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Top 4 Payer Priorities for 2016




Health Leaders Media


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  December 16, 2015 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Top 4 Payer Priorities for 2016

Rene Letourneau, Senior Editor for HealthLeaders Media

A new payer survey offers insights for providers as both deal with a common challenge: technology. >>>

 

Editor’s Picks

FTC Rejects Another Health System M&A

The Federal Trade Commission’s administrative complaint says the merger would create a dominant provider of general acute care inpatient services sold to commercial health plans in a four-county region of south-central Pennsylvania. >>>

How Postacute Care is Evolving

With shared interests in reducing readmission rates and associated Medicare payment penalties, hospitals and skilled nursing facilities are in the vanguard of an evolutionary movement. >>>

Physicians’ Group Launches Ortho Bundling

Hospitals are usually the episode initiators for bundling, but a physician group in Durham, North Carolina, has developed a commercial bundle of orthopedic services. >>>

Ghost of Capitation Past Haunts Providers in Shift to Value-Based Care

The formation of value-base payment models is the latest front in an ongoing struggle over whether to risk-adjust healthcare service reimbursement for socio-economic status. >>>

Sarbanes Refloats Primary Care Physician Reentry Act

Participating doctors would be retrained and credentialed to serve as primary care physicians at VA medical centers, community health centers, and school-based health centers. >>>

Audit Finds Flaws in Information Systems of Three Medi-Cal Plans

The report from the Office of Inspector General did not disclose the names of the health plans for security reasons, but outlined 74 flaws and vulnerable areas in their information systems that need to be addressed, including data stored on flash drives and other devices that were not encrypted. >>>

Slideshow:
Intelligence Report: The Outpatient Opportunity—Expanding Access, Relationships and Revenue

Healthcare providers’ shift of focus from acute to ambulatory care is a learning process. Today, we are still learning about the best ways to respond to the new legislative, commercial, and consumer demands. >>>

Intelligence Report

Intelligence Report: The Outpatient Opportunity—Expanding Access, Relationships, and Revenue

In this HealthLeaders Media research report, the reasons behind ambulatory and outpatient care expansion may originate from different strategic points of view, but the tactics and objectives have much in common.
Order Today >>>


News Headlines

Obamacare sign-up deadline extended amid record demand

The Hill, December 16, 2015

Obamacare sign-ups could get a bump as higher penalties kick in

NPR, December 16, 2015

Healthcare costs more in cities with fewer hospitals

Time, December 16, 2015

Advocates allege discrimination in CA’s Medi-Cal program

Kaiser Health News, December 16, 2015

An unprecedented look at medical costs nationwide

Marketplace, December 15, 2015

What’s happening to Obamacare’s PPOs?

Slate, December 15, 2015

This is how the 1% do hospitals

The New York Post, December 14, 2015

Three CEOs at Big 4 Indy hospitals see pay cut or little increase from 2012 to 2014

The Indianapolis Star, December 14, 2015

San Jose: Hospital nurse had tuberculosis; hundreds of babies, moms need treatment or tests

San Jose Mercury News, December 14, 2015

Medicare penalizes 758 hospitals for safety incidents

Kaiser Health News, December 11, 2015

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Our award-winning Daily News & Analysis e-newsletter can keep your leadership team abreast of relevant breaking news, and with in-depth industry coverage through 10 weekly e-newsletters that hit every pillar of healthcare, we’ve got your whole leadership team covered. Subscribe to any — or all — of our e-newsletters.

Multimedia/Events

HealthLeaders Media LIVE at NCH Healthcare System: Population Health

Date: February 23, 2016 | 11:00–2:00PM ET
In this live e-conference, discover how NCH Healthcare System has expanded their population health program with a multi-layered strategic plan.
Register Today >>>

From HealthLeaders Magazine

Big Ideas

What big ideas have you enacted? What big opportunities await your organization? >>>

 

Ups and Downs of High Volume

 

Remaking the Board

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