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  February 5, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Public HIX Give Commercial Plans a Run for Their Money

Christopher Cheney, Editor for HealthLeaders Media

The new public health insurance exchanges are a good deal when compared to plans that private employers offer, PwC research shows. But don't expect employers to push workers toward the public exchanges yet. >>>

 

Editor's Picks

Hospitals Welcome Two-Midnight Rule Delay

Providers are pleased that CMS is delaying enforcement of new guidelines governing Medicare reimbursements for short-term hospital stays, but they insist the new rule is flawed and say they will continue to oppose it. >>>

OIG to Investigate HIX Flaws in 2014

The federal government's latest efforts to identify and correct fraud, waste, and abuse within federally funded healthcare programs are outlined in the 2014 work plan issued by the Office of Inspector General. >>>

RACs Incentivized to Find Even Smallest Billing Errors

By using a tool to calculate "extrapolated overpayment," Recovery Audit Contractors can allege fraud long after providers have received payment and thought there was no dispute, says one expert. >>>

6 Ways to Avoid Unintentional Medicare Fraud

Mismanagement or sloppy business practices can quickly lead to trouble with Medicare fraud investigators, even when healthcare providers have no intention to defraud the government. >>>

CEOs Expect Flat to Negative Financials in 2014

Here's the dilemma for hospital and health system leaders: Many feel their reimbursements will ratchet down regardless of whether or not they make the big investments needed to transform their business models. >>>

4 Ways to Thrive in the New Payment Environment

Reduced reimbursements are the most-cited threat to healthcare organizations, but strategic leaders can find ways to mitigate the potential harm by shoring up collections and getting serious about analytics. >>>

Patient Safety Orgs Cut Ties With Denham

Patient safety advocate Charles Denham, MD, denies taking kickbacks from a product manufacturer, but the National Quality Forum and the Leapfrog Group are parting ways with him. >>>



LIVE Webcast

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 >>>



News Headlines

Health law could mean fewer full-time workers, CBO says

USA Today, February 5, 2014

Patient coordination would get boost if Medicare changes how it pays docs

Kaiser Health News / St. Louis Post-Dispatch, February 5, 2014

WellPoint, a onetime critic of health law, may yet profit

The New York Times, February 5, 2014

PA hospital aims to help uninsured by listing prices

CBS Pittsburgh, February 5, 2014

10 places where health insurance costs the most

NPR / Kaiser Health News, February 4, 2014

Obama says extent of healthcare website flaws unexpected

Bloomberg, February 4, 2014

Study: Patients need training on new health insurance

USA Today, February 4, 2014

Changes in healthcare delivery affecting Kaleida bottom line

WGRZ, February 3, 2014

Life after Jan. 1: KY clinic offers early glimpse at realities of healthcare law

The Washington Post, February 3, 2014

Maryland may be the model for curbing hospital costs

USA Today, February 3, 2014



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Multimedia/Events

Webcast: Hospitals Developing Health Plans: Key Steps to Becoming a Provider-Payer

Presented on: Friday, March 28, 2014 | 1:00 p.m.–2:30 p.m. ET Join hospital leaders as they outline the strategic transition from provider to payer, and new opportunities for controlling costs, managing risk, and maximizing reimbursements. 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 difference 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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