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  February 7, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Value-Based Purchasing Model Waits for No One

Philip Betbeze

For a variety of reasons, many healthcare organizations have delayed the necessary operational moves they need to make to be able to compete on value. There's still time, but not much. As one observer puts it, "you need to get ahead of this ball called 'risk.'" >>>


Editor's Picks

Hospitals Welcome Two-Midnight Rule Delay

Providers are pleased that CMS is delaying enforcement of new guidelines governing Medicare reimbursements for short-term hospital stays, but they insist the new rule is flawed and say they will continue to oppose it. >>>

RACs Incentivized to Find Even Smallest Billing Errors

By using a tool to calculate "extrapolated overpayment," Recovery Audit Contractors can allege fraud long after providers have received payment and thought there was no dispute, says one expert. >>>

Congress Cuts Bipartisan Deal to Scrap SGR

Seeking to avert a cut in Medicare's physician payment rate set for April 1, lawmakers in the House and Senate have embraced a pact that would replace the sustainable growth rate formula with a payment system that includes a small rate increase for doctors. >>>

As ICD-10 Deadline Looms, Providers Fret

Healthcare providers, payers, the government, and other players in the ICD-10 changeover are not working in a cohesive and coordinated fashion and won't be ready for the transition in eight months, says an MGMA policy expert. >>>

4 Ways to Thrive in the New Payment Environment

Reduced reimbursements are the most-cited threat to healthcare organizations, but strategic leaders can find ways to mitigate the potential harm by shoring up collections and getting serious about analytics. >>>

3 Inexpensive Ways to Enhance Patient Experience

Fancy amenities such as gourmet meals, healing gardens, and multi-million dollar expansion projects can make patients feel good about a hospital stay, but there are cheaper ways to bolster the patient experience. >>>

Must-Do Task for Rural Providers: Call Congress

If budget balancing gimmicks being considered by Congress take effect in the coming year, they could potentially mean the loss of billions of dollars in Medicare and Medicaid reimbursements for rural providers. Don't let it happen. >>>

LIVE Webcast

Webcast: Forge Partnerships Across the Care Continuum—Metrics and Workflows

Date: March 14, 2014, 1:00–2:30 p.m. ET Join leaders from SCL Health System and Collaborative Healthcare Strategies as they reveal how to successfully align with external entities across the care continuum to reduce readmissions, improve care quality, and streamline workflows. Register Today >>>

News Headlines

Insurers slash specialty hospitals to keep premiums low

Bloomberg, February 7, 2014

Aetna profit misses estimates on low Medicare margins

Bloomberg, February 7, 2014

Insurance executive to help fix MA Health Connector site

The Boston Globe, February 7, 2014

Why CVS isn't selling cigarettes anymore

The Atlantic, February 6, 2014

Obamacare enrollees hit snags at doctor's offices

Los Angeles Times, February 6, 2014

Florida Blue and Memorial Healthcare form new ACO

The Miami Herald, February 6, 2014

Natchez (MS) hospital plans to file for bankruptcy

News & Observer / Associated Press, February 6, 2014

Health law could mean fewer full-time workers, CBO says

USA Today, February 5, 2014

Patient coordination would get boost if Medicare changes how it pays docs

Kaiser Health News / St. Louis Post-Dispatch, February 5, 2014

LSU official is the finalist for Parkland CEO

The Dallas Morning News, February 4, 2014

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

Presented on: Friday, March 28, 2014 | 1:00 p.m.–2:30 p.m. ET Join hospital leaders as they outline the strategic transition from provider to payer, and new opportunities for controlling costs, managing risk, and maximizing reimbursements. Register Today >>>

From HealthLeaders Magazine

20 People Who Make Healthcare Better—2013

They are nurses and physicians. They are researchers and executives. They are providers and payers. They are watchdogs and innovators. And they are patients. They are this year's HealthLeaders 20 honorees, selected for their efforts to make a difference in healthcare. Their stories are sometimes tinged with struggles or challenges, but always, ultimately, with success. >>>


ICD-10: Minimizing the Financial Hit


Making a Safe Transition

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