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

Why Health Insurance Exchanges Unnerve CFOs

Karen Minich-Pourshadi

To financial executives of organizations serving small Medicare- and Medicaid-dependent populations and few uninsured patients, state-run commercial payer plans can seem scary because they threaten the bottom line. >>>

 

Editor's Picks

Medicare Pay Cuts for Poor Readmission Scores Begin

Two provisions of the healthcare reform law will affect the way hospitals receive payment for care provided to Medicare patients. For some struggling hospitals, the change represents a significant financial chunk. >>>

Sharing Analytics Improves Outcomes, Revenue

The secret to successfully using business intelligence in a healthcare enterprise is to not only distribute the data to top leadership, but to all those in the organization with a need to know. >>>

Health Insurers Betting on Urgent Care Centers

As insurers seek ways to control the price point at the entry level of the healthcare system, health plans such as Blue Cross Blue Shield of North Carolina and Highmark Blue Cross Blue Shield in Pittsburgh are turning to developing urgent care center networks. >>>

Personalized Cancer Treatments Approach Tipping Point

Significant cost reductions for genome sequencing are bringing personalized medicine into better focus. But payers are lagging and providers may struggle to build up the necessary infrastructure before it becomes the standard of care. >>>

Medical Home is About Patients First

Medical home certification is a designation that leads to reimbursement incentives and organizational benefits. But too little time is spent on managing patients' perceptions and expectations. It's up to providers to explain why this new way of interacting with physicians is preferable. >>>

Medicare-Dependent Hospital Payments to Expire Oct. 1

A critical funding source for the 212 rural hospitals classified as Medicare-dependent will expire in a few weeks. A pending bipartisan bill could renew funding for one year. But a long-term fix will be tougher to get. >>>



LIVE Webcast

Reboot for ICD-10—Lessons from UnitedHealth Group

Date: Oct. 22, 2012, 1:00–2:30 p.m. ET

 

With the implementation deadline confirmed, the transition to ICD-10 shifts into high gear. Now providers and payers must prepare quickly. Learn from UnitedHealth Group and other coding experts how to assess your organization's existing structure, create a transition process, and move toward compliance while meeting risk and cost constraints.

 

Register Today



News Headlines

West Penn Allegheny, Highmark deal unraveled gradually

Pittsburgh Post-Gazette, October 1, 2012

Medicare fines over hospitals' readmitted patients

Herald-Tribune / Associated Press, October 1, 2012

Hospitals probed on use of drug discounts

The Charlotte Observer, October 1, 2012

Coventry Health investors sue over $5.6B Aetna buyout

Bloomberg, October 1, 2012

Hospital observation units could save billions in health costs

U.S.News & World Report, September 28, 2012

MD Blues chief blasts plan to shift hospital costs to insurers

Kaiser Health News, September 28, 2012

For ACOs, IT startup costs top $1M

InformationWeek, September 28, 2012

Ex-NY hospital CEO charged with taking vendor kickbacks

Bloomberg BusinessWeek, September 27, 2012

Minnesotans burdened by healthcare cost more than nation

Minnesota Public Radio, September 27, 2012

Hospitals: Feds share billing blame

Politico, September 26, 2012



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Multimedia/Events

Rounds: Cancer Service Line Leadership—Baylor Health Care System

Date: Nov. 6, 2012, 12:00-3:00 p.m. CT

Baylor Health Care leaders reveal how they have built a cutting-edge cancer care model that combines personalized guidance, tailored treatment, and opportunities to participate in clinical trials of new treatments. Get real-world solutions, interactive Q&A, and lessons learned, including how to and combine the best aspects of academic and private practice cancer models to serve patients better.

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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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