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  March 27, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Blue Cross Merger Decision Expected Soon in MT

Jacqueline Fellows

The long road to approving a deal under which Health Care Service Corporation would purchase Blue Cross and Blue Shield of Montana is due, in part, to a state law which is meant to protect consumers if a nonprofit health plan converts to one that is for-profit. >>>

 

Editor's Picks

9 in 10 Health Plans Still Tied to FFS Model

A study of data voluntarily submitted by commercial health plans to an independent, non-profit group working on behalf of large healthcare purchasers finds that only 11% of payments to providers are value-oriented. >>>

What is Fair Payment for Outpatient Care?

A senior finance executive explains how he hopes to help minimize the "natural conflict that exists between the forward-looking technology companies and process innovators and the retroactive-looking team at CMS." >>>

Medical Error Risk Rises Under Shorter Medical Intern Shifts

Researchers found that handoffs, a known risk factor for medical errors, increased 130% to 200% under rules limiting consecutive hourly duty limits for house staff interns. >>>

Less Than 1% of Health Plan Premiums Spent on Quality

The Patient Protection and Affordable Care Act's medical loss ratio rule requires insurers to spend at least 80% or 85% of premiums on medical claims and quality improvement activities, or else pay rebates to consumers. >>>

Lumbar Spine MRIs 'Frequently Inappropriate'

A study of requests for MRI scans of patients' lumbar spines finds that more than half of the medical imaging tests were "substantially" inappropriate or of uncertain value. >>>

Not-for-Profit Hospitals Tighten Oversight as Revenues Fall

While healthcare executives have become more focused on expense management, a Moody's Investors Service analyst expects that not-for-profit hospitals will continue to endure a negative credit outlook for the near future because of challenges to top-line revenues. >>>

IOM: Geographic Value Index Won't Fix Variation

A geographic value index "would reward low-value providers in high-value regions and punish high-value providers in low-value regions," says a report by the Institute of Medicine. >>>



LIVE Webcast

Webcast: New Physician Referral Models for Value-Based Care

Date: April 25, 2013, 1:00–2:30 p.m. ET

Join physician referral experts from MGMA-ACMPE and Baptist Health System, San Antonio to learn how to create sustainable and scalable marketing plans for physician referrals that will keep pace with healthcare changes in 2013. Register Today >>>



News Headlines

Health overhaul to raise claims cost 32 percent

News & Observer / Associated Press, March 27, 2013

Re-engineering healthcare

The New York Times, March 27, 2013

Doctors, non-physicians battle over medical turf

Los Angeles Times, March 27, 2013

MD passed bill to fund health exchanges

The Washington Post / Associated Press, March 26, 2013

Editorial: Report card on healthcare reform

The New York Times, March 25, 2013

Health poll reveals where people go for care

The Bakersfield Californian, March 25, 2013

How amnesty for undocumented immigrants would impact health care

KPBS / CHCF Center for Health Reporting, March 25, 2013

Supreme Court strikes down state Medicaid recovery law

Reuters, March 22, 2013

The face of future healthcare

The New York Times, March 22, 2013

Some states balk at enforcing health law's insurance protections

The Austin American-Statesman, March 21, 2013



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Multimedia/Events

HealthLeaders Media Live From Dean Clinic: Primary Care Redesign

Date: May 21, 2013, 12:00—3:00 p.m. Dean Clinic outlines primary care redesign, shifting from a patient-centered medical home to a team-based care model via Lean processes to improve quality and reduce costs. Register Today

Download free case study >>>




From HealthLeaders Magazine

Rethinking the Service Line

Isolation gives way to integration as healthcare leaders look to create service lines that work collaboratively >>>

 

The Rush and Resistance to Tech

 

Battleground Anesthesia



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