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  May 14, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

New Entrants Grabbing Slice of Changing Healthcare Market

Christopher Cheney, Editor for HealthLeaders Media

At least $42 billion of the $2.8 trillion US healthcare industry is up for grabs as new market entrants from Walmart to technology start-ups seek a slice of the pie, according to a new study. >>>

 

Editor's Picks

Highmark Execs Detail ACO Transformation

Highmark, the Pennsylvania-based integrated healthcare network, seeks to use ACOs and primary care medical homes to transform the way it does business. >>>

Feds Bust 90 Linked to Medicare Fraud Schemes Totaling $260M

As the result of a multi-city operation, the Medicare Fraud Strike Force has brought charges against scores of people, including doctors, nurses, and other medical professionals allegedly involved in false billing schemes. >>>

Medicare Pays Billions for Wasteful Care

Developing a measure to define overuse was difficult, but researchers found a way to quantify 26 types of unnecessary medical procedures administered to Medicare beneficiaries and tallied the cost. >>>

How Obamacare May Boost ED Profits

With more people able to purchase health insurance under the healthcare reform law, a Health Affairs study projects that hospital emergency departments could generate an additional 4.4% in profits in the coming years. >>>

Providers' Trust in Payers 'Abominably Low'

A survey designed to measure the level of trust that hospital executives have in health insurance companies finds several factors that contribute to low scores, including the length of time it takes for claims to be paid, and the rates hospitals and physicians are paid. >>>

How Making Hospital Quality Data Public Affects Providers

Healthcare leaders are finding that posting quality scores and outcomes, both good and bad, can be beneficial for staff as well as patients. >>>

Senate Committee Warms to HHS Nominee Burwell

Civil tone notwithstanding, several Republican senators say they will demand more transparency about the successes and failures of Obamacare from Sylvia Mathews Burwell than from her predecessor, Kathleen Sebelius. >>>



LIVE Webcast

Webcast: A Comprehensive Readmissions Solution—Getting Process and Data Right

Date: June 25, 2014, 1:00–2:30 p.m. ET Join leaders from Baylor Heart and Vascular Hospital and Southwest General as they reveal how adopting a hospital-wide culture of end-to-end care can reduce readmissions rates, improve patient experience, and foster physician engagement. Register Today >>>



News Headlines

Medicaid rolls grow in states resisting health law

The Washington Post / Associated Press, May 14, 2014

One health insurer wants to cut rates 6.8%. Another wants to hike them 26%. What gives?

The Washington Post, May 14, 2014

Overused medical services cost Medicare billions of dollars

NPR / Kaiser Health News, May 13, 2014

Fears of doctor shortages under new health law may have been overblown

PBS NewsHour / Kaiser Health News, May 13, 2014

Insurers give $1.5B in rebates under Obamacare

The Hill, May 13, 2014

$474M for 4 failed Obamacare exchanges

Politico, May 13, 2014

Hospitals see blue-red divide early into Obamacare's coverage expansion

The Washington Post, May 13, 2014

Health centers hurt in states that skipped Medicaid expansion

NPR, May 12, 2014

Partners HealthCare income tumbles amid insurance losses

The Boston Globe, May 12, 2014

Hard part of Affordable Care Act is making health system affordable

Milwaukee-Wisconsin Journal Sentinel, May 12, 2014



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Multimedia/Events

HealthLeaders Media LIVE From Intermountain: Primary Care-Mental Health Integration

Date: June 17, 2014 | 12:00–3:00PM ET Find out how Intermountain Healthcare developed a team-based approach that ensures the effective assignment of mental health professionals, along with a care process model built upon a systematic, evidence-based treatment algorithm that is collaborative and measurable. Register Today Download the Free Case Study >>>




From HealthLeaders Magazine

Presidents, CEOs, and the New Leadership Model

Some hospital CEOs, used to captaining their own ship, are finding that healthcare reform means there are fewer opportunities to run things as they see fit. Maybe that's a good thing. >>>

 

Transitions of Care Go Digital

 

Making It All Public



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