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Health Reform

Millions of Americans Could Lose ACA Subsidies

July 21, 2014 by Linda Ringquist

ACA in danger?

Yet another provision of the ACA, this one concerning ACA subsidies, is under scrutiny, and this one could change health insurance as we know it. A case which has become the topic of discussion as of late is Halbig v. Burwell. This is one of four currently flowing through the appeals process, with similar emphasis and focus.[read more]

We Need to Measure What Counts, Not What We're Paid to Count

July 16, 2014 by Zal Press


A couple of weeks ago I attended the SOCAP Health Conference held at the New York Academy of Medicine in NYC. It took me some time to comprehend that the focus was on health, not healthcare. This led to some extraordinary discussion and many compelling comments.[read more]

CMS to Begin Implementing Payment Penalties Tied to Patient Outcomes

July 16, 2014 by Michael Douglas

penalties / shutterstock

Currently, approximately 13 percent of hospital admissions — according to the feds — ultimately contract an iatrogenic infection. The problem many teaching hospitals have with making inroads into this number has more to do with the population that is served than with simply identifying the source of these infections.[read more]

Healthcare Progress Depends On "E Interventions"

July 10, 2014 by Tim Kilpatrick

What are “E Interventions”? These patient interventions don’t qualify for Medicare Part A (hospital), Part B (physician), Part C (health plan) or Part D (medicines) reimbursement. Yet “E Interventions” can significantly improve patient outcomes and reduce cost, as two innovative programs are demonstrating.[read more]

Top 8 ACA Delays: Blatantly Illegal or Temporary Courses of Action?

July 7, 2014 by Linda Ringquist

ACA delays

The Affordable Care Act was enacted in 2010 with provisions becoming effective over several years, many of which have been delayed. Taking that into account, is the ACA really what we bargained for? Should the President have the authority to delay ACA provisions at his discretion or is it his duty to uphold the law as written?[read more]

Keeping Patients in the Dark

July 6, 2014 by Casey Quinlan

The medical-industrial complex has, for eons, kept its customers (commonly called “patients”) in the dark pretty consistently. For a very long time, that was facilitated by a lack of access to scientific knowledge for the common human, but that started to shift in the 19th and 20th centuries, as public education rose across most of the globe.[read more]

Unintended Consequences: How HIEs Force Patients to Quit Their PCPs

July 3, 2014 by Kathy Nieder

HIEs say no / shutterstock

Last week, a patient who has seen me for more than 20 years called for an appointment. She signed up for one of the new HIE insurance plans but we are not a provider on that plan. She was willing to pay cash to see me but this is unacceptable under Kentucky rules and considered “insurance fraud.”[read more]

Former Chicago Bear Contributing Voice to Concussion Policy Change

July 1, 2014 by Nicole Fisher

Minnesota Governor Mark Dayton

In light of the growing body of research and awareness around concussions and traumatic brain injuries in the sports and military arenas – especially as they potentially influence depression, early-onset dementia and long-term memory loss – policymakers are now joining forces with academics and athletes to change how we protect individuals.[read more]

Millennials: Obamacare Costs Less Than Your Cell Phone Bill

June 30, 2014 by Abby Norman

Thanks, Obamacare!

New data released this week from the Department of Health and Human Services reports that new Obamacare customers are paying, on average, about $82 in monthly premiums for their coverage. For many, that’s less than many of their utility bills, such as internet, cable and smartphones.[read more]

The Penalty Box: CMS's 3 Ways to Ding Hospitals

June 28, 2014 by Linda Ringquist

Penalty box for hospitals

Are you one of many hospitals being dinged with CMS penalties? Are you ready to be dinged for Hospital Acquired Conditions, in addition to readmissions and value-based purchasing? How can a hospital remain profitable? Here are some details about the penalties.[read more]

The Top 5 Mistakes Hospitals with High Readmission Rates Are Making

June 27, 2014 by Abby Norman

readmission frustrations

Hospitals nationwide are being penalized for high readmission rates, but what do they have in common? How can your hospital avoid or lower your readmissions and escape CMS penalties? Here are the top 5 mistakes made by hospitals who top the CMS’s naughty list.[read more]

"Orange Is the New Black": What Prisoners and Patients Have in Common

June 25, 2014 by Dorothy Wetzel

While binge-watching the second season of “Orange Is the New Black,” I was reminded of an important parallel between patients and prisoners. Both are victims of a “third-party decider economy” where “the person selecting a product or service is not the person who will actually use it.”[read more]