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Cover Story:
Weaning Your Hospital Off of Medicare
A flood of baby boomers, reimbursement cuts, and increasingly ineffective cost-shifting solutions. How can your hospital maintain its level of service and its margin? It's time to get creative.

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The ED Stands Alone
A growing number of hospitals are considering freestanding emergency departments as a way to reach more patients and improve efficiency. But not everyone is convinced such facilities are everything they claim to be.
Insiders’ Insights
Beyond the Résumé
We’re Number Two!
A New Seat at the Table

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When the Auditor Comes Calling
Medicare’s RAC demonstration is designed to catch payment mistakes, but some providers say auditors are getting carried away.
A Call Coverage Alternative
Money Talk
Armchair Finance
Physicians cashing in with their own Medicare plans

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The Case for Palliative Care
As the population ages and patients get sicker, palliative medicine is increasingly recognized as a way to both improve patient care and save valuable hospital resources.
The Supply Store, Reinvented
The Corner Office
Five Minute Consult

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Databanks of the Future
Eyeing "personalized medicine," leading research centers are creating vast storehouses of images and genetic information.
Does IT Measure Up?
Reporter’s Desktop
DEAL!

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Hospital Profitability
In an uncertain reimbursement climate that includes projections that Medicare could go broke in 11 years, hospitals are increasingly being forced to get more creative in their efforts to maintain previous levels of profitability. Although there is no single magic formula for a healthy margin, one key is efficiency. A study that compared the nation's most profitable hospitals to their less profitable brethren found that high-profit hospitals have shorter average length of stay, lower operating expenses per discharge, and a higher case mix index, suggesting that the most profitable hospitals find ways to provide care more efficiently even when they see higher-acuity patients.
Loose Lips
Letters to the Editor

Spinning the Globe

Usually when I go to the newsstand at the airport, I can consider that area to be free of any reminders of the heavy issues of my job. I’m usually looking for something to read on an airplane that will take my mind onto college football or the summer movie season. No more. Lately it seems that the popular business press has discovered a new trend and declared it worth your reading time: medical travel.

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