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  September 19, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

5 Big Ideas from WellPoint's PCMH Pilot

Margaret Dick Tocknell

As the health insurer launches its nationwide patient-centered medical home program across its commercial, Medicare, and Medicaid lines of business, a WellPoint executive shares what the company has learned so far. >>>

 

Editor's Picks

Joint Commission 'Top Performers' List Adds 200 Hospitals

Largely absent from the Joint Commission's roster of 620 acute care hospitals named "Top Performers on Key Quality Measures" are academic medical centers, which routinely show up on other "best hospital" lists. >>>

How to Make a Medical Home Deliver

Medical home certification is a designation to be sought for prestige and reimbursement incentives from payers. But does something get lost in translation? Some leaders think so and are working to ensure that what patients experience and internalize about their medical home matches what the organization thinks it's delivering. >>>

$11B in Looming Medicare Cuts Detailed

A report issued by the Office of Management and Budget shows that while the overall cut to Medicare is relatively small at just 2%, the actual dollar figure will put hospitals in a tough spot. >>>

Hospitals to Congress: Drop Payment Cap Proposal

The nation's four largest hospital associations and their allies are urging Congress to oppose a cap on payments for outpatient services in hospitals. The groups say the proposal would reduce payments by at least 71% for 10 of the most common outpatient hospital services. >>>

Medicare Cuts Threaten 766K Healthcare Jobs, Groups Say

In a joint report, The American Medical Association, the American Hospital Association, and the American Nurses Association warn of  a "profound impact on jobs" should the 2% sequester of Medicare spending go into effect January 1st. >>>

Uninsured Rate Shrinking, Census Data Shows

The 2011 U.S. Census report records the first drop in the number of the uninsured since the beginning of the recession in 2008, reflecting the impact of the Patient Protection and Affordable Care Act and hinting at economic recovery, says a health economist. >>>

Readmission Penalties Set to Take Effect

Ahead of Medicare readmissions penalties that will take effect October 1st, healthcare leaders discuss how launching patient-centered care and care coordination programs go a long way toward preventing hospital readmissions. >>>



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.

 

News Headlines

House panel readies bill to alter health law's medical loss ratio

The Hill, September 19, 2012

Peter Orszag: Ryan's proposal would shrink Medicare's doctor pool

Bloomberg, September 19, 2012

UnitedHealthcare pays forfeiture to WI

Milwaukee Business Journal, September 19, 2012

The IRS and healthcare: A heavy lift

The Hill, September 19, 2012

How doctors and hospitals have collected billions in questionable Medicare fees

Center for Public Integrity, September 18, 2012

CA tries to guide the way on health law

The New York Times, September 17, 2012

Doctors, others billing Medicare at higher rates

The Washington Post, September 17, 2012

WellPoint's high-tech reboot

Fortune, September 14, 2012

Millions more eligible under Medicaid, but state rates vary

The Philadelphia Inquirer, September 13, 2012

NJ hospitals spent less to treat uninsured last year, but reported amounts vary

The Record, September 13, 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; and understand the higher role of HIT in coordinating care.

 

Register Today



From HealthLeaders Magazine

 

Metrics That Matter

Business intelligence and analytics are invaluable tools to power healthcare decision-making. >>>

 

The Promise of mHealth

 

The Business Case for the HIE



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