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Top 10 Clinical Integration, ACO Physician Questions
Physicians are naturally and appropriately skeptical of the new arrangements under CI/ACO that will impact not only how they get compensated, but also how they care for their patients. Here are 10 of the most frequently asked questions physicians have about CI and ACOs. [Read More]
 
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. [Listen Now]
 
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