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  May 9, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Health Plans Don't Always Play Hardball with Providers

Margaret Dick Tocknell

Evidence suggests that some hospitals without must-have market power can get reasonably decent rates when health insurers are trying to maintain hospital competition in the market, a study shows. >>>

 

Editor's Picks

Proposed MU Rules Draw Strong Reaction

While healthcare providers find plenty they'd like to change within the Meaningful Use Stage 2 proposed rules, a 68-page letter from the American Hospital Association is generating the ire of patient and consumer advocate groups. >>>

CMS Grants Providers $122M to Improve Care, Cut Costs

The largest of the Centers for Medicare & Medicaid Services' 26 initial healthcare innovation grants goes to an Ohio program designed to improve care for children with Medicaid who frequently access care through the emergency department. >>>

Healthways Puts Focus on Providers

As it prepares for the loss of one significant contract, the giant wellness program and disease management provider announces a 10-year strategic agreement with Texas Health Resources to implement physician-directed population health management. >>>

How IPPS Proposed Rules Would Affect Quality Measures

The latest proposed rules for how federal payers would reimburse hospitals call for important changes in the way healthcare quality is measured—and should prompt quality leaders to consider refocusing their resources. >>>

ACO Payments May Hinge More on Geography than Quality

A study in the New England Journal of Medicine suggests that payments that participating providers receive in the Medicare Pioneer and Shared Savings ACO programs might be more dependent upon location than performance. >>>



LIVE Webcast

Boost Physician Referrals, Build Your Bottom Line

Date: May 15, 2012
LAST CHANCE: Successful physician referral programs are strategic, data-driven, and coordinated with an organization’s overall physician engagement plan. Join us for a 90-minute, customized webcast with a new interview-driven format, expanded Q&A, online forum, takeaway presentation, and 60-day post-event on-demand access. >>>



News Headlines

Healthcare for Congress examined

The Washington Post, May 9, 2012

Doctor, UPMC to part ways over his deals with Highmark

Pittsburgh Post-Gazette, May 9, 2012

Healthcare access to erode if law struck down, study says

Chicago Tribune / Reuters, May 8, 2012

Bigger hospitals drive cost increases

Politico, May 8, 2012

Highmark-UPMC deal could carry higher costs

Pittsburgh Post-Gazette, May 8, 2012

Medical billing: Error-prone system is headache for insurers, providers, patients

The Plain Dealer, May 7, 2012

Virtual doctors visits catch on with insurers, employers

USA Today, May 7, 2012

Blue Cross MA plan targets abuse of painkillers

The Boston Globe, May 7, 2012

Governor saves Oregon budget and his reputation in healthcare deal with Obama administration

The Oregonian, May 4, 2012

Regulators eye insurance maneuver to cut healthcare costs

Bloomberg BusinessWeek, May 4, 2012



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Multimedia/Events

Rounds: Building ACO Foundations—Lessons From Kaiser Permanente's Integrated Delivery Model

Date: May 30, 2012
About: Join HealthLeaders Media and host Kaiser Permanente for a live and simulcast three-hour leadership event on how to use the foundations of team medicine, population health management, and actionable data to create your own vision of integration. Access our FREE event case study now, then register for the exclusive companion event. >>>


From HealthLeaders Magazine

 

Physicians, Hospital Executives Get Collaborative

Relationships between physicians and executive leadership have never been smooth, but they've never been more important. Now legislative and contractual changes are forcing both parties to reconsider how they work together. >>>

 

Pharmaceutical Robotics Require Careful Assessment

 

Hospitals Scrutinize ACOs


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