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  July 17, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

5 Commercial ACO Tricks of the Trade

Margaret Dick Tocknell

Commercial accountable care organizations make strange bedfellows out of payers and providers. Accustomed to hardball contracting negotiations, payers and providers find the transition from adversary to partner an uneasy one. These tips can help. >>>


Editor's Picks

U.S. News & World Report Names Top Hospitals

The most well-known of a series of hospital rankings is a powerful marketing tool, but one observer says he is troubled that none of the various "rating schemes" use state and federal inspection data in their evaluations. >>>

9 Pioneer ACOs to Leave Program

Seven of the nine participants in CMS's pilot program for accountable care organizations are applying to transition to the Medicare Shared Savings Program, while two are abandoning the program completely. >>>

Plus ACO Could Remain a Pioneer ACO

Plus ACO, a partnership between Texas Health Resources and North Texas Specialty Physicians, has plans to leave the Pioneer ACO program by mid-August, but the two organizations say they are open to "remaining in the [Pioneer] ACO program if we can find an economically viable way to do so." >>>

Health Economist Blasts Wellness Programs

Disease management expert and author Al Lewis lays out his case against health-contingent wellness programs: The concept of health risk assessments "is advice opposite of what doctors tell you to do. The arithmetic can't save money. Every vendor who reports savings lies." >>>

Winners and Losers in Proposed Medicare Doc Pay

Some of the biggest cuts are aimed at independent testing laboratories, which see 26% of their fees slashed, followed by radiation therapy centers, which may lose 13% under CMS's "particularly complicated," proposed changes. >>>

House Committee Spars Over Employer Mandate

Members of the House Ways and Means Committee Subcommittee on Health and witnesses spent more than two hours Tuesday debating the value of the employer mandate and the potential impact of its delay, at times testily. >>>

SGR Repeal Effort to Resume in House

A house subcommittee will have another chance next week to amend a draft proposal to kill the sustainable growth rate formula. Without a "doc fix" in place, physicians who treat Medicare patients will face a 24.4% cut in reimbursement rates in 2014. >>>

Intelligence Report

Intelligence Report: Service Line Optimization—Strategies to Drive Value Along the Care Continuum

Do your service lines support the strategic shift to a continuum of care? Find out why 61% of healthcare leaders report physician alignment as the No. 1 challenge to service line success, and what strategies they are employing to drive value along the continuum of care. Purchase Today >>>

News Headlines

Health law's rule delay could hamper enforcement

Milwaukee Journal Sentinel / Associated Press, July 17, 2013

VT rebuts US House panel on health exchange

The Miami Herald / Associated Press, July 17, 2013

MN health plans pile up big reserves

Star Tribune, July 17, 2013

MI insurer could cut ties to 2 hospital systems

News & Observer / Associated Press, July 17, 2013

2 hospital networks agree to merge, raising specter of costlier care

The New York Times, July 17, 2013

Few Medicaid docs have seen 2013 pay raise

The Washington Post / Kaiser Health News, July 16, 2013

US community health centers eye Obamacare's newly insured

Reuters, July 16, 2013

Obama's employer healthcare delay may goose exchange enrollment

Bloomberg, July 16, 2013

Opinion: To implement Obamacare, look to Bush's Medicare reform

The Washington Post, July 16, 2013

States' refusal to expand Medicaid complicates healthcare for many uninsured

American Public Media Marketplace, July 15, 2013

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HealthLeaders Media Live from Sharp Memorial Hospital: Emergency Department Throughput Redesign

Date: August 20, 2013, 12:00-3:00 p.m. ET

The leadership team of Sharp Memorial Hospital shows how to improve ED throughput and satisfaction at no extra cost using Lean techniques, bedside triage, and "pod and huddle" teams. Don't miss out on this interactive presentation. Attend live or virtually. Register Today Download the FREE Case Study >>>

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


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