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Five Ways to Lead an ACO to Failure

February 23, 2015 by Andrew Mellin

accountable care / shutterstock

Creating an ACO in a health system or network requires new organizational structures, new IT capabilities and, most importantly, new leadership skills. Learn five mistakes that experienced, successful leaders avoid when developing an ACO.[read more]

Pediatric HCAHPS Model, First of Its Kind

February 19, 2015 by Abby Norman

pediatrics / shutterstock

2009 survey data culled from the initial research into the development of a pediatric HCAHPS assessment showed that 6.4 million children were hospitalized that year, accounting for 17% of total hospital stays. In fiscal terms, that’s $33 billion in healthcare spending; 9% of total care costs.[read more]

2015 Means an Increase in Medicare Penalties for Readmissions

February 17, 2015 by Abby Norman

For the third year in a row, Medicare will be increasing the percent penalty for hospitals who have high readmission rates: up now to 3% in 2015. Despite efforts through the ACA and readmission reductions programs, the rate of readmissions continues to rise.[read more]

Do Health Plans Have a Future?

February 3, 2015 by David E Williams

insurance policies / shutterstock

Not to be cynical, but in the insurance business the best way to make money is to discourage risky people from becoming policyholders and to exclude from coverage anything that a policyholder is likely to file a claim for. In the real world, insurance regulations temper these strategies, but don’t eliminate them completely.[read more]

AstraZeneca Doubles Down on Personalized Medicine

February 3, 2015 by David Avitabile

This week, AstraZeneca made a major announcement about its commitment to personalized medicine. AstraZeneca announced that it had established four research agreements to develop new "genetic scissors" technology that promises to allow the development of more effective and precisely targeted treatments.[read more]

Better, Smarter, Healthier: Medicare and Value Based Purchasing

February 3, 2015 by David Harlow

The big announcement this week from Medicare -- setting forth specific targets for a historic shift away from fee-for-service reimbursement in order to reduce costs and improve quality -- is less than it seems. Medicare has been talking about value based purchasing for decades now, and thus far has taken baby steps towards implementation.[read more]

ICD-10: Where Do We Go From Here?

February 2, 2015 by Andy Salmen

“Out of sight, out of mind” is an adage that should not apply to the upcoming ICD-10 requirements. Physicians who heaved a sigh of relief over the implementation delay should use the time wisely to get ready for the roll-out of the new coding requirements that are due to start October 1st, 2015.[read more]

Finding Information in Healthcare Exchanges

February 2, 2015 by Kenneth Thorpe

Healthcare exchange questions

Do the consumers who are newly enrolled in health insurance plans know exactly what they’re purchasing with their monthly premiums? Can they keep their doctors? If they have a serious illness or incur one, will they have affordable access to the medications they need? Finding the answers to these questions can be incredibly challenging.[read more]

4 Questions to Ask About Bundled Payments

January 31, 2015 by Abby Norman

As an organization, you are ultimately choosing which bundled payment programs to use and you’re asking yourself a few important questions concerning quality, cost effectiveness, and specificity. Before your organization begins to contemplate this payment method, you should ask yourself a few important questions.[read more]

4 Key Signs It's Time to Outsource Your RCM

January 28, 2015 by Andy Salmen

What some people fail to appreciate is that RCM isn’t just about getting the bill out of the door. In fact, billing is just one of the many tasks you need to accomplish before being paid. Here are four key signs that it might time to consider outsourcing the revenue cycle management functions of your practice.[read more]

3 Timely Factoids to Make You a Smarter Marketer

January 28, 2015 by Lonnie Hirsch

marketing data

Keeping pace with a shifting landscape makes it more challenging to market a medical practice. Here are a few important-but-independent observations, factoids and tips that crossed our radar. Consider how each item—maybe all of them—could drive adjustments in your marketing thinking.[read more]

Avoiding Meaningful Use Penalties

January 27, 2015 by Andy Salmen

If you are a Medicare eligible provider, you are undoubtedly aware of the requirements for attesting to meaningful use (MU) of electronic health records (EHR) in your medical practice or hospital. There are consequences for failing to attest to Stage 1, and problems facing those who are now entering Stage 2 of MU.[read more]