Sharp HealthCare, which formed one of the first Medicare ACOs, combed through lists of seniors for whom its doctors must manage care and costs only to find a number lacked primary-care physicians.
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New estimates on the healthcare law gave hospitals more ammunition in their fight for states to expand their Medicaid programs—and more concerns that they won't get what they bargained for.
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What's holding back the economy? What's troubling Wall Street? What's really ailing America's healthcare system? It's quite simple: There's just too much uncertainty.
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HHS and the U.S. Justice Department have partnered with about a half-dozen health insurers to help prevent fraud and abuse in healthcare billing.
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McKesson Corp., San Francisco, entered into a $151 million, multistate agreement to settle allegations that it overbilled Medicaid for brand-name drugs. New York and California led the national settlement team that investigated charges that the drug distributor reported inflated prices on 1,400...
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Dr. David Blumenthal, the former head of the Office of the National Coordinator for Health Information Technology, will serve as the next president of the Commonwealth Fund. Blumenthal will replace Karen Davis on Jan. 1, 2013, according to a news release from the Commonwealth Fund, a foundation...
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Patients who gained access to insurance as a result of the healthcare reform law passed in Massachusetts still faced cost barriers in their access to care, according to a study. The study, conducted by researchers at Harvard Medical School, looked at 431 patients ages 18 to 64 who received care at...
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New estimates on the healthcare law gave hospitals more ammunition in their fight for states to expand their Medicaid programs—and more concerns that they won't get what they bargained for.
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Hospitals are ramping up efforts to forestall a 2% across-the-board cut to Medicare pay for providers next year, even as some congressional healthcare leaders remain unaware that it's coming.
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Billions of dollars of federal stimulus money and a once-derided program of testing and certification of electronic health records systems have combined to produce a plethora of health IT choices for hospitals and office-based physicians.
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Frustrated lawmakers are seeking to assign blame to the organizations, regulatory policies and business practices that they say have caused or exacerbated drug shortages.
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The number of hospitals signed on to the Healthier Hospitals Initiative has grown to more than 700 from 500 at its launch in April, and powerhouses such as the Cleveland Clinic have joined.
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One year after the launch of a healthcare association-backed campaign targeting the elimination of health disparities, the industry may be entering a prime position to actually begin reducing differences of care between racial, ethnic and other groups after years of limited success.
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Newly updated 30-day readmissions data posted to the CMS' consumer website shines a spotlight on a few higher- and lower-performing hospitals while revealing little progress nationally.
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The cooling economy continued to put a drag on not-for-profit hospitals as spring turned to summer. Between April and June, the sector saw more rating volatility, and Moody's Investors Service downgraded more debt than it upgraded, according to a report released last week.
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I am pleased to announce the appointment of John D. Thomas to the newly created position of chief of editorial operations at Modern Healthcare. David Burda will continue in his role as editor, directing our print and online news operations, producing our weekly issue and daily products, and...
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Nearly $7.1 billion in new drug and device deals are a harbinger of things to come now that dealmakers have more certainty about the future of healthcare reform.
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What Michigan Insurance Commissioner Kevin Clinton has to say about certain Blue Cross and Blue Shield of Michigan provider agreements could end up influencing the outcome of federal antitrust litigation and related civil suits against the insurer.
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Healthcare may have found an unlikely ally in the quest to increase efficiency as HR departments and recruiters discover that social media's sole purpose isn't just to distract workers.
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Sharp HealthCare, which formed one of the first Medicare ACOs, combed through lists of seniors for whom its doctors must manage care and costs only to find a number lacked primary-care physicians.
FULL STORY »
What's holding back the economy? What's troubling Wall Street? What's really ailing America's healthcare system? It's quite simple: There's just too much uncertainty.
FULL STORY »
“Opponents of the health reform law say it will drive up the federal deficit and debt. … There's one problem: Repealing the law will make the federal government's financial situation worse. That little nugget of truth comes this week from the nonpartisan Congressional Budget Office.
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Re: “Supreme Court's decision cuts reform law's 11-year cost by $84 billion, CBO says,” Modern Healthcare.com, July 24: Upon reading this article, my trust in the Congressional Budget Office has fallen further than I thought possible. While the CBO gives big headlines to reductions, it...
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A list of the 50 states that have the highest CEO turnover rate in 2011. Source: American College of Healthcare Executives. Published: July 30, 2012, p. 38.
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The West Health Policy Center, an advocacy organization aimed at lowering the cost of healthcare through new reimbursement and regulatory proposals, hired Michael O'Grady as president. O'Grady, 58, served as assistant secretary for planning and evaluation for HHS from 2003 to 2005. Most...
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For obvious reasons, we here at Outliers have always subscribed to the adage the pen is mightier than the sword, but we believed the saying referred to the power of the written word, not the surprising durability of pens. Consider us impressed, based on a finding published recently in BMJ...
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This time, the “C” doesn't refer to Medicare Part C or Hospital Compare. Instead, it stands for the “satisfactory” grade HHS received recently from the Center for Plain Language on how well the department follows the requirements of the Plain Writing Act, a 2010 law that...
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Here at Outliers, we share in the growing concern that as America's schools are forced to tighten their belts by cutting physical education and health programs, America's students are being forced to loosen their own as a result of the missed instruction and activity.
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“So often you hear, 'Oh well, poor people just shoot each other, and that's why they have higher mortality rates.' In the midst of many claims about what Medicaid does and doesn't do, it actually shows that it cannot only be beneficial for health, but in preventing some of the premature...
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