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  May 16, 2014 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Former CMS Chief: 'Oversubsidized' PPACA is 'Asking for Trouble'

Philip Betbeze

Tom Scully, a former administrator of the Centers for Medicare & Medicaid Services is no fan of the healthcare reform law, but has found one thing to like about it: "It draws incentives away from volume-based reimbursement to quality-based because the government has its money at risk." >>>


Editor's Picks

Highmark Execs Detail ACO Transformation

Highmark, the Pennsylvania-based integrated healthcare network, seeks to use ACOs and primary care medical homes to transform the way it does business. >>>

Medicare Pays Billions for Wasteful Care

Developing a measure to define overuse was difficult, but researchers found a way to quantify 26 types of unnecessary medical procedures administered to Medicare beneficiaries and tallied the cost. >>>

Athenahealth CEO: Hospital Leaders Should Attack Status Quo

HIT leader and now author, Jonathan Bush, doesn't mince words. Hospital chiefs are almost all "facing in exactly the wrong direction," he says, when they should be in "assault mode" against "that which is bigger and more sclerotic" than themselves. >>>

QIOs Prep for Big Changes

By revamping its Quality Improvement Organization program, the Centers for Medicare & Medicaid Services will put an end to a fundamental flaw in the old structure, which exposed contractors to accusations of conflict of interest. >>>

New Entrants Grabbing Slice of Changing Healthcare Market

At least $42 billion of the $2.8 trillion US healthcare industry is up for grabs as new market entrants from Walmart to technology start-ups seek a slice of the pie, according to a new study. >>>

How Obamacare May Boost ED Profits

With more people able to purchase health insurance under the healthcare reform law, a Health Affairs study projects that hospital emergency departments could generate an additional 4.4% in profits in the coming years. >>>

Mercy's Mega Vision for Telemedicine

From its virtual care center now under construction, the Missouri-based healthcare system says it will be able to extend telehealth services to patients across the entirety of its 42-hospital system 24/7 through audio, video, and data connections. >>>

Hospital Mergers and Acquisitions Declined in 2013

The purchase of Health Management Associates by Community Health Systems for $7.6 billion and the sale of Vanguard Health Systems to Tenet Healthcare for $4.3 billion were healthcare's two largest deals last year. >>>

Intelligence Report

Intelligence Report: The ED Fix—Triage, Coordination, and Navigation

Based on a recent survey, 54% of healthcare leaders are reducing avoidable ED visits via primary care coordination. This report uncovers emerging best practices in care team composition and patient flow to improve ED throughput and patient satisfaction. Free Download >>>

News Headlines

Meet the docs who charge Medicare top dollar for office visits

ProPublica, May 16, 2014

Obama administration approves cost control strategy for health procedures / Associated Press, May 16, 2014

AMA challenges accuracy of Medicare data dump

CNBC, May 16, 2014

Insurers to publish healthcare prices online

The Hill, May 15, 2014

6 reasons Obamacare premiums are going up next year

VOX, May 15, 2014

Lung cancer screening could cost Medicare billions

Star Tribune / Associated Press, May 15, 2014

A look at allegations of cover-ups at VA hospitals

ABC News / Associated Press, May 15, 2014

Medicaid rolls grow in states resisting health law

The Washington Post / Associated Press, May 14, 2014

One health insurer wants to cut rates 6.8%. Another wants to hike them 26%. What gives?

The Washington Post, May 14, 2014

University Hospitals CEO reports solid financial results in annual address

The Plain Dealer, May 14, 2014

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Roundtable: The Imperative of Alignment

Executives and physician leaders need one another to counter declining reimbursements and the other challenges facing the industry. HealthLeaders Media recently joined with five executives for an in-depth, three-hour conversation on governance, compensation, culture change, and accountability. Free Download >>>

From HealthLeaders Magazine

Presidents, CEOs, and the New Leadership Model

Some hospital CEOs, used to captaining their own ship, are finding that healthcare reform means there are fewer opportunities to run things as they see fit. Maybe that's a good thing. >>>


Transitions of Care Go Digital


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