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  July 15, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Is Physician Integration Driving Up the Cost of Care?

Rene Letourneau, Senior Editor for HealthLeaders Media

Few physician executives believe costs go down when healthcare systems acquire physician practices. We asked doctors with divergent views to explain their positions. >>>

 

Editor's Picks

Winners and Losers in Proposed Medicare Doc Pay

Some of the biggest cuts are aimed at independent testing laboratories, which see 26% of their fees slashed, followed by radiation therapy centers, which may lose 13% under CMS's "particularly complicated," proposed changes. >>>

Observation Status Costly for Hospitals

Hospitals take a financial hit when patients are assigned observation status. Surprising study results show that "though the cost of hospital observation care costs less, reimbursement per encounter is proportionally a lot less." >>>

CMS Releases Proposed OPPS, Physician Fee Rules

The proposed Outpatient Prospective Payment System rule seeks to make more episode-based payments, while the proposed physician payment rule contains changes to the Medicare Electronic Health Record Incentive program. >>>

Physician Compensation Models Are Upside Down

The Dean Clinic has navigated through tough waters toward a value-based physician compensation model. It is an outlier. More commonly, physician and hospital contracts are top-heavy with volume, not value, a physician recruiter says. >>>

Business Roundup: Tenet's Vanguard Buyout Raises Bar for Independent Hospitals

Tenet Healthcare's deal to acquire Vanguard Health strengthens Tenet's ability to make acquisitions of not-for-profit hospitals and "might prompt smaller, stand-alone hospitals to consider some sort of alignment," Moody's Investors Service says. >>>

HMA's Shareholder Battle Intensifies

Glenview Capital Management, the largest of Health Management Associates' shareholders, is calling for a major leadership change at HMA. It sees "a deficiency at both the board and management level" and wants a new board of directors. >>>

Health Plans Receptive, But Not Ready for Change

In an interview, Clay Phillips, director of provider relations and communications for Blue Cross Blue Shield of Tennessee,  acknowledges that the nation's healthcare system "is simply unsustainable in its current course," and discusses some of the challenges payers are facing.  >>>



Intelligence Report

Intelligence Report: Advancing Clinical Quality from Data to Decisions

If two-thirds of healthcare leaders claim a "great deal of experience" with clinical quality and patient safety metrics, why are so many having difficulty turning that data into meaningful improvements? This report uncovers the technological and cultural barriers hampering clinical quality improvements and provides practical, proven recommendations to help overcome them. Purchase Today >>>



News Headlines

Regulators' crackdown on doctor's hospitals took years

The Dallas Morning News, July 15, 2013

States' refusal to expand Medicaid complicates healthcare for many uninsured

American Public Media Marketplace, July 15, 2013

Opinion: MA healthcare cost containment only goes so far

Worcester Telegram & Gazette, July 15, 2013

For-profit hospitals put to test in MA

The Boston Globe, July 12, 2013

BlueCross of TN CEO warns of healthcare cost 'explosion'

Nashville Business Journal, July 12, 2013

Former hospital CEO pleads guilty to $300,000 kickback scheme

New York Daily News, July 12, 2013

Health centers getting $150M to sign up uninsured

Miami Herald / Associated Press, July 11, 2013

Providers to pay $4M in lawsuit alleging inappropriate heart procedures

Detroit Free Press, July 11, 2013

St. Joseph's Hospital joining nation's second-largest Catholic health system

Syracuse.com / The Post Standard, July 11, 2013

Rivals reportedly circle $4B HMA

FoxBusiness, July 10, 2013



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Multimedia/Events

Webcast: Physician Compensation Models and Metrics Under Population-Based Reimbursement

Date: August 29, 2013, 1:00–2:30 p.m. ET

Join CMOs from Banner Health Network and Blue Cross Blue Shield of AZ as they discuss strategies and metrics for implementing a value-based model of physician compensation. Register 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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