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

Closer Payer/Provider Relationships Inevitable, but Evolutionary

Christopher Cheney, Editor for HealthLeaders Media

After decades of business interactions that have ranged from politely cooperative to openly hostile, healthcare payers and providers appear destined for peaceful coexistence. >>>

 

Editor's Picks

CMS Confident as HIX Deadline Nears

After stumbling at the starting line, federal officials are pushing for a strong finish in the inaugural open enrollment period for the new public health insurance exchanges. And they're offering some individuals a deadline extension. >>>

Despite Challenging Payer Mix, Montefiore Grows

The chief financial officer at Montefiore Health System in the Bronx explains how the organization has managed to stay in the black, generate modest operating margins, and even reinvest in itself while serving a largely poor patient population. >>>

Medicaid Expansion, Payer Oversight Seen as Vital to Healthcare Reform

Medicaid expansion, regulation of insurers, and oversight of private insurance plans are key factors in the national healthcare reform effort, a Commonwealth Fund report suggests. >>>

What the Patient Really Wants

Having reached the probable limits of their healing powers, several clinicians and administrators at Gundersen Health System made sure a patient got what he really needed—no matter what. >>>

Proposed HIX Rules Would Alter PPACA

As the inaugural open enrollment period for the new individual health coverage exchanges comes to a close, CMS officials are proposing several changes and additions to the Patient Protection and Affordable Care Act to ensure that HIX hold and grow. >>>

'Vicious Cycle' Flagged in MA Hospital Financing Disparities

Lobbying efforts by community hospital chain Steward and a labor union take on the Boston-based teaching hospitals. >>>

Medicare Rules Make Offsite Organ Recovery Costly

Using organ procurement organizations reduces costs and is safer for patients and medical staff. But complex reimbursement rules deter some transplant hospitals from allowing organs from brain-dead donors to be recovered off site. >>>



LAST CHANCE 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

Obama administration will allow more time to enroll in healthcare on federal marketplace

The Washington Post, March 26, 2014

Court hearing suggests serious challenge to healthcare law

The New York Times, March 26, 2014

Bungling mars healthcare deadline in some states

The Miami Herald / Associated Press, March 26, 2014

45 states fail at posting medical prices, report says

Los Angeles Times, March 26, 2014

Obamacare subsidies seen as illegal on state exchanges

Bloomberg, March 25, 2014

Draft rules would help protect seniors when Medicare Advantage plans drop doctors

Kaiser Health News / The Washington Post, March 25, 2014

Uninsured people don't like or understand Obamacare

The Atlantic, March 25, 2014

Many people won't be enrolling by March 31 healthcare deadline, for all sorts of reasons

Star Tribune / Associated Press, March 24, 2014

Obamacare website glitch erroneously tells thousands they are ineligible for coverage

dbTechno.com, March 24, 2014

Delawareans experience healthcare sticker shock

The News Journal, March 24, 2014



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Multimedia/Events

Webcast: Optimizing the ACO—Solutions for Workflow and Risk Management

Date: May 29, 2014, 1:00–2:30 p.m. ET Senior leaders from Virtua and Coker Group highlight ACO success stories and reveal proven strategies to improve performance and quality through a variety of technology solutions. Register Today >>>




From HealthLeaders Magazine

Shifting Patient Patterns

Change is coming, but leaders have various outlooks for and responses to the new patient dynamics. >>>

 

Why Is Price Transparency So Hard?

 

Advances in Cancer Care



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