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  February 1, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Healthcare Reform an Insider's Game Now

Margaret Dick Tocknell

In this election year, the complexity of delivering quality care at a lower cost has been reduced to tightly controlled messaging by the President and his opponents. Insiders, however, have their eyes firmly set on Big Ideas. >>>

 

Editor's Picks

Medicare Advantage Overpayments May Top $3B

The Centers for Medicare & Medicaid Services overpaid Medicare Advantage plans between $1.2 billion and $3.1 billion in 2010, and likely overpaid even more in 2011, analysis released by the Government Accountability Office shows. >>>

TX Strikes Out on MLR Waiver Request

The Centers for Medicare & Medicaid Services has rejected what has become a standard argument among waiver applicants, that the 80% medical loss ratio requirement would destabilize the state's individual market and cause insurers to withdraw. >>>

Physician Independence Not Incompatible With Reform

Many independent physicians are throwing up their hands about their ability to remain so in an environment that appears to actively discourage it. But while autonomy appears to be the tougher road, it may eventually be the more rewarding one. >>>

Opinion: The end of health insurance companies

Here's a bold prediction for the new year. By 2020, the American health insurance industry will be extinct. Insurance companies will be replaced by accountable care organizations. >>>



Join the Council

Get First Access to Intelligence

Attention healthcare leaders: Join an exclusive community of industry leaders and enjoy first access to premier industry intelligence. Join today! >>>

News Headlines

CMS finds critical missteps at NC hospital

Gaston Gazette, February 1, 2012

Opinion: The secret of American healthcare

Slate, February 1, 2012

Blue Cross moves to dismiss Aetna antitrust suit

Detroit News, January 31, 2012

Medicare clinics see surprising shortage of Anchorage patients

Anchorage Daily News, January 31, 2012

Portland ME mayor decries proposed DHHS cuts

Bangor Daily News, January 31, 2012

Another View: Early signs show business is accepting Affordable Care Act

The Portland Press Herald / St. Louis Post Dispatch, January 30, 2012

Wellpoint to raise doctors' pay to increase quality of care

Bloomberg BusinessWeek, January 30, 2012

When health plans go high deductible

The Washington Post, January 30, 2012

FL hospitals bracing for more Medicaid cuts

Tampa Bay Times, January 26, 2012

WellPoint’s 4Q profit drops 39 percent

Houston Chronicle / Associated Press, January 26, 2012



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Multimedia/Events

Rounds On-Demand: The Business and Clinical Path to Medical Home

Reaching the vision of patient-centered medical home requires strong links between hospital and physician to achieve best patient outcomes. View a special, complimentary Rounds hosted by St. Joseph Health System and sponsored by RelayHealth. >>>



From HealthLeaders Magazine

Outpatient Care Expansion Comes Under Scrutiny

Even the most ardent proponents of outpatient care say its pace of growth may slow, depending on a community's need for integrated care and specific demand for multidisciplinary approaches. >>>

 

Controlling Nurse Labor Costs

 

Dealing with Data Breaches


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