HealthLeaders Media Finance - January 10, 2011 | How MLR Can Hurt or Help Contract Negotiations View as a Webpage | Subscribe for Free
How MLR Can Hurt or Help Contract Negotiations
Karen Minich-Pourshadi, Senior Editor

Payers are about to begin feeling the pain of medical loss ratio regulations. Insurers have to make up their loss in funds somehow, and that's the question: How? Because when payers' profits diminish, providers can expect to feel it too. [Read More]

  January 10, 2011

Editor's Picks
Hospital Mergers Outlook Bright for 2011
The top 10 hospital mergers and acquisitions of 2010 were valued at about $3.8 billion. One observer predicts that this trend will continue in 2011, as healthcare reforms kick in and the economy picks up. [Read More]
4 Leadership Priorities for the New Year
Now that you've had a few months to digest some of the big changes coming to the healthcare industry, drill down on these four tactics designed to make 2011 a year of refining and improving leadership skills amidst a backdrop of change. [Read More]
13 Bizarre Healthcare Stories
Healthcare is a huge profession, with millions of medical professionals serving hundreds of millions of people in every state, 24/7. It's a recipe for bizarre stories. We don't know what the new year will bring, but 2010 saw some jawdroppers. [Read More]
5 Reasons Why ACOs Could Fail
Accountable care organizations are unlikely to accomplish their objectives if former provider-hospital competitors must collaborate with each other, says a report in Health Affairs. Find out how the disconnect between community physicians and hospital services, trust issues, and resistance to redistributing income may cause ACOs to fail. [Read More]
Webcast: Proven Strategies to Market Women's Services
Women are a vital audience to reach?is your marketing cutting it? As the primary healthcare decision-makers and the key to unlocking additional service audiences, you need up-to-date, effective marketing strategies to win women's loyalty?thus, business?and expand your market share. Join HealthLeaders Media on January 31, at 1 p.m. (EST) for this 90-minute Webcast, including Q&A, and learn from women's health marketing experts. [Register today]
Finance Forum
10 Strategies for Healthcare M&A Success
The majority of healthcare merger and acquisition transactions fail to produce the desired financial and strategic results. The often-overlooked key to success is strategic communications planning, says one expert.

[Read More]
Sponsored Headlines
Forrester Whitepaper: CMO's Must Connect the Dots of the Online Brand: Digital has been widely embraced by consumers and by many parts of the enterprise. But the adoption of digital channels—Web sites, mobile apps, online sales and customer service, and other smart touches—has often occurred in a piecemeal way. This has resulted in three potential mishaps.

Openness: The Basis for a Sound Unified Communications Strategy: The vast majority of customer environments are mixed environments. In this IBM® podcast you'll hear how an open approach provides you with choice. So instead of ripping out a perfectly good infrastructure, you can integrate what you've already invested in and create additional business value.

AMA Webcast: The Online Customer Experience—Make it Exceptional: IBM has defined a forward-looking vision for how organizations will turn today's customer experiences into exceptional experiences that drive business results. Join us on September 21 to hear Kristen Lauria, Vice President of Marketing & Channels at IBM, talk about this vision and introduce two innovative clients who are achieving results today by bringing together the right combination of capabilities online.

Your world, your way: the IBM WebSphere: For a business to stay competitive, it needs to be more productive and respond quicker to business opportunities. Watch this demo to see how IBM® WebSphere® Portal software enables you to connect your users with the right people, applications, and information—to drive business efficiency and success.

IBM WebSphere Portal for insurance demo: With so many insurance companies to choose from, how can you stand out from the rest? Watch this demo to see how one insurance company did just that. By using IBM® WebSphere® Portal and related Lotus® software, their customers can now learn about products, file claims and much more; while their agents have access to the tools and resources they need.

Finance Headlines
Detroit pushes healthcare growth with Medical Main Street
Detroit Free Press, January 10, 2011
Insurers, healthcare providers at odds on rules for ACOs
The Washington Post, January 10, 2011
Healthcare Created Quarter of a Million Jobs in 2010
HealthLeaders Media, January 7, 2011
Dawning of the Age of Mortality Transparency
HealthLeaders Media, January 6, 2011
11 Hot Healthcare Buzzwords for 2011
HealthLeaders Media, January 6, 2011
CMS: Healthcare Spending Grew at Slowest Rate in 50 Years in 2009
HealthLeaders Media, January 6, 2011
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From HealthLeaders Magazine
20 People Who Make Healthcare Better
Some are revered; others would not win many popularity contests. All of them are playing a crucial role in making the healthcare industry better. [Read More]
Service Line Management
Creating Stroke Systems of Care
If U.S. healthcare is headed toward a model that eliminates fragmentation and emphasizes continuity and cooperation, stroke care may be leading the way and making a difference in patients' lives. [Read More]
Money Talk

A look at one hospital's struggles to improve

Mayo Clinic, Rochester, MN
Rating: AA-
Outlook: Positive
Affected Debt: $1.7 billion
Agency: Standard & Poor's Ratings Services
Remarks: S&P revised its rating outlook to positive from stable and affirmed its AA- rating on various issuers' debt issued for Mayo Clinic. At the same time, S&P affirmed its various other ratings on numerous bonds issued on behalf of Mayo Clinic. Offsetting credit factors include liquidity levels that are still below similarly rated organizations. S&P also considers Mayo Clinic's asset allocation aggressive, with approximately 50% of Mayo's long-term fund in alternative assets. S&P also cites its potential exposure to future Medicare and Medicare physician reimbursement reductions.
[Read More]
Audio Feature

Preventing RAC Denials:Karen Bowden, president of ClaimTrust Consulting Services, a Tennessee-based in-hospital revenue cycle consulting firm discusses how RAC views "wrong setting" denials, and how you can prevent problems for your hospital or health system.[Sponsored by Emdeon] [Listen Now]
Sponsor HealthLeaders Media Finance

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Aug. 19: August 19, 2010: Women's Health Service Line, UNC, Chapel Hill, NC
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