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Hospital Administration

Why Retail Competition for Doctors Is Just Plain Scary

May 22, 2015 by Lonnie Hirsch

During the past five to 10 years, competition among healthcare providers has gone from fairly benign or annoyingly disruptive to a painful upheaval. From hospitals and health systems to solo practitioners, the competitive landscape has changed, and one of the most significant factors that many doctors find especially scary is the staggering ramp-up and value-added sophistication of retail clinics as the platform for health care delivery in the US.[read more]

Call to Action: America's Health Rankings Senior Report

May 20, 2015 by David E Williams

Rankings reports are a great way to spur the public and policymakers to pay attention to important issues. The 2015 America’s Health Rankings Senior Report from the United Health Foundation, released today, is a case in point. I had an opportunity to interview Dr. Reed Tuckson, senior medical advisor to the Foundation, about the report.[read more]

Patient Care: Better Support Is Better Treatment

May 15, 2015 by Alleli Aspili

For most patients, their initial reaction and attitude sets the tone for their road to wellness. Depending on the severity of an illness, patients often get confused about the proper way of getting better. A visit to the doctor’s office is ideal and beneficial in diagnosing these illnesses and learning how to get better or cope.[read more]

Pay Me or Charge Me: How Best to Engage Me

May 11, 2015 by Joseph Kvedar

patient engagement

We are seriously considering how to incentivize patients to adhere to their care plans. This is a topic area where I have some instincts, but which of these tactics might work best? Charge patients to insure skin in the game? Give them medicine and services for free? Pay them to be adherent?[read more]

Five Facts about ICD-10 from CMS

May 10, 2015 by Phil C. Solomon

ICD-10 facts

To help dispel some of the myths surrounding ICD-10, the CMS recently talked with providers to identify common misperceptions about the transition to ICD-10. These five facts address some of the common questions and concerns CMS has heard about ICD-10.[read more]

A Humble Opinion: Book Review

May 3, 2015 by Stephen Schimpff

Dr. Jordan Grumet is a primary care physician in Ohio who tries to assure his patients of a strong relationship, one in which they can build trust. For years he has written a blog entitled “In My Humble Opinion” in which he records his thoughts of events in his practice, in his home life and in his wide ranging mind.[read more]

What Payers Seek from Orthopedic Destination Centers

May 2, 2015 by James Dias

Mark Xistris is Vice President, Business Development & Provider Relations for The Alliance, a not-for-profit member cooperative of more than 240 self-funded employers and insurance trusts. We interviewed him to get a payer’s perspective on orthopedic destination centers of excellence.[read more]

EHR Interoperability: Let's Stop Beating a Dead Drum

April 29, 2015 by Bill Crounse

For the past many years, I’ve been strongly advocating that the best model for electronic health record interoperability is one that is cloud-based and puts the patient/citizen at the center. Having just returned from HIMSS, I must again conclude that the only model that makes sense is exactly what I have been proposing.[read more]

EEOC Regs on Wellness Incentives: Progress, but Many Issues

April 29, 2015 by Michael Dermer

regulations / shutterstock

On April 16, 2015, the Equal Employment Opportunity Commission (“EEOC”) released proposed regulations to guide employers on designing their wellness programs and associated incentives in compliance with the Americans with Disabilities Act (“ADA”). The comment period for the proposed regulations closes June 19, 2015.[read more]

It's Time to Measure Patient Outcomes

April 16, 2015 by Tim Kilpatrick

measuring outcomes / shutterstock

With hospitals, we measure death rates for heart attack patients, timeliness of administering antibiotics and the use of medical imaging. While this is critical information, we have no idea if the patient ever felt better or went back to work.[read more]

Strategies for Payer Negotiation

April 15, 2015 by Abby Norman

When it comes to procuring and maintaining your contracts with payers, there is perhaps no skillset greater to possess than that of the art of payer negotiation. In today’s market, healthcare organizations need to have a very clear understanding of where they stand amid the competition.[read more]

Using "Teach Back" to Decrease Patient Readmissions

April 7, 2015 by Anne Weiler

patient-doctor communication / shutterstock

In a recent course I attended, “Preventing Avoidable Readmissions,” there was a lot of focus on missed messages, whether between healthcare professionals or from healthcare professionals and patients. Some of these messages were missed because of the delivery mechanism. One session in particular focused on a concept called “teach back.”[read more]