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  August 15, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Payers' Optimism Tempered By Economic Realities

Margaret Dick Tocknell

While upbeat about the growth they are expecting in Medicaid and Medicare enrollments and opportunities around accountable care organizations, senior executives at major public health plans concede that economic factors may be working against them. >>>


Editor's Picks

Humana, FL Physicians Group Bundle Radiation Services

Health insurer Humana has contracted with a large Florida-based oncology group in what is believed to be a first-of-its-kind effort to bundle payments for radiation therapy services. Under the plan, doctors will provide a defined set of treatments and procedures for a fixed price. >>>

Cigna Plans Aggressive Expansion for ACO-like Program

The insurer has fashioned the original accountable care organization concept into what it calls a collaborative accountable care model, an insurer-physician partnership that provides coordinated care with the aim of improving quality and containing healthcare costs. >>>

States May Drop Medicaid Expansion, CMS Says

States that expand their Medicaid programs may choose to drop the expansion later, the Centers for Medicare & Medicaid Services has announced. But details remain unclear, says the National Association of Medicaid Directors. >>>

High Insurance Costs Linked to Abundance of Complex Choices

While executives at small companies might believe their escalating insurance costs are attributable to pre-existing conditions and bad lifestyle choices by their employees, award-winning research shows that is only part of the problem. >>>

Rural Healthcare Eyes MA Reforms

Healthcare policy analysts are working to gauge the effects of a Massachusetts law meant to contain healthcare costs. It already appears that rural healthcare providers in the New England state stand to benefit specifically in at least a couple of areas. >>>

LIVE Webcast

Going Mobile—Defining Strategy and Establishing Metrics

Date: August 28, 2012, 1:00–2:30 p.m. ET

Mobile solutions provide new ways to serve patients, improve efficiency, and deliver greater value. Discover how Swedish Medical Center, St. Elizabeth Healthcare, and Mercy Health have built mobile strategies that advance their business goals and how you can too. Get proven strategies from industry leaders in a new interview-driven format, expanded Q&A, online forum, takeaway presentation, and 60-day post-event on-demand access. >>>

News Headlines

Giant hospital chain creates a windfall for private equity

The New York Times, August 15, 2012

Obama pushes for state help on health exchanges

Chicago Tribune / Reuters, August 15, 2012

Horizon, Optimus join forces on NJ accountable-care organization

NJBiz, August 15, 2012

Hospitals treating poor hardest hit by readmissions penalties

Kaiser Health News, August 15, 2012

Medicare to penalize 2,211 hospitals for excess readmissions

Kaiser Health News, August 14, 2012

Maryland: Ready, or not, for Obamacare

Bloomberg BusinessWeek, August 14, 2012

MA moves forward with statewide health information exchange

RadioBoston / WBUR, August 14, 2012

Assurant cited most by U.S. for health premium increases

Bloomberg News, August 10, 2012

Medicare overspending on anemia drug

Washington Post, August 10, 2012

Whistleblower lawsuit alleges Florida Hospital filed millions in false claims

Orlando Sentinel, August 9, 2012

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Rounds: Sustainable Patient-Centered Excellence—Lessons From Sharp HealthCare

Date: Sept. 5, 2012, 9:00–12:00 p.m. PT

Sharp HealthCare leaders reveal the secrets that have enabled them to turn their patient-centered care initiative into a sustainable program that's ingrained in the culture, improves outcomes, and grows stronger over time. By combining their Sharp Experience performance improvement initiative with the Planetree Patient-Centered Care Model, they have built an organization of sustainable patient-centered excellence like no other. >>>

From HealthLeaders Magazine


Trying to Win Over Patients

Providing top-notch care is no longer enough. Healthcare leaders must now deliver a high-level patient experience or face the financial repercussions. >>>


Overcoming Interventional Radiology Turf Wars


When Data Makes You Look Bad

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