Please add this newsletter to your Safe Sender list
View this email as a Web page | Manage Account


  August 7, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Health Plans Share Their Roadmaps to HIX

Margaret Dick Tocknell

While health insurers intend to participate in public health insurance exchanges, the general strategy is to wait and see. Payers are looking to private exchanges and even proprietary exchanges to enable them to more efficiently serve their customers >>>

 

Editor's Picks

ONC's Mostashari Announces Departure

No clear reason or firm date was given for Farzad Mostashari's plan to exit the Office of the National Coordinator. His unexpected move comes at a critical time as HHS grapples with complex issues over the implementation of Meaningful Use Stage 2. >>>

Final IPPS Rule Elicits Objections from Hospital Groups

The Inpatient Prospective Payment System rule establishes controversial terms that distinguish an inpatient admission from "observation" status, for which hospitals receive lower rates of Medicare reimbursement. >>>

'Perverse Incentives' Perpetuate Use of Disproven Medical Treatments

In what researchers are calling "the largest and most comprehensive study of medical (finding) reversal," they identify 146 medical practices that have been refuted by subsequent studies, but which continue to be used by providers. >>>

North Shore-LIJ Health System to Launch a Health Plan

CareConnect, the first provider-owned commercial health plan in New York, will offer lower prices and gives the healthcare provider "serious control" over quality and care coordination, says an NS-LIJHS executive. >>>

The Disappearing Hospital CEO

Healthcare consolidation is eliminating many hospital CEO jobs. With coordination and cooperation within health system operations the order of the day, those top executive jobs are being sharply redefined. >>>

Tavenner Grilled on Healthcare Reform Status

House committee members spar among themselves, but CMS chief Marilyn Tavenner manages to stay mostly above the fray as she takes questions about the Patient Protection and Affordable Care Act. >>>

CMS Overpaid Hospitals $38.2M for Short-Stay Claims

Payments to hospitals were made when elective surgeries failed to take place and inpatient claims did not meet Medicare's admission requirements, says a report from the Office of Inspector General. >>>



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

Glenview rejects HMA offer, demands board overhaul

Reuters, August 7, 2013

Obamacare months behind in testing IT data security

Reuters, August 7, 2013

WakeMed among Triangle hospitals fined for excessive Medicare readmissions

News & Observer, August 7, 2013

Physician Payments Sunshine Act goes into effect without initial concerns

Kaiser Health News, August 6, 2013

Healthcare law raises pressure on public unions

The New York Times, August 6, 2013

Extra attention to Medicare's sickest patients saves money in the long run

The Columbus Dispatch, August 6, 2013

6 Louisiana cities among nation's 10 most expensive for healthcare

NOLA.com / The Times-Picayune, August 5, 2013

Republicans split on efforts to defund Obama healthcare law

Bloomberg Businessweek, August 5, 2013

The sleeper in healthcare payment reform

The New York Times, August 2, 2013

House panel votes to change Medicare funding approach

The Washington Post, August 1, 2013



Stay Connected to HealthLeaders

Don't Miss the News You Want.

Spam filters exist for a reason, but not for the news you need. Make sure you aren’t missing your daily and/or weekly industry coverage. Add our address -- news.editor@healthleadersmedia.com -- to your address book or e-mail whitelist to keep the news you need in your inbox.


Is All of Your Leadership Team In The Know?

Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we've got your whole leadership team covered. Subscribe to any -- or all -- of our e-newsletters.



Multimedia/Events

Webcast: The New Patient Experience Model—Strategies to Leverage the Patient Voice

Date: November 5, 2013, 1:00–2:30 p.m. ET

Marketing leaders from Covenant Health and Studer Group will help healthcare executives understand the importance of creating a patient-centered culture, share actionable examples of experience improvement techniques, and demonstrate how marketing can promote and sustain the hospital’s patient experience strategy. 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



Sponsor this Newsletter

For advertising opportunities in this or other HealthLeaders Media email newsletters, please contact sales@healthleadersmedia.com or call 800.639.7477.

  MAGAZINE | NEWS | TERMS OF SERVICE | PRIVACY POLICY | ADVERTISE Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

©2013 HealthLeaders Media

If you prefer not to receive this email newsletter, you can unsubscribe here
HealthLeaders Media Health Plan Insider is a division of HealthLeaders Media
HEALTHLEADERSMEDIA
5115 Maryland Way - Brentwood, TN 21027
Serving the business information needs of healthcare executives and professionals.