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  September 18, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

A Texas-Sized ACO Takes Shape

Margaret Dick Tocknell

Memorial Hermann Physician Network and Blue Cross Blue Shield of Texas are teaming up to develop an accountable care organization that will better manage the cost of care for 100,000 members. >>>

 

Editor's Picks

Hospital Groups Reaffirm Support for PPACA, HIX

In an online event, the nation's three largest hospital associations express their unified support for the Patient Protection and Affordable Care Act in the face of withering and relentless criticism that appears to be sapping public support. >>>

RAC Nightmare Continues for Providers

Karen Testman, senior vice president of financial operations at MemorialCare Health System, agrees with the concept of reducing Medicare overpayments, but takes issue with the administrative work it creates for providers. >>>

Doc Group Blasts CMS Physician Fee Schedule Plans

MGMA-ACMPE has penned a blistering 18-page report in response to the proposed federal rule on payments to doctors, criticizing the Centers for Medicare & Medicaid Services for inaccuracy, inconsistency, and being misleading. >>>

How the Dynamics of Physician Alignment Are Changing

Population health and accountable care models continue to gain traction as the industry shifts away from the traditional fee-for-service provider payment structure. >>>

Scammers Lurk Amid HIX Confusion

As a key deadline nears, "Obamacare" fraudsters, under the guise of helping with enrollment in health insurance exchanges, are trying to dupe unwitting consumers into giving up personal information. >>>

Cigna Acquisition Highlights Role of Chronic Care Management

To help reduce the cost of care for their frailest members, payers are increasingly focusing on prevention and disease management. It is estimated that these patients drive 35% to 50% of total healthcare costs. >>>

Data Hub Readiness Questioned by Lawmakers

After concerns about delays, the federal data services hub, an integral part of health insurance exchanges, is ready to be deployed, federal officials say. But members of the House Subcommittee on Cyber Security are skeptical. >>>



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News Headlines

Senate, House ensnared in healthcare controversy

Boston.com / Associated Press, September 18, 2013

FL among states undercutting healthcare enrollment

The New York Times, September 18, 2013

Concern grows over cost of drugs under new healthcare law

The New York Times, September 18, 2013

Mostashari reflects on tenure at ONC

iHealthBeat, September 17, 2013

NH Medicaid clients getting managed care notices

Boston.com / Associated Press, September 17, 2013

States balk at terminating Medicaid contracts even when there's fraud or poor patient care

Kaiser Health News / The Washington Post, September 17, 2013

CA insurers limiting doctors, hospitals in health insurance market

Los Angeles Times, September 16, 2013

Haves and have-nots as healthcare markets open

The Times-Herald / Associated Press, September 16, 2013

Hilton Head (SC) Hospital implicated in alleged Medicaid kickback scheme

The Island Packet, September 16, 2013

House passes bill to delay healthcare subsidies

ABC News / Associated Press, September 13, 2013



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Multimedia/Events

Intelligence Report: Patient Experience Beyond HCAHPS—Care Coordination and Cultural Transformation

This report uncovers the management and cultural changes necessary to achieve consistently superior patient experience. It features original research and analysis from top healthcare executives and clinical leaders. Gain key insights, such as: 71% of healthcare leaders will focus on care coordination to improve patient experience. Download Today >>>


HealthLeaders Media LIVE From Beaumont Health System: Cardiovascular Services Leadership

Date: October 8, 2013 | 12:00–3:00PM ET Discover how Beaumont Health built a physician-led cardiovascular center of excellence delivering improved quality, growth, and patient satisfaction. Register Today Download the Free Case Study >>>




From HealthLeaders Magazine

A Fresh Look at End-of-Life Care

Providers must team with patients to determine the ultimate medical mission. >>>

 

Delivering Safety Over Convenience

 

Restructuring Reimbursements



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