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  July 1, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Providers May Be Hit by Health Insurance Exchanges

Rene Letourneau, Senior Editor for HealthLeaders Media

Healthcare CFOs from very different organizations express concern that HIX, both state- and federally operated, will have negative financial repercussions. >>>

 

Editor's Picks

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." >>>

Reform Puts a Squeeze on Revenue Cycle

Despite the prospect of millions of newly insured patients, many hospital and health system finance executives are not expecting healthcare reform to be a boon to their organizations' bottom lines. >>>

Individual Mandate Exemptions Finalized

The final rule on exemptions from the individual shared responsibility payment penalty mandated by the Patient Protection and Affordable Care Act identifies nine categories. Less than 2% of Americans are expected to qualify for exemption, the Congressional Budget Office estimates. >>>

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. >>>

Consensus Stirs for Medicare Reform

A U.S. House subcommittee's review of proposals to improve the Medicare program focuses on three recommendations, but simultaneously restructuring the benefit design, maintaining the average value of benefits, and producing Medicare savings will not be simple. >>>

Hospitals Mull Medicare Advantage Opportunities

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. >>>

Gun Injury Hospitalizations Drop 67% in CA

Two decades of declining firearm-related injuries in California is good news for population health, but the costs of treating patients who have been shot have risen drastically. >>>



Special Report

Special Report: Counter Reimbursement Reductions With Revenue Cycle Improvements

Though considerable uncertainty still surrounds recent government healthcare reform, executives at Sierra Medical Center and Providence Memorial Hospital are taking a proactive approach to mitigate continued reductions in government payor reimbursements. Free Download >>>



News Headlines

Hospitals reward CEOs for profit over quality care

The Seattle Times / Kaiser Health News, July 1, 2013

Healthcare setbacks could hit small businesses

The Washington Post, July 1, 2013

GE looking to sell healthcare financing unit

Reuters, July 1, 2013

Big changes ahead for those who buy their own insurance

Kaiser Health News / USA Today, June 28, 2013

Independent hospital resists pressure to align with Mayo

Star Tribune, June 28, 2013

Senate critic of nonprofit hospitals blasts CEO bonuses

St. Louis Post-Dispatch / Kaiser Health News, June 27, 2013

Hospital officials complain to senate panel about Medicare efforts on observation care

The Washington Post / Kaiser Health News, June 27, 2013

Healthcare law's renewal loophole divides CA health insurers

Los Angeles Times, June 27, 2013

Top Medicare prescribers rake in speaking fees from drugmakers

ProPublica, June 26, 2013

WellPoint caps surgery costs to save pension fund without hurting health

Bloomberg, June 25, 2013



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Multimedia/Events

Intelligence Report: Service Line Optimization—Strategies to Drive Value Along the Care Continuum

Do your service lines support the strategic shift to a continuum of care? Find out why 61% of healthcare leaders report physician alignment as the No. 1 challenge to service line success, and what strategies they are employing to drive value along the continuum of care. Purchase Today >>>




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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