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  May 23, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Health Insurance Exchanges Put Defined Benefits to the Test

Margaret Dick Tocknell

The defined-contribution model enables employers to cap their healthcare costs, for better control over current expenses and future liabilities.  But complex administrative challenges make employers hesitant to embrace it. >>>

 

Editor's Picks

How Rivals Built an ACO

Minnesota's HealthPartners and Allina Health formed Northwest Metro Alliance to focus on achieving the triple-aim of healthcare and to accomplish together what they couldn't do alone. They share electronic patient data, mine claims data, and have agreed not to duplicate services. >>>

TN Health System Charts Its Own Course

Rejected from CMS's Pioneer ACO program, 13-hospital Mountain States Health Alliance repurposed the organization it had planned to use into a commercial ACO. >>>

OIG Uncovers Flaws in CMS Processes, Programs

A recent spate of Office of Inspector General audit reports calls into question some programs from the Centers for Medicare & Medicaid Services. For example, a review of the Medicare fee-for-service error rate finds that the calculation methodology is flawed. >>>

Parkland Hospital Improving, but ED Deficiencies Persist

The Dallas safety net hospital is making "measureable progress" in implementing a corrective action plan to remedy deficiencies identified by the Centers for Medicare & Medicaid Services, a report shows. But some emergency department tasks are behind schedule. >>>

HHS Exchange Funding Tops $1B

The Department of Health and Human Services has announced the award of $181 million in new grants to help states establish health insurance exchanges. HHS also issued two guidance documents to help states build exchanges. >>>



LAST CHANCE: LIVE Webcast

Tactics for Valuing Medical Practices—Buying, Selling and Mergers

Date: May 31, 2012
About: From administrative issues to physician compensation, timing, and cultural fit, hospital and physician leaders must respond to the key motivations and market realities that come with buying or selling a physician practice. Get the strategies you need in a customized webcast. >>>



News Headlines

Opinion: Medicare and Medicaid—when two is not better than one

The Atlantic, May 23, 2012

BlueCross deal aims to simplify medical billing

The Tennessean, May 23, 2012

Poll: What it's like to be sick in America

KQED, May 23, 2012

Physician to pay in Medicare settlement

The Topeka Capital-Journal, May 22, 2012

Medicare quality ratings for private plans questioned by critics

The Washington Post, May 21, 2012

Healthcare industry's perfect storm

Daily Chronicle, May 21, 2012

Implementing health reform: The premium tax credit final rule

Health Affairs Blog, May 21, 2012

'Uninsurable' patients could lose coverage if the healthcare law is overturned

The Washington Post, May 18, 2012

Banner Health, Aetna reach for ACO gold

InformationWeek, May 18, 2012

Insurers to lose $1 trillion if health law struck down

The Hill, May 17, 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

 

ACO Blueprints: Options in Accountability

As the healthcare industry moves away from a transaction-based system, leading organizations are exploring accountable care models of various types. >>>

 

Aetna Building National ACO Network

 

Emphasis on Support in Decision Support


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