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Modern Healthcare Magazine Table of Contents


Top Stories

Adventures in reimbursement

Rebecca Vesely
July 27, 2009
Is Massachusetts taking a giant step into the future, or traveling back in time?
... FULL STORY

Let's get rational

David May
July 27, 2009
It was a brief news item just a couple of weeks ago, reporting projections for the annual increase in the cost of HMO premiums in 2010. It looks like another year and another likely double-digit increase for those health plans, this time 12%.
... FULL STORY

Still packing their bags

Shawn Rhea
July 27, 2009
When stories about medical tourism began making news roughly a decade ago, most of the coverage focused on wealthy patients who sought cosmetic procedures and experimental treatments outside of the U.S. But as healthcare costs and the number of Americans without medical insurance have skyrocketed,...
... FULL STORY

Late News

Late News: N.J. official: Horizon can offer plan that limits benefits

July 27, 2009
A New Jersey official ruled that Horizon Blue Cross and Blue Shield of New Jersey can go ahead and offer companies with fewer than 50 employees a health plan that limits benefits at out-of-network ambulatory surgery centers up to $2,000 a year. An organization representing ASCs, orthopedic surgeons...
... FULL STORY

Late News: St. Joseph strikes tentative deal in Md. to settle investigation

July 27, 2009
St. Joseph Medical Center, Towson, Md., part of 60-hospital Catholic Health Initiatives, struck a tentative deal with federal prosecutors to settle a yearlong investigation into the provider’s financial relationship with the physicians group MidAtlantic Cardiovascular Associates. Hospital...
... FULL STORY

Late News: Three insurers file protest with GAO on Tricare contracts

July 27, 2009
Three major insurers filed protests with the Government Accountability Office after Tricare awarded new lucrative military healthcare benefits contracts to competitors. Humana, Health Net and UnitedHealth Group filed protests with the GAO over the managed-care contract awards, announced on July 13.
... FULL STORY

Late News: Conn. Legislature overrides Rell's veto on public health plan board

July 27, 2009
Connecticut’s Legislature overrode Gov. Jodi Rell’s veto of a bill that charges a newly created board with devising a public health plan to expand health insurance coverage. Rell argued the legislation would cost at least $1 billion and “represents a comprehensive takeover of...
... FULL STORY

Late News: Bluford named AHA's chair-elect, will take over in January 2010

July 27, 2009
John Bluford III, president and CEO of two-hospital Truman Medical Centers, Kansas City, Mo., will become the chairman-elect of the American Hospital Association Board of Trustees in January 2010. Bluford, 60, would then become board chairman in 2011. AHA trustees elected him as its next future...
... FULL STORY

Late News: St. Joseph strikes tentative deal in Md. to settle investigation

July 26, 2009
St. Joseph Medical Center, Towson, Md., part of 60-hospital Catholic Health Initiatives, struck a tentative deal with federal prosecutors to settle a yearlong investigation into the provider's financial relationship with the physicians group MidAtlantic Cardiovascular Associates. Hospital officials...
... FULL STORY

Cover Story

Adventures in reimbursement

Rebecca Vesely
July 27, 2009
Is Massachusetts taking a giant step into the future, or traveling back in time?
... FULL STORY

Carilion’s new pay way

Melanie Evans
July 27, 2009
One experiment to revamp how hospitals and doctors are paid has won converts at the Carilion Clinic, where executives are negotiating with insurers to boost quality and curb costs for a share of the savings.
... FULL STORY

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The Week in Healthcare

Taking a break

Matthew DoBias
July 27, 2009
Public optimism belied private tumult last week as an all-consuming effort to reshape the healthcare system was rocked by infighting, outside pressure and a looming deadline that all but ensures Congress and the White House will spend the rest of the year trying to make good on this singular...
... FULL STORY

In a holding pattern

Joseph Conn
July 27, 2009
The Veterans Affairs Department has put on hold 45 information technology projects, most of them involving software applications for healthcare, while it subjects the projects to internal review and the strictures of a new project-management scheme.
... FULL STORY

Coalition: Not so fast ...

Andis Robeznieks
July 27, 2009
The American Medical Association is facing fierce and vocal opposition from several medical societies over its endorsement of the Affordable Health Choices Act, while others are taking more nuanced approaches.
... FULL STORY

... as AMA defends support for bill

Jennifer Lubell
July 27, 2009
Some are wondering if the American Medical Association is selling out patients and physicians alike in endorsing comprehensive healthcare legislation that contains provisions to crack down on physician-owned hospitals.
... FULL STORY

Calif. hospital gets the boot

Rebecca Vesely
July 27, 2009
For only the second time in the past five years, a California hospital has lost its CMS contract for what the government says are serious and repeated deficiencies. The action triggers the loss of about $150 million in Medicare and Medicaid funding for Anaheim General Hospital.
... FULL STORY

Medical Capital on hot seat

Melanie Evans
July 27, 2009
Medical Capital Holdings, Tustin, Calif., landed briefly under control of a receiver last week before a federal judge reversed his order in a lawsuit charging the healthcare receivables finance and investment company with fraud.
... FULL STORY

Too much to bear

Jean DerGurahian
July 27, 2009
The growth in the cost of healthcare impacts the economic performance of U.S. industries that typically shoulder employer-sponsored insurance, according to a RAND Corp. study.
... FULL STORY

Big Pharma, big dealing

Vince Galloro
July 27, 2009
Healthcare services executives could be excused for wondering if their counterparts in pharmaceuticals are unaware that there’s a recession.
... FULL STORY

AHRMM faces cost challenges

Shawn Rhea
July 27, 2009
It was hardly a new message when presenters at the 2009 Association for Healthcare Resource & Materials Management conference made it clear that controlling physician preference purchasing has become an even more urgent goal for supply-chain managers, given dismal operating margins and healthcare...
... FULL STORY

A Texas-size mess

Gregg Blesch and Andis Robeznieks
July 27, 2009
Two rural Texas nurses face criminal charges for anonymously sending a letter to the state medical board reporting their concerns about a physician’s prescribing practices.
... FULL STORY

Budget boosters

By Joseph Conn
July 27, 2009
The healthcare industry can save billions of dollars a year without government oversight or financial inducement just by doing what other industries already do to cut costs, according to a report by the Healthcare Administrative Simplification Coalition.
... FULL STORY

Regular Feature

No building boom here

Jennifer Lubell
July 27, 2009
Forrest General Hospital in Hattiesburg, Miss., is feeling the impact of a state psychiatric hospital's decision to downsize its bed count. Mississippi State Hospital, located about 90 miles away in Whitfield, “has been discharging more patients from the state system. This has led to more...
... FULL STORY

Special Report

Still packing their bags

Shawn Rhea
July 27, 2009
When stories about medical tourism began making news roughly a decade ago, most of the coverage focused on wealthy patients who sought cosmetic procedures and experimental treatments outside of the U.S. But as healthcare costs and the number of Americans without medical insurance have skyrocketed,...
... FULL STORY

Editorial

Let's get rational

David May
July 27, 2009
It was a brief news item just a couple of weeks ago, reporting projections for the annual increase in the cost of HMO premiums in 2010. It looks like another year and another likely double-digit increase for those health plans, this time 12%.
... FULL STORY

Letters

Readers discuss nurses and ... their hair?

July 27, 2009
As a longtime nurse, quality professional and with oversight responsibilities for implementation of the Joint Commission goals on reducing healthcare-acquired infections, what were you thinking?
... FULL STORY

By the Numbers

Most frequently billed Medicare DRGs

July 27, 2009
A list of healthcare's most frequently billed Medicare DRGs, ranked by 2008 Medicare patient discharges. Source: Thomson Reuters. Published July 27, 2009.
... FULL STORY

Outliers

Outliers: Flickr gets assist in ‘Gage-ing' this photo's historical value

July 27, 2009
A face has been put to a legendary name found ubiquitously in medical textbooks. No, it's not Hippocrates, but Phineas Gage, the foreman of a railroad construction crew who had the misfortune of having a 3-foot, 7-inch, 13¼-pound iron rod shot through his head after an accidental explosion on Sept.
... FULL STORY

Outliers: Once upon a time …

July 27, 2009
To get their points across, authors of healthcare-journal reports use surveys, data analysis and footnotes—lots and lots of footnotes. Language can be tortured and twisted in order to explain why a 3% swing on one issue may be meaningful, while 5% is “statistically insignificant”...
... FULL STORY

 
This Week's Issue
 
November 16, 2009