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  October 3, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Q&A: Aetna's Charles Kennedy on Developing ACOs

Margaret Dick Tocknell

Charles Kennedy, MD, head of Aetna's Aligned Care Solutions division, has 10 accountable care organizations up and running and 14 more under contract. The priority is primary care medicine and its effect on chronic disease—the main driver of healthcare costs. >>>

 

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. >>>

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. >>>

HIEs Essential in Fee-for-Value Era

Though preliminary results indicate health information exchanges can help healthcare organizations save money, there's still reluctance by some to share data. To realize the cost benefits, healthcare leaders must make a clinical and financial leap of faith and work with their competitors. >>>

Why Health Insurance Exchanges Unnerve CFOs

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. >>>

Physicians, Insurers Clash Over Medical Necessity in CA

Physicians and insurers in California are at legal loggerheads over questions about what constitutes proper medical treatment, and over the definition of a medical necessity. The conflict may have consequences nationwide. >>>

Recovery Auditor Improper Payments Ratchet Up

The Centers for Medicare & Medicaid Services has once again corrected more improper payments than in the previous quarter, this time to the tune of $701.3 million. >>>



News Headlines

Anthem Blue Cross settles with CA over data breach

Sacramento Business Journal, October 3, 2012

Wyoming Medical Center settles Medicare fraud suit for $2.7M

Billings Gazette, October 3, 2012

Many states not prepared for healthcare law

The Washington Post, October 3, 2012

Healthcare gain defies $11B Medicare threat: muni credit

Bloomberg Businessweek, October 3, 2012

'Romneycare' didn't rein in costs

Politico, October 2, 2012

AZ seeking help for Medicaid program

The Arizona Republic, October 2, 2012

Opinion: No matter who wins, there's still a healthcare cost crisis

Reuters, October 2, 2012

States moving ahead on defining 'essential' health benefits

Kaiser Health News, October 1, 2012

AR’s bold effort to cut Medicaid costs, add transparency

Kaiser Health News, October 1, 2012

Coventry Health investors sue over $5.6B Aetna buyout

Bloomberg, October 1, 2012



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Multimedia/Events

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 >>>


Rounds: Kaiser Permanente's Model for Total Health

Date: Oct. 16, 2012, 1:00-4:00 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. Register Today  Download Free Case Study >>>




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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