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Finance

Health Startups: Rockies Venture Club Nurtures Denver's Ecosystem

November 19, 2014 by Jeanne Pinder

Rockies Venture Club

There’s an active health startup ecosystem in the Denver area, where investors are looking at transparency issues, self-tracking devices like the Fitbit, and other ways to build on the big changes in the health care marketplace, I learned at the Colorado Capital Conference held by the Rockies Venture Club in Denver last Wednesday through Friday.[read more]

Medicaid for All?

November 19, 2014 by David E Williams

Medicaid / shutterstock

The Affordable Care Act is injecting billions upon billions of dollars to provide Medicaid to previously uninsured people. More money should help healthcare providers’ finances, not hurt them. So what’s going on? To summarize, Medicaid reimburses for services at only about half the rate of what commercial health plans pay.[read more]

Telemedicine Market Shows Strong Growth Due to Healthcare Changes

November 19, 2014 by David Avitabile

Telemedicine

In a report from global market research company IHS, telemedicine, which is defined as "the use of medical devices and communication technology together to monitor diseases and symptoms," is predicted to grow at a cumulative annual growth rate of more than 56 percent between 2013 and 2018.[read more]

Telemedicine: CY 2015 MPFS Reportage and Dangers of the Echo Chamber

November 17, 2014 by David Harlow

While payment for remote patient monitoring of chronic conditions turned out to be a chimera - at least for now - payment for chronic care management services, previously discussed in the CY 2013 and 2014 MPFS Rules, has been finalized in the CY 2015 MPFS.[read more]

The ABCs of Specialty Pharmacy

November 12, 2014 by Abby Norman

specialty pharmacy

A new study from Medicare was able to shed some light on a rather compelling phenomenon in prescriptions – it looks like now, more than ever, specialty drugs are making the majority of pharmacy costs for patients. They project that by 2018, this very small group of drugs will comprise half of all pharmacy spending.[read more]

CVS: Drugs, Tobacco...and Guns?

November 11, 2014 by David E Williams

photo: Smoking Gun / photopin cc

Caremark, CVS's pharmacy benefit management arm, is offering a tobacco-free pharmacy network, which will penalize members who shop in stores that sell tobacco by dinging them with an extra co-pay. What’s next for CVS? Here’s an idea: add an extra co-pay for stores that sell guns. If nothing else that should bring them some attention![read more]

Impact of Payer Mix Shift on Orthopedic Practice Payments

November 11, 2014 by Andy Salmen

In order to maintain a healthy revenue stream, it is key that your practice has a well-balanced mix of payers. If your revenue stream seems to be sagging it could be that your payer mix has shifted in a negative direction. Here are some things you can do to address that situation.[read more]

Swamped: America's Health Care System Is Drowning in Misery

November 11, 2014 by Christine Kapsa, NP, DNP

Overwhelmed doctors

Value-based care is the insurance industry’s ploy for discounting clinicians’ reimbursement after the care has been given. No one should be surprised that medical students are shunning primary care residencies. How many of us are interested in jobs that don’t reveal the pay until the work is done?[read more]

Family Caregivers: Unsung Heroes of Healthcare in America

November 9, 2014 by Kenneth Thorpe

family caregivers / shutterstock

With another Election Day behind us, let’s take the time to encourage policymakers to do more to relieve burden of chronic diseases on patients, families, communities, and the nation as a whole. We are all touched in some way by costly and deadly chronic conditions: don’t we owe it to these patients AND their caregivers to do better?[read more]

5 Changes Implemented by a Florida Hospital to Improve the ER

November 8, 2014 by Abby Norman

ER

Florida Hospital Tampa realized that emergency room care begins with design. When they realized that the problems stacking up against them were turning into a seemingly endless list, they took a leap of faith, trashed the old ways and redesigned the entire concept of an emergency room.[read more]

Secrets of Population Health Management [INFOGRAPHIC]

November 7, 2014 by Abby Norman

population health management

In the wake of Ebola, healthcare systems worldwide are focusing more than ever on defining – and refining – their population health initiatives. Hospitals that are moving towards population health initiatives now will be far better prepared for the overall shift to accountable care that’s on the horizon.[read more]

Why Is Behavioral Health Integration So Rare?

November 6, 2014 by Abby Norman

behavioral health integration

At a whopping $57 million per year, behavioral health conditions are one of the most costly health conditions in the United States today. But while behavioral health conditions are rampant, they often don’t get as much attention as their more physical counterparts.[read more]