HealthLeaders Media Finance - January 17, 2011 | 3 MLR Questions Payers, Providers Should be Asking View as a Webpage | Subscribe for Free
3 MLR Questions Payers, Providers Should be Asking
Karen Minich-Pourshadi, Senior Editor

Hospital Financial leaders who think the medical loss ratio regulation doesn't really impact hospitals and health systems should think again. The regulation has broad implications for federal and state healthcare expenditures and that will affect providers. [Read More]

  January 17, 2011

Editor's Picks
Healthcare Payers, Providers Partner on Claims Processing
The pressure for payers and providers to operate more efficiently and cooperatively is increasing?which is why many in healthcare are seeking to decrease claims adjudication woes. It's estimated that nearly $210 billion annually is spent to process healthcare claims. Moreover, approximately one in five medical claims is processed inaccurately, according to the American Medical Association's 2010 National Health Insurer Report Card. [Read More]
ONC: 4 in 5 Hospitals Will Claim EHR Incentives
Four-fifths of the nation's hospitals and 41% of office-based physicians plan to cash in on as much as $27 billion in federal incentives for adoption and meaningful use of electronic health records technology, according to survey data from the Office of the National Coordinator for Health Information Technology. [Read More]
Big Business: Healthcare's a Gold Mine
Wall Street sees huge profit potential in healthcare, which lags behind other industries in rooting out inefficiency and waste. Technology could make a greater impact on efficiency in healthcare than any other industry it's tackled in a generation, and that's the big draw. [Read More]
Salary Hikes for Healthcare Workers Expected to Lag Other Industries
Healthcare workers can expect an average base salary increase of 2.6% in 2011. That's up from the 2.3% base increase reported in 2010, but slightly below increases of 2.8% projected across all industries for 2011, according to a survey from Hay Group consultants. [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
Healthcare Data Worth its Weight in Gold
HealthLeaders Media, January 12, 2011
CMA Files Suit Over Optometrists' Scope of Practice
HealthLeaders Media, January 13, 2011
How to Appeal Denied Claims
HealthLeaders Media, January 10, 2011
Hospital Mergers Outlook Bright for 2011
HealthLeaders Media, January 10, 2011
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From HealthLeaders Magazine
Healthcare Reform Spawns Daunting Regulations
The volume of new regulations required by healthcare reform legislation is daunting, but what has healthcare leaders especially concerned are the particulars, which are still under development. [Read More]
Service Line Management
Improving Head and Neck Cancer Outcomes
New approaches are resulting in less devastating impact on speech, swallowing, and appearance. [Read More]

Money Talk

Who's Up and Who's Down?

Sheridan Healthcare, Sunrise, FL
Rating: B
Outlook: Positive
Affected Debt: $160 million
Agency: Standard & Poor's Ratings Services
Remarks: Physician outsourcing provider Sheridan Healthcare Inc. will be using funds from a proposed $160 million incremental term loan B to fund acquisitions. S&P affirmed a B corporate credit and existing issue-level ratings. The outlook was revised to positive from stable, reflecting the company's more disciplined financial policy.
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

Contact Paul Mattioli, Sr. Director of Sales, at or call 800.639.7477.


Feb. 15: Cardiac Care Leadership for Improved Alignment and Outcomes
Jan. 31: Proven Strategies to Market Women's Services
Jan. 25: The Power of Primary Care in an Era of Change
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