Insurers are dropping thousands of physicians from their managed care networks. For the physicians allowed to stay, reimbursement rates may be cut so much that they will wonder whether being dropped was the better outcome. >>>
The CFO of a regional medical center in Ohio knows that cost containment will be critical to its ability to survive in the swiftly approaching tighter reimbursement environment. He shares tips for a smoother transition. >>>
While an influential advocate for patient safety and former committee chair of the National Quality Forum denies allegations that he took kickbacks from a product manufacturer, the DOJ has named him in a settlement agreement. The NQF cut ties with him years ago and updated its conflict of interest policies. >>>
Wellmont Health System CEO and President Margaret "Denny" DeNarvaez discusses the Tennessee-based system's search for a potential buyer. Not having an immediate need to make a deal is key, she says, because "it is more important to do it right than to do it fast." >>>
Facing significant reductions in payments, mounting regulatory actions, and a "broken" RAC appeals process, hospitals are facing a variety of pressures in the new year, the American Hospital Association says. >>>
To make up for lost revenue, the CFO of Miami Children's Hospital says he is renegotiating price rates with health plans such as Blue Cross, Humana, and UnitedHealth. >>>
UnitedHealthcare is headed to federal court-ordered arbitration with two doctors groups in Connecticut over the insurer's decision to drop some physicians from its Medicare Advantage network. >>>
Industry Survey 2014
The next 12 months may be the most transformative in the history of the healthcare industry. This report provides timely insights from our Intelligence Unit and top industry executives into the evolving attitudes of healthcare leaders—and the clinical, financial, and alignment moves they’re making today to successfully negotiate the coming shift from volume to value.
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The New York Times, January 24, 2014
The Boston Globe, January 24, 2014
ProPublica, January 24, 2014
The Miami Herald, January 23, 2014
Reuters, January 23, 2014
Bloomberg, January 23, 2014
Baltimore Business Journal, January 23, 2014
Chicago Sun-Times, January 22, 2014
Milwaukee Business Journal, January 22, 2014
PBS NewsHour, January 20, 2014
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