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  February 26, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Providers and Payers Make Good Bedfellows

Christopher Cheney, Editor for HealthLeaders Media

As health systems across the country look for ways to adapt to a changing marketplace and a wave of federally driven reform efforts, Sanford Health is enjoying the benefits of a strategic leap it took nearly two decades ago. >>>

 

Editor's Picks

MA Payment Rates for 2015 Cloaked in Uncertainty

With weeks to go before federal regulators set the final figure for a payment rate cut to the Medicare Advantage program, insurers and financial analysts are predicting the blow will be twice as hard as what CMS proposed last week. >>>

CMS Proposes MA Payment Cut

The proposed 2015 payment rate cut to Medicare Advantage health plans is less than expected and less than the reduction this year, but insurers and their allies in Congress are expressing displeasure with the prospect of a second consecutive haircut. >>>

Retail Medicine Syncs with High-Deductible Health Plans

The rise of high-deductible health plans means more consumers will have healthcare coverage that mainly provides protection against catastrophic injury or illness. As these plans become more common, pharmacy chains and big box retailers are taking a greater interest in expanding their healthcare provider capacities. >>>

It's Impossible to Know What $1B in Federal Quality Spending Buys

A pair of quality initiatives say they are preventing harm and saving lives, but their data is lacking, two prominent patient safety and health policy experts contend. >>>

Insurance Status a Factor in Trauma Care, Study Says

Insured patients who are admitted to non-trauma hospitals may be getting "suboptimal" care in comparison to uninsured trauma patients who are "dumped" or  transferred to trauma centers, a counterintuitive study finding  suggests. >>>

ICD-10: CMS Agrees to Limited End-to-End Testing

Following concerns from physicians and some US senators, CMS says it will do end-to-end ICD-10 testing with a small sample group of providers selected to represent "a broad cross-section of provider types, claims types, and submitter types." >>>

An Independent Community Health System Carves Its Own Niche

The chief operating officer of a small Minnesota health system says that small organizations can—and must—be among the leaders of the transformation from volume- to value-based healthcare businesses. >>>

Slideshow: 2014 Industry Survey—Forging Healthcare's New Financial Foundation

The healthcare industry is in the throes of transition. While it may feel like turmoil, this is also a time of great opportunity. In this preview of the 2014 HealthLeaders Media Industry Survey, we show how hospital and health system leaders plan to manage the shift from volume to value and support collaborative care. >>>



LIVE Webcast

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

Date: 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 >>>



News Headlines

Health law faced cybersecurity challenges

The Miami Herald / Associated Press, February 26, 2014

Obama: Health insurance enrollment at 4 million

The Kansas City Star / Associated Press, February 26, 2014

Holder, Sebelius tout billions in healthcare fraud recoveries

The Hill, February 26, 2014

CT plans to market health exchange expertise

The New York Times, February 26, 2014

Report: Premiums may rise for 11 million workers

The Miami Herald / Associated Press, February 25, 2014

AR lawmakers to vote on funds for alternative to Obamacare

Reuters, February 25, 2014

Virginia and other states wrestle with whether to expand Medicaid under ACA

The Washington Post, February 25, 2014

How to bring the price of healthcare into the open

The Wall Street Journal, February 24, 2014

ME bills seek 'narrow' network explanations

The Miami Herald / Associated Press, February 24, 2014

How Obamacare could unlock job opportunities

The New York Times, February 21, 2014



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Multimedia/Events

HealthLeaders Media LIVE from Geisinger: Care Coordination & Population Health

Date: March 27, 2014 | 12:00–3:00PM ET Find out how the leaders of Geisinger Health System drove down costs in the care continuum by leveraging the power of their ProvenHealth Navigator model, a system that combines evidence-based best practices, electronic health records, and quality and accountability metrics to standardize care processes. Register Today >>>




From HealthLeaders Magazine

In Search of EHR's ROI

As healthcare leaders continue to pour money into electronic health record systems, many (but not all) find the return on the investment remains elusive. >>>

 

Life or Death for Small Systems?

 

Capital Spending Reflects New Era in Healthcare



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