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  June 26, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Hospitals Mull Medicare Advantage Opportunities

Margaret Dick Tocknell

Almost all the growth in Medicare in recent years has been accrued to Medicare Advantage. Now health systems and hospitals are considering collaborating with an insurer or developing their own Medicare Advantage plans. >>>

 

Editor's Picks

EHR Design Flaws Contribute to Patient Harm in the ED

Errors in patient care, attributed to electronic health record systems used in emergency departments, are "incredibly common," says a researcher. But vendor contracts prevent physicians from speaking publicly about problems with the systems. >>>

Tenet to Acquire Vanguard in Surprise $4.3B Deal

The deal to buy Vanguard will expand Tenet's footprint to 30 markets across 16 states. Charlie Martin, Vanguard's founder, chairman, and CEO, will join Tenet's board of directors, and Keith Pitts, Vanguard's vice chairman, will serve Tenet as vice chairman. >>>

Lawmakers Call for Access to Medicare Claims Data

A Senate bill introduced Tuesday would make Medicare claims and payment data available to the public in a searchable database that would be free to use. >>>

GAO: HIX Unready by October?

In two reports examining the status of health insurance exchanges, the U.S. Government Accountability Office raises concerns that "much remains to be accomplished" by the Oct. 1 enrollment date. >>>

Probe Uncovers Hospitals' Inability to Protect Patient Privacy

Researchers and a journalist were able to re-identify, without much fuss, the de-identified medical records of scores of patients, thought to have been protected by HIPAA. Here's how they did it. >>>

Outpatient Preventive Care Efforts Lower Costs Only Marginally

Outpatient care coordination does not significantly reduce hospitalizations among high-cost Medicare patients, researchers say. Instead 90% of inpatient spending for those patients was "for treatment of conditions that you wouldn't think would be preventable by outpatient management." >>>

MLR Statute Credited with $3.4B Insurance Premium Cut

Health insurance company medical loss ratios improved in 2011-2012 to drive a $3.4 billion reduction in healthcare premium costs. But MLR's influence is expected to wane. >>>



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News Headlines

Activist investor proposes new HMA board

Reuters, June 26, 2013

Humana's CEO on the massive undertaking of health reform

The Baltimore Sun / Reuters, June 26, 2013

Top Medicare prescribers rake in speaking fees from drugmakers

ProPublica, June 26, 2013

US unveils healthcare web site and call center

The New York Times, June 25, 2013

NFL's help sought on promoting Obamacare

Kaiser Health News, June 25, 2013

ACA multistate program not sparking competition

Politico, June 25, 2013

Obamacare starts in 99 days. These 99 things need to happen before then.

The Washington Post, June 25, 2013

100 days to 'biggest ever' heath insurance open-enrollment season

NBCNews.com / Kaiser Health News, June 24, 2013

Blue Cross-Blue Shield bets big on healthcare exchanges

The Washington Post, June 24, 2013

Some immigrants excluded from healthcare overhaul

Boston.com / Associated Press, June 21, 2013



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Multimedia/Events

HealthLeaders Media Live from Sharp Memorial Hospital: Emergency Department Throughput Redesign

Date: August 20, 2013, 12:00-3:00 p.m. ET

The leadership team of Sharp Memorial Hospital shows how to improve ED throughput and satisfaction at no extra cost using Lean techniques, bedside triage, and "pod and huddle" teams. Don't miss out on this interactive presentation. Attend live or virtually. Register Today Download the FREE Case Study >>>




From HealthLeaders Magazine

Making Patients Happy, Even the Poorest and Sickest

Despite some unique challenges, safety-net hospitals are achieving strong satisfaction results by focusing on the patient and quality outcomes. >>>

 

Reform and the Revenue Cycle

 

Identifying Solutions to Patient ID



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