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10 ACO Blunders You Can Avoid
Margaret Dick Tocknell, Senior Editor

Any entity considering becoming an accountable care organization must be prepared to avert these 10 costly missteps, says a public health expert. [Read More]
  August 17, 2011

Editor's Picks
Price Gouging Spikes Drug Costs Up to 4500%, Purchasing Group Says
Life-saving drugs on the so-called "grey market? are seeing markups averaging 650% but as high as 4,500% before they even get to the hospital. Five years ago these markups affected only about 50 drugs. Now industry representatives say 170 essential medications were exploited in 2010 and as many as 360 may be on the list by the end of 2011. [Read More]
HHS Unveils Proposed HIX Rules
Federal health officials have released three proposed rules governing state-based insurance exchanges and premium tax credits, and Medicaid eligibility, for which an estimated 20 million people will be eligible. Officials also announced awards of $185 million to 13 states and the District of Columbia to help them build these insurance marketplace options. [Read More]
NAIC Urges Caution in HIX Regulations
The National Association of Insurance Commissioners is urging the federal government to avoid creating regulatory loopholes for health insurance exchanges that could give multistate plans significant advantages over their smaller, in-state competitors. [Read More]
Doctors Sue HHS, CMS Over 'Secretive' Payment Committee
Six primary care physicians from Georgia have filed a lawsuit against the Department of Health and Human Services and the Centers for Medicare and Medicaid Services claiming that a committee of volunteer physician-advisors that recommends reimbursement rates for Medicare procedures and services is secretive and skewed toward medical specialists. [Read More]
Webcast: Quantify & Cultivate Patient Engagement
Date: September 22, 2011
About: More than just a buzzword, patient experience has become the quintessential objective in our healthcare climate. Fortunately, the thriving world of social media offers proven pathways to not only create patient engagement, but actually build community around your organization. Learn how Emory University Orthopaedics and Spine Hospital consistently scores above the 90th percentile in patient satisfaction using social media tools and metrics.
[Read More]
Webcast: Slash Your Readmission Rates
Date: September 16, 2011
About: With 20% of Medicare fee-for-service beneficiaries discharged from a hospital readmitted within 30 days, Baylor Heart and Vascular Center in Dallas, which boasts one of the lowest readmission rates nationwide (17.3%), and Our Lady of Resurrection Medical Center in Chicago, which cut its readmission rate from the nation?s second-highest (32.4%) to 15%, share strategies to help you reduce your readmission rates.
[Read More]

Health Plan Forum
ACO or Not, Fairview Builds Shared Savings into All Payer Contracts
Minneapolis-based Fairview Health Services has taken a model for shared savings and quality improvements and gradually embedded the concepts into all of its commercial insurance contracts. [Read More]

Managed Care Headlines
Health plan buyers get a look under the hood
The Wall Street Journal, August 17, 2011

MI tells Blue Cross to extend deadline for residency rule
The Detroit News, August 17, 2011

GAO tells CMS to make quality reporting more reliable
Government Health IT, August 16, 2011

Top 10 Reasons For Pediatric Hospitalizations
Cheryl Clark, for HealthLeaders Media, August 15, 2011

Anthem, SCCIPA align to create ACO in California
Government Health IT, August 12, 2011

Partners to acquire MA nonprofit insurer
The Boston Globe, August 11, 2011

Saint Thomas Health (TN) launches MissionPoint Health ACO
The Tennessean, August 11, 2011


Sept 15: Rounds: Women's Health Strategies for Service Line Growth and Quality

Sept 16: Webcast: Slash Your Readmission Rates

Sept 22: Webcast: Quantify & Cultivate Patient Engagement


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From HealthLeaders Magazine
Nurse Education Key to Scope-of-Care Debate

There is tension between nursing leadership and some physician groups over the scope of what advanced practice nurses, including nurse practitioners, should be allowed to do. [Read More]

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Audio Feature
ACO Appeal for Hospitals Needs a Boost

Stephen L. Mansfield, PhD., president and CEO of Methodist Health System in Dallas discusses what needs to happen to get hospitals excited about ACOs and what it will take to make ACOs sustainable. [Sponsored by Emdeon] [Listen Now]
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