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  July 31, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

PA Hospitals Mull Health Plan Launch

Margaret Dick Tocknell

Three Philadelphia-area independent health systems say they will work together to jointly manage the healthcare benefit plans for an estimated 32,000 employees and dependents. Other opportunities are being assessed. >>>

 

Editor's Picks

Berwick Names 11 Monsters Facing Hospital Industry

Former acting head of the Centers for Medicare & Medicaid Services, Don Berwick, MD, acknowledges healthcare providers have come a long way in the last few decades, but it's "by no means enough." >>>

Most Physicians Blame Others for Rising Healthcare Costs

Almost half of the doctors surveyed by Mayo Clinic researchers acknowledge that they "try not to think about the cost to the healthcare system when making treatment decisions." More than half blame attorneys, health plans, and hospitals for growing costs. >>>

Citing 'System Failure,' AHA Urges Delay of MU Stage 2

The processing of federally mandated quality measures by electronic health records systems "raises costs and effort for providers without leading to accurate data and is not sustainable," the American Hospital Association asserts. >>>

Can Medicaid be a Model for ACO Innovation?

Many hospitals and health systems have experimented with the ACOs concept by working on small population groups such as their own employees, but they don't have the scale to bring the science and technology to the equation. That's where Medicaid might be an ideal proving ground. >>>

Useless Care for Back Pain on the Rise

Physicians are drifting away from evidence-based care for back pain patients and are treating them with growing rates of referrals to surgeons and other doctors and orders for "inappropriate" CT or MRI images, a study shows. >>>

IOM Rejects Geography-Based Value Index for Medicare

"Geographies don't make decisions. Providers and provider organizations do," says a member of the Institute of Medicine. The focus should instead be on incentives designed to hold providers accountable for quality outcomes, an IOM committee urges. >>>

Federal Regulator, Meet Dr. Regulated

Perhaps it's time for federal regulators to examine themselves, because it certainly appears there's too much oversight that inhibits physicians from doing their jobs, and too little to ensure that they do their jobs right. >>>

Make APRNs a HIX Requirement

The ANA wants health insurance plans to include a minimum number of advanced practice registered nurses in their provider networks in order to qualify for health insurance exchange certification. >>>



LIVE Webcast

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 >>>



News Headlines

Orszag: Critics wrong about Medicare payment board

Bloomberg, July 31, 2013

Delay of employer mandate will cost $12B

The Baltimore Sun / Reuters, July 31, 2013

A government shutdown won't stop Obamacare

The Washington Post, July 31, 2013

Wrinkle in health law vexes lawmakers' aides

The New York Times, July 31, 2013

White House touts slow increase in healthcare costs

USA Today, July 30, 2013

Beth Israel to pay $5.3M settlement to resolve Medicare fraud allegations

Boston Business Journal, July 30, 2013

HHS Inspector General scrutinizes Medicare rule for observation care

Kaiser Health News, July 30, 2013

Verdict: Walgreens must pay woman $1.44M over HIPAA violation

IndyStar.com, July 29, 2013

State health exchange rates vary, but lower than expected

USA Today, July 29, 2013

Movement to defund ObamaCare grows

The Hill, July 26, 2013



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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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