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  November 7, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Top 3 Healthcare Reform Changes Insurers Want Now

Jacqueline Fellows

Now that the election results are in, and uncertainty over the fate of the Patient Protection and Affordable Care Act is over, payers are building their best strategies for slowing down, or repealing, parts of the law. >>>

 

Editor's Picks

Medicare Payments to CRNAs Irk Anesthesiologists, Again

A Medicare ruling restoring payments to Certified Registered Nurse Anesthetists for services performed to the full extent of their scope of practice is raising the ire of some physicians. >>>

Physician Self-Referrals for Imaging Cost Medicare $109M in 2010

The use of MRI services increased by more than 80% when physicians self-referred compared to a 12% increase for non-self-referred MRIs, a Government Accountability Office report finds. >>>

AHA Sues CMS Over Medicare Reimbursements

The American Hospital Association and four health systems claim that the Centers for Medicare & Medicaid Services has violated federal law by declining to reimburse the audited claims of hospitals, even though the claims were ultimately acknowledged by CMS to be reasonable and medically necessary. >>>

Final OPPS Rule Increases Drug Payments

The 2013 Outpatient Prospective Payment System final rule calls for drug reimbursement to hospitals at the average sales price plus 6%. >>>

Physician Pay Wars' Winners and Losers

Family practitioners stand to receive a 7% reimbursement increase while pathologists will lose almost as much under the final federal fee schedule for physician and specialty provider groups released by the Centers for Medicare & Medicaid Services. >>>

Obama or Romney: How 2012 Elections Will Impact Exchanges

The race for the White House isn't the only race healthcare CFOs need to watch. The fate of health insurance exchanges is particularly dependent on which political party controls the Senate. >>>



LIVE Webcast

Cardiology Service Line—From Volume to Value

Date: Nov. 27, 2012, 1:00-2:30 p.m. ET

Coordinate protocols and standardize approaches to better manage cost and reform transitions in the cardiology service line, without cutting into the service or quality of care. Join Sanger Heart & Vascular Institute, Sacred Heart Hospital, and Wellmont Health System as they share tactical approaches for maneuvering through healthcare reform transitions in the cardiology service line.

Register Today



News Headlines

While Obama win clears healthcare reform hurdle, challenges remain

Reuters, November 7, 2012

What election means for healthcare access

The Atlantic, November 7, 2012

National health information exchange: Why the delay?

InformationWeek, November 7, 2012

FL doctors group signs incentive-laden care agreement with Aetna

South Florida Business Journal, November 7, 2012

Value of health insurance tough sell to some uninsured

Minnesota Public Radio, November 7, 2012

Freeman Health to pay $9.3 million for improperly compensating physicians

The Joplin Globe, November 6, 2012

Humana sees improved 2012, plans $500M acquisition

Reuters, November 6, 2012

Angioplasty costs are higher at non-surgery hospitals

Fox News / Reuters, November 6, 2012

IL moves ahead on health insurance exchange

Chicago Tribune / Associated Press, November 6, 2012

Hospital 'facility fees' charges spur calls for scrutiny

The Seattle Times, November 5, 2012



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Multimedia/Events

Webcast: Future of Service Line Marketing—New Tactics, New Tools

Date: Nov. 29, 2012, 1:00-2:30 p.m. ET

When it comes to service lines, healthcare marketers are challenged to balance the needs of the organization and individual physicians with limited marketing dollars. Join WellStar Health System, Cooper University Hospital, and Jennings Co. as they explore how to use data to prioritize service line marketing dollars and gain physician buy-in.

Register Today



From HealthLeaders Magazine

 

Placing Your Bets

Value-based care is here and standing pat is not a viable option. Yet healthcare leaders face substantial risks for generations to come as they develop new businesses and clinical relationships to gain tighter control of the care continuum. >>>

 

Opportunities in the Cloud

 

Taking Charge of the Physician Shortage



Sponsor this Newsletter

Contact Paul Mattioli, Sr. Director of Sales, at pmattioli@healthleadersmedia.com or call 800.639.7477.

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