Editor’s Picks

Stars Rise, Fade in 2016 Medicare Advantage Ratings

When weighted for enrollment, more than 70% of MA-PD enrollees are in contracts with four or more stars, a nearly 11 percentage point in increase from 2015, CMS said. But six health plans that have received fewer than three stars for the past three years face termination by Medicare. >>>

Medicare Shared Savings ACO Trio Shares Keys to Success

The top performers in the Medicare Shared Savings Program are leveraging their experience with population health and their willingness to embrace innovation. >>>

Make a Wholesale Shift to Value

Many health systems create divisions charged with value-based care, but if they are to succeed, the other parts of the organization must also see transformation as part of the overall mission. >>>

Developing Value-Based Payment Models

Industry stakeholders are trying new ways to deliver and pay for care, but the shift to value remains an unfinished journey. >>>

Boost VBP with Financial Incentives For Physicians

The right approach, such as annual bonuses for meeting quality measures, can help reluctant physicians embrace value-based payment models. >>>

Business Roundup: Aria Health, Jefferson Sign Merger LOI

Aria Health CEO and President Kathleen Kinslow says finances are not the driving factor, rather, the deal is about "how can we be effective with population health and moving from volume to value." >>>

Health Policy Experts Fear the Worst With Payer Mergers

Critics say merging four of the five biggest insurers in the nation will kill competition, causing premiums to rise, benefits to narrow, and provider payments to decline. From MedPage Today. >>>

LIVE Webcast

Webcast: Health Systems Success Keys for ICD-10—Physician Alignment, Support and Technology

Date: October 20, 2015, 1:00–2:00 p.m. ET
In this expert webcast, hear from the University of Mississippi Medical Center’s Chief Health Information Officer as he discusses how his organization overcame the obstacles of implementing ICD-10, the experience so far, and what to expect in the months ahead.
Register Today >>>

News Headlines

As US insurers aim to get bigger, hospitals eye health plan entry

Reuters, October 14, 2015

Popular high-deductible plans could be hurting healthcare

The Washington Examiner, October 14, 2015

Who pays hospital bills when patients can’t

The Atlantic, October 14, 2015

Transatlantic divide: How US pays three times more for drugs

Reuters, October 13, 2015

Makeover coming for Healthcare.gov

The New York Times, October 13, 2015

As US insurers aim to get bigger, hospitals eye health plan entry

Reuters, October 13, 2015

Insurance dropouts present a challenge for health law

The New York Times, October 12, 2015

MO files suit to block US from recouping overpayments made to hospitals

St. Louis Post-Dispatch, October 12, 2015

TX doctor accused of raping hospital patient

KSN.com / KTRK, October 12, 2015

CT hospitals may take legal action over Medicaid cuts

Fox CT / Associated Press, October 12, 2015

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