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  February 12, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Struggle Over HIX Provider Networks Will Get Rough

Christopher Cheney, Editor for HealthLeaders Media

Insurers say they have to design their provider networks for the new public exchanges with cost control in mind. Critics say excluded hospitals in rural and economically disadvantaged areas of the country are at risk of financial ruin. CMS will try to have the final say this year. >>>

 

Editor's Picks

Congress Cuts Bipartisan Deal to Scrap SGR

Seeking to avert a cut in Medicare's physician payment rate set for April 1, lawmakers in the House and Senate have embraced a pact that would replace the sustainable growth rate formula with a payment system that includes a small rate increase for doctors. >>>

ECRI Cautions Hospitals About Tech Hype

Independent research from the non-profit ECRI Institute aims to distinguish between must-have hospital technologies and manufacturer hype. >>>

CMS Proposes HIX Guidelines for 2015

Federal regulators overseeing public health insurance exchanges are taking a fresh look at adequacy standards for so-called narrow networks, which insurers say are an essential tool for controlling healthcare costs. >>>

ICD-10 Prep Timing is Crucial

Providers are waking up to the need for ICD-10 education, but "one of worst mistakes [they] could make would be to get the training too early in the year," says one expert. >>>

Capital Spending Reflects New Era in Healthcare

As provider organizations look ahead to redesigning their care delivery models and taking part in more risk-based payment structures, their capital spending plans must keep pace with their evolving needs. >>>

Physicians Push for Say in Value-Based Payments Structure

The American Medical Association is backing an effort in Congress to push Medicare toward a value-based reimbursement system, but doctors are demanding a seat at the table when rules are set for transparency and assessing providers' performance. >>>

Capital Spending Reflects New Era in Healthcare

As provider organizations look ahead to redesigning their care delivery models and taking part in more risk-based payment structures, their capital spending plans must keep pace with their evolving needs. >>>



LIVE Webcast

Webcast: Physician-Led Population Health Programs—New Skills for Success

Date: February 24, 2014, 1:00–2:30 p.m. ET Join clinical improvement experts as they define new expectations for population health management and outline the leadership skills necessary for physicians to direct a successful program. Register Today >>>



News Headlines

DaVita says it will pay $389M to settle fed investigations

The Denver Post, February 12, 2014

Parkland Memorial Hospital plans to restore incentive pay for top executives

The Dallas Morning News, February 12, 2014

Opinion: Yes, we can trim Medicare spending

Bloomberg, February 12, 2014

The White House is relaxing the employer mandate again

The Washington Post, February 11, 2014

Hospitals push back on proposal to extend cuts

The Hill, February 11, 2014

Researchers hope new data collaborative will lower healthcare costs, improve treatment

WSAW.com, February 10, 2014

Hospital fights insurance rules

Seacoast Online / Associated Press, February 10, 2014

Frustrating Medicare catch: Who's an inpatient at the hospital and who's under observation?

Fox News, February 10, 2014

Insurers slash specialty hospitals to keep premiums low

Bloomberg, February 7, 2014

Insurers eye market for supplemental health coverage to fill various gaps

Kaiser Health News / The Washington Post, February 7, 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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