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  May 8, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

HIX Competitiveness in Doubt; IPAB Stalled

Jacqueline Fellows

In the news this week: Payers continue to move toward health insurance exchanges with limited enthusiasm. Results of a study examining the effectiveness of health insurance on Medicaid recipients are inconclusive. And IPAB is going nowhere, at least for now. >>>


Editor's Picks

Hospital EDs Seeing Sicker Medicare Patients

The federal government's inpatient admissions guidelines and growing claims denials are heaping pressure on hospitals to treat Medicare patients in the ED rather than admit them. Meantime, the severity of illness is rising, says the American Hospital Association. >>>

AMA Raises Reimbursement Concerns Over EHR Workarounds

Arguing that documenting a full clinical encounter in an electronic health record "can be pure torment," an American Medical Association official describes three time-saving methods physicians have turned to, each of which has the potential for abuse leading to the denial of CMS payments, he says. >>>

Lawmakers Mull SGR Options

Bipartisan consensus for repeal of Medicare's sustainable growth rate appears solid, but there is no clear way forward. The latest meeting between lawmakers and stakeholders gives voice to the wide-ranging concerns of physicians. >>>

ED Cost of Care Greatly Underreported, Researcher Says

A Brown University researcher says the true cost of emergency department care may account for 10% of total healthcare spending, not 2% as a widely accepted federal report claims. >>>

The False Claims Act is Not a Compliance Tool

What a diagnostic imaging company did may not be OK, but it wasn't fraud, a U.S. Circuit Court of Appeals Court has ruled. The decision may be precedent-setting and significant to healthcare providers involved in Medicare contracting. >>>

Deadly CRE Infection Spreading Fast in Hospitals

Arjun Srinivasan, MD, associate director for healthcare-associated infection prevention programs for the CDC, discusses what is known and not known about the "alarming increase" in frequency of carbapenem-resistant enterobacteriaceae in healthcare settings. >>>

4 Strategies for Managing Hospitalists

Hospitalists are among healthcare's fastest growing specialties and increasingly they are playing more of a leadership role. As a result, providers must shift to accommodate a more team-based approach to care. >>>

Technology Tackles the Pressure Ulcer

The number of hospitalizations for pressure ulcers is on the rise, but simple sensor technology has been demonstrated to reduce potential tissue damage to pressure points on torsos and heels between 56 and 63 percent. >>>

LIVE Webcast

Webcast: New Radiology Standards to Reduce Costs, Increase Quality and Improve Outcomes

Date: June 19, 2013, 1:00–2:30 p.m. ET

Join radiology experts from Radisphere and NCH Healthcare System as they examine how standards-based radiology can impact fiscal performance, patient satisfaction and physician referrals. Register Today >>>

News Headlines

Hospital billing varies wildly, government data shows

The New York Times, May 8, 2013

Harkin lifts hold on top healthcare nominee

The Hill, May 8, 2013

HIPAA rules, outdated tech cost U.S. hospitals $8.3B a year

ComputerWorld, May 8, 2013

Battle at Kaiser Permanente is sign of vibrant unions in healthcare

Thomson Reuters, May 7, 2013

'Care guides' show another face of health reform

Star Tribune, May 7, 2013

As healthcare costs slow, IPAB's launch is delayed

The Washington Post, May 6, 2013

Funds to help uninsured choose healthcare options could affect how many get coverage

The Washington Post, May 6, 2013

CMS to delete data on life-threatening mistakes from website

Bloomberg, May 3, 2013

In several states, Medicaid expansion remains in limbo as time runs short

The Washington Post, May 3, 2013

Affordable Care Act poses unintended expense to some

Los Angeles Times, May 3, 2013

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HealthLeaders Media Live From Dean Clinic: Primary Care Redesign

Date: May 21, 2013, 12:00—3:00 p.m. Dean Clinic outlines primary care redesign, shifting from a patient-centered medical home to a team-based care model via Lean processes to improve quality and reduce costs. Register Today

Download free case study >>>

From HealthLeaders Magazine

Grounding the Frequent Fliers

Strategies to curtail the unnecessary use of the emergency department involve efforts that rely on data, care management, and patient involvement. >>>


Improving Surgical Quality


Bridging the Physician-Management Chasm

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