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

Insurer's Reimbursement Model Rewards Lower Costs

Rene Letourneau, Senior Editor for HealthLeaders Media

A major payer restructures its provider reimbursement model with an emphasis on the triple aim for individual patients—better quality, better affordability, and a better overall healthcare experience. >>>





Editor's Picks

Pioneer ACOs Seen Defecting to MSSP Program

At least four of the 32 Pioneer ACOs are in the process of notifying their providers that they intend to shift to the Medicare Shared Savings Program, and up to five more could follow. "They've learned that they probably won't be successful, so they want to move into a no-risk environment," says one observer. >>>

Business Roundup: Independent Hospitals Disappearing in OH

University Hospitals announces its intent to acquire one of two of the last independent hospitals in northeast Ohio while consolidation continues in Massachusetts and New York City. >>>

55 Hospitals to Settle False Medicare Claim Charges for $34M

Twenty-three facilities in seven states that are affiliated with the for-profit HCA Inc., six affiliated with Lifepoint, and four with Trinity Health were charged with submitting false claims to Medicare for a procedure to treat spinal fractures. >>>

White House Extends Employer Mandate Deadline

Employers have an additional year—until Jan. 1, 2015—before reporting requirements mandated by the Patient Protection and Affordable Care Act go into effect. The unexpected policy decision comes in response to employer concerns about the complexity of data reporting requirements. >>>

Patient Safety: Pay Now or Pay Later

Some hospitals believe they can't afford investing in assistive technologies that improve patient safety and protect nurses from injury. Can they afford not to? >>>

Damages from Medicaid Politics Won't Stop at Hospitals

Try to imagine the ripple effect of punching a $4 billion hole in the economy of a state whose lawmakers refuse federal Medicaid subsidies. It's not just hospital jobs that will disappear. Ancillary support jobs in healthcare and other businesses will wither, too. >>>

Intelligence Report

2013 CEO Report: Optimism on the Upswing

Although 44% of healthcare CEOs still feel the industry is on the wrong track, more are optimistic about their own organization's performance and prospects as they face the challenges and opportunities of PPACA. This report explores healthcare CEOs' evolving perspectives on these issues, including their strategies for controlling costs, and why partnerships rank among their top three priorities. Download Today >>>

News Headlines

U.S. relaxes health law income, insurance status rule for exchanges

Reuters, July 8, 2013

Businesses at mercy of states, not Obama, in healthcare

CNBC, July 8, 2013

Opinion: Obamacare's employer mandate should be repealed

The Washington Post, July 3, 2013

Owner of closed Chicago hospital blames government for shutdown

The Chicago Tribune, July 3, 2013

Special election set for $830M Jackson Health bond

The Miami Herald, July 3, 2013

American way of birth costliest in the world

The New York Times, July 2, 2013

Why our healthcare lets prices run wild

Time, July 2, 2013

Hospitals spend big on lobbying in Annapolis

The Baltimore Sun, July 2, 2013

Hospital-lab mishaps detailed that cost OSU $1M

The Columbus Dispatch, July 2, 2013

More patients turning to crowd-funding sites to defray medical costs

The Washington Post, July 2, 2013

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Special Report: Counter Reimbursement Reductions With Revenue Cycle Improvements

Though considerable uncertainty still surrounds recent government healthcare reform, executives at Sierra Medical Center and Providence Memorial Hospital are taking a proactive approach to mitigate continued reductions in government payor reimbursements. Free Download >>>

From HealthLeaders Magazine


Making Patients Happy, Even the Poorest and Sickest

Despite some unique challenges, safety-net hospitals are achieving strong satisfaction results by focusing on the patient and quality outcomes. >>>


Reform and the Revenue Cycle


Identifying Solutions to Patient ID

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