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  September 12, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

How One Point-of-Care Strategy Cuts Readmissions

Margaret Dick Tocknell

By placing a dedicated team consisting of a nurse, social worker, pharmacist, and two health navigators in the office of a physician group, a health insurance company produces measurable savings in healthcare expenses. >>>

 

Editor's Picks

$1B in Premium Rate Increases Rejected

State and federal insurance premium rate reviews have resulted in the denial, withdrawal or modification of widespread health insurance rate increases in the individual and small group markets, the Department of Health and Human Services has announced. >>>

Physician Fee Proposal Generates Calls for Changes

Public comments on a proposed rule to set the Medicare physician fee schedule for 2013 provide insight into the complicated fee structure and focus on care coordination, misvalued codes, multiple procedure payment reductions, telehealth services, and scope of practice for certified registered nurse anesthetists. >>>

OPPS Comments Focus on Observation Status

Many hospitals, physicians, and physician groups believe that every day spent under observation should count toward the three-day minimum stay required for post-acute care coverage under Medicare, public comments show. >>>

Slideshow: 10 Healthcare IT Predictions

In honor of National Health IT Week, here are 10 predictions for healthcare IT over the next 12 months—none of them involving Meaningful Use or ICD-10. >>>

ICD-10: Time's Up; No More Excuses

As worrisome as the final deadlines for use of ICD-10 codes are, it's time to stop the foot dragging. Now, the question is, how. A simple, clean cutover from earlier coding systems to ICD-10 may not be possible. >>>



Intelligence Report

Physician Alignment—Integration over Independence

Nearly 70% of healthcare leaders anticipate the number of employed physicians to grow by more than 5% over next three years. Learn how healthcare leaders are ensuring alignment as the shift from independent to employed physicians accelerates. This original research and analysis, produced with support from MedSynergies, offers key insight from top healthcare executives, including new case studies from Memorial Hermann Sugar Land Hospital, Gadsden Riverview Regional Medical Center, and Vanguard Health Chicago.

 

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News Headlines

New medical care networks show savings

The New York Times, September 12, 2012

Romney health plan to keep pre-existing condition coverage

Bloomberg BusinessWeek, September 10, 2012

More young adults have insurance after healthcare law

The New York Times, September 10, 2012

NY doctors, insurer try to change primary care

Buffalo News, September 10, 2012

The great Medicare cost-control experiment begins

Bloomberg BusinessWeek, September 7, 2012

SC's view: Medicaid expansion is the wrong approach

Health Affairs, September 7, 2012

Aetna sues Jacksonville, says city's insurance provider improperly picked

The Florida Times Union, September 7, 2012

Under ME 'market-based' healthcare, young people pay less, older people pay more

Kaiser Health News / The Boston Globe, September 6, 2012



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Multimedia/Events

Rounds: Kaiser Permanente's Model for 'Total Health'

Date: Oct. 16, 2012, 12:00–3:00 p.m. (ET)

Kaiser Permanente leaders explore how they successfully leverage information technology, social media, and community-based health programs to empower people to improve their own health. Get real-world solutions, including how to: use web tools and social media to create effective linkages between physicians and members; create community outreach programs that raise awareness and impact people's health; and understand the higher role of HIT in coordinating care among a team of providers.

Register Today




From HealthLeaders Magazine

Trying to Win Over Patients

Providing top-notch care is no longer enough. Healthcare leaders must now deliver a high-level patient experience or face the financial repercussions. >>>

 

Overcoming Interventional Radiology Turf Wars

 

When Data Makes You Look Bad



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