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  August 6, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Uncovering Medicare Advantage Cuts' Brighter Side

Christopher Cheney, Editor for HealthLeaders Media

With several years of reimbursement rate cuts expected, large Medicare Advantage insurance carriers have distinct advantages over their smaller counterparts. For one thing, the cuts are driving efficiency gains and zapping waste. >>>

 

Editor's Picks

Senators Hear How Two-Midnight Rule Harms Patients, Hospitals

The financial impact of observation status has become a flashpoint for hospitals and seniors and is the focus of a hearing before the U.S. Senate Special Committee on Aging. >>>

CMS Issues Final FY2015 Rule on Inpatient Hospital Payments

The Centers for Medicare & Medicaid Services' Inpatient Prospective Payment System final rule for FY 2015 includes a 1.4% increase for operating payment rates. >>>

Handshaking Spreads Germs. Get Over It.

Evidence is mounting that alternatives to hand-to-hand contact between and among healthcare workers and sick people are necessary to curb the spread of infection. >>>

CHS Cites 'Shifting' Standards in Fraud Allegation Settlement

An attorney representing one of the whistleblowers alleging that Community Health Systems committed fraud says that as a nation, "we have a healthcare delivery system where doctors and individual decision making, to some degree, have been shoved to the side by corporate managers." >>>

Business Roundup: Duke LifePoint Expands NC Footprint

Also, BayHealth and Peninsula Regional form an interstate collaborative, Tenet Healthcare acquires its 80th hospital, and Lahey Health and Winchester Hospital finalize their affiliation. >>>

CMS Confirms ICD-10 Deadline

October 1st, 2015, is the deadline for healthcare providers to implement the twice-delayed ICD-10 code set, federal officials confirm. >>>

2015 HIX Premium Hikes May Top 7%

Average 2015 premium rate increases on the new health insurance exchanges are likely to stand in the high single digits, according to data collected from half the states. >>>



LIVE Webcast

Webcast: Engaging Patients, Payers, and Telemedicine in Chronic Care

Date: August 25, 2014, 1:00–2:30 p.m. ET Join leaders from CAC-Florida Medical Center and Humana to learn key strategies for managing diabetes to improve quality and value in the delivery of healthcare services. Register Today >>>



News Headlines

Cerner to buy Siemens health data unit for $1.3 billion

Bloomberg, August 6, 2014

Insurers launch huge health-records info exchange

The Miami Herald / Associated Press, August 6, 2014

Divide between red and blue states over healthcare deepens

Los Angeles Times, August 6, 2014

When healthcare prices stop being hidden, and start getting real

Vox, August 6, 2014

Some CA hospitals, insurers disappointed in bundled payments

Kaiser Health News, August 6, 2014

Hospital, insurer earnings show mixed messages about health spending

Kaiser Health News, August 5, 2014

Obamacare rule to dock poor-performing hospitals

The Hill, August 5, 2014

FL Obamacare premiums to rise 13% on average

The Hill, August 5, 2014

Concierge medicine a growing trend in healthcare

Dayton Daily News, August 4, 2014

Newly insured, many now face learning curve

The New York Times, August 4, 2014



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Multimedia/Events

Webcast: Keys to Payer-Provider Collaboration on Population-Based Payment

Date: September 30, 2014, 1:00–2:30 p.m. ET Join leaders from OhioHealth Group/Health4 and Cigna as they reveal which population-based payment models can be applied to patient care, and how payers and providers can work together to optimize care, improve quality, and maximize reimbursements. Register Today >>>




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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