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Tuesday, September 28, 2010

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Daily news & Analysis


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NAIC Draft on Medical Loss Ratios Open for Comment

By: Janice Simmons, for HealthLeaders Media, September 28, 2010

Some members of the National Association of Insurance Commissioners want a phased-in approach to limits on health insurance plans that specify how many premium dollars may go toward medical care versus administrative costs and profits.

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GAO Report Casts Healthcare GPOs in Favorable Light

By: John Commins, for HealthLeaders Media, September 28, 2010

The Government Accounting Office's review of healthcare industry group purchasing organizations was instigated at the request of Congress, which had raised concerns about anticompetitive practices such as the collection of excessively high administrative fees.

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Healthcare Philanthropy Fell 11% in 2009

By: John Commins, for HealthLeaders Media, September 28, 2010

Nonprofit healthcare institutions in the United States raised $7.6 billion in fiscal 2009, a decline of $944 million from fiscal 2008, according to the Association for Healthcare Philanthropy's annual Report on Giving.

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Senate Reviews Agent Orange Disability Coverage

By: Janice Simmons, for HealthLeaders Media, September 28, 2010

Veterans Affairs secretaries are pushing to add diabetes, prostate cancer, heart disease, Parkinson's disease, and leukemia to the list of conditions presumed to be caused by Agent Orange exposure among Vietnam War veterans. As a result, the Senate panel will review Agent Orange regulations from 1991.

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IL Hospitals Generate $75B Annually

By: John Commins, for HealthLeaders Media, September 27, 2010

An Illinois Hospital Association study, the first of its kind in the state, examines the economic impact of the state's 200 hospitals and health systems.

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Physician Alignment in an Era of Change

By: Joe Cantlupe, for HealthLeaders Media, September 14, 2010

Hospitals are looking to employ more physicians and buy more practices; at the same time, hospitals are receiving an increase in inquiries from physician groups for employment. But that marriage is not without trepidation. Two major industry trends—an increase in insured patients and the development of accountable care organizations—will put considerable strain on hospital-physician relations.

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How CFOs Can Improve Clinical Outcomes

By: Jeff Elliott for HealthLeaders Media, September 27, 2010

But rising costs and Medicare's efforts to financially penalize healthcare organizations that fail to prove medical necessity have amplified calls for a tighter bond between clinical and finance leaders in hospitals and health systems.

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ACP Offers Ethical Guidelines for Wellness Program Incentives

By: John Commins, for HealthLeaders Media, September 27, 2010

The American College of Physicians is offering ethical guidelines for using incentives to promote personal responsibility for health. While the position paper specifically examines a Medicaid pilot project in West Virginia, much of it can be applied to private sector wellness programs. If you're running a wellness program at your organization, this is must reading.

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