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  July 9, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Payers, Providers Vie for Piece of e-Payment Pie

Christopher Cheney, Editor for HealthLeaders Media

Health insurers are expected to save billions of dollars in billing expenses by offering e-payment to providers. But some innovative e-payment mechanisms are laced with fees, raising questions about fairness. >>>

 

Editor's Picks

Fees Lurk in Health Plans' Shift to e-Payments

Healthcare providers stand to benefit in several ways from the switch from paper-based payment to electronic payment, but not all e-payment models are created equal. >>>

4 Hot Healthcare Exec Titles; 1 Not

Healthcare hiring trends favor physician leaders with clinical knowledge and an aptitude for strategy, rather than only business school smarts. >>>

2015 OPPS Proposed Rule Detailed

The 2015 outpatient prospective payment proposed rule from CMS contains refinements to the previously introduced comprehensive ambulatory payment classification policy, significant packaging of ancillary services, and a change for inpatient certification requirements. >>>

MU Slides into Summer of Discontent

If the top dog in the EHR food chain is feeling like he is dragging regulatory chains around, then we have a technology modernization program that is, at best, troubled, and at worst, in crisis. >>>

Providence, Swedish Health Launch Employer-Driven ACO

Boeing is the first employer to sign up with the accountable care organization offered jointly by Providence Health & Services and Swedish Medical Center. It is one of several employer-sponsored plans available in the Seattle area. >>>

5 M&A Tips from Finance Executives

The top lesson shared by four senior-level healthcare finance executives experienced in mergers and acquisitions: "You can work through most things, but if you can't work through the culture and mission issues, it's not going to work." >>>

Emergency Surgeries Drop with Insurance Expansion in MA

In Massachusetts, rates of discretionary surgical procedures rose, while rates of non-discretionary or emergency procedures declined in the years following the state's insurance expansion, researchers found. >>>



LIVE Webcast

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

Date: July 16, 2014, 1:00–2:30 p.m. ET Health plan leaders from North Shore-LIJ and Sanford Health outline the strategic transition from provider to payer, and new opportunities for controlling costs, managing risk, and maximizing reimbursements. Register Today >>>



News Headlines

UnitedHealth: New doctor payment plan cut cancer care costs

Reuters, July 9, 2014

In TN, limited patient options bring some of cheapest premiums

Kaiser Health News / The Atlantic, July 9, 2014

Obamacare's next threat: A September surprise

Politico, July 8, 2014

Opinion: Fixed nurse-patient ratios are needed in more than just the ICU

WGBH News, July 8, 2014

The giant problem American healthcare ignores

Vox, July 8, 2014

How IL has spent $56M from health law's prevention fund

Kaiser Health News / Chicago Tribune, July 8, 2014

Drive-thru healthcare: How McDonald's inspired an urgent care gold rush

Forbes, July 7, 2014

Health Net vows to improve healthcare coverage, service

The Republic, July 7, 2014

Opinion: After Hobby Lobby—A single-payer healthcare solution?

Time, July 7, 2014

Opinion: Google co-founders to healthcare—We're just not that into you

Forbes, July 7, 2014



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Multimedia/Events

HealthLeaders Media LIVE From Carolinas HealthCare System: Patient Experience

Date: July 29, 2014 | 12:00–3:00PM ET The leadership team at Carolinas HealthCare System reveals strategies proven to reduce ED visits and inpatient hospitalizations, improve elder care, and raise employee engagement and teamwork to the 98th percentile. Register Today Download the Free Case Study >>>




From HealthLeaders Magazine

New Goals, New Alliances

The historically adversarial relationship between providers and payers is shifting toward cautious cooperation as both sides recognize that they must implement structural and strategic changes to ensure their mutual survival. >>>

 

Transitioning to Bundled Payments

 

Preparing and Caring for Patients with Dementia



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