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  January 22, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Lower Medicare Costs Linked to Continuous Coverage

Margaret Dick Tocknell

A GAO report examining the health status, program spending, and use of services by Medicare beneficiaries who were commercially insured for at least six years before joining Medicare is evidence that healthcare reform cuts costs. >>>

 

Editor's Picks

J.P. Morgan Healthcare Conference: Revenue Shifts to Outpatient

Healthcare leaders tell Wall Street investors to look at two trends for revenue growth: in the expansion of outpatient care and in clinical integration leading to value-based care. >>>

RAC Appeals Process 'Broken,' AHA Says

In letters to Congress and the head of CMS, The American Hospital Association says stalled Medicare claims totaling more than $1 billion and a growing volume of Recovery Audit Contractor denials are putting its members in "an untenable position." >>>

Miami Children's Hospital Cuts Chargemaster Rates by 30%

To make up for lost revenue, the CFO of Miami Children's Hospital says he is renegotiating price rates with health plans such as Blue Cross, Humana, and UnitedHealth. >>>

Will Physicians Be Dropped From Managed Care Networks?

Insurers are dropping thousands of physicians from their managed care networks. For the physicians allowed to stay, reimbursement rates may be cut so much that they will wonder whether being dropped was the better outcome. >>>

4 Survival Tips for the Shift to Value-Based Reimbursements

The CFO of a regional medical center in Ohio knows that cost containment will be critical to its ability to survive in the swiftly approaching tighter reimbursement environment. He shares tips for a smoother transition. >>>

Healthcare.gov Security Concerns Won't Go Away

At least one critic is calling for the federal health information exchange website to be shut down until a complete security audit can be conducted. Since that's unlikely to happen, let's hope the government is judiciously reinforcing its data breach prevention policies. >>>

Moody's Outlook Dour on 'Young Invincibles'

Many of the people in the 18-to-24-year-old demographic who've signed up for coverage under health insurance exchanges may be among the least healthy in their cohort, says Moody's Investors Service. >>>



LIVE Webcast

Webcast: Telemedicine—A Strategic Tool to Grow Revenue and Drive Efficiency

Date: January 28, 2014, 1:00–2:30 p.m. ET Telemedicine pioneers from UC Davis and Mercy Health share strategies proven to bridge access gaps, improve patient experience, and streamline care through new mobile technologies, while driving down costs. Register Today >>>



News Headlines

Wyden plan may be vision for future Medicare reforms

Kaiser Health News, January 22, 2014

MA launches a grand experiment: Pricing healthcare

WBUR CommonHealth, January 22, 2014

Consumers expecting free 'preventive' care sometimes surprised by charges

Kaiser Health News, January 22, 2014

Medicare agency seeks to speed up appeals for coverage

The Washington Post, January 21, 2014

MI Republicans rethink Medicaid expansion

Kaiser Health News, January 21, 2014

Law's expanded Medicaid coverage brings a surge in sign-ups

The New York Times, January 21, 2014

Study: Allowing people to stay in existing insurance plans unlikely to disrupt exchanges

The Washington Post, January 21, 2014

As many as 1,000 Marylanders' Medicaid enrollment packets sent to wrong addresses

The Baltimore Sun, January 21, 2014

Partners on anti-merger report: 'Misleading,' 'flawed,' 'inaccurate'

WBUR CommonHealth, January 20, 2014

Co-ops the underdog in health insurance marketplace

USA Today, January 20, 2014



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Multimedia/Events

Webcast: Forge Partnerships Across the Care Continuum—Metrics and Workflows

Date: March 14, 2014, 1:00–2:30 p.m. ET Join leaders from SCL Health System and Collaborative Healthcare Strategies as they reveal how to successfully align with external entities across the care continuum to reduce readmissions, improve care quality, and streamline workflows. Register Today >>>




From HealthLeaders Magazine

20 People Who Make Healthcare Better—2013

They are nurses and physicians. They are researchers and executives. They are providers and payers. They are watchdogs and innovators. And they are patients. They are this year's HealthLeaders 20 honorees, selected for their efforts to make a dfference in healthcare. Their stories are sometimes tinged with struggles or challenges, but always, ultimately, with success. >>>

 

ICD-10: Minimizing the Financial Hit

 

Making a Safe Transition



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