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Anthem, LA providers creating HMO to compete with Kaiser
By Melanie Evans | September 20, 2014 | Print Magazine Print Magazine Subscription Details
An unusual joint venture between Anthem Blue Cross and seven competing Los Angeles-area hospital systems to offer employers a low-priced HMO plan underscores the eagerness of insurers and providers to try novel and risky strategies to survive in the rapidly changing healthcare marketplace.
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Magazine
Wake Forest, WakeMed, Vidant form non-ownership alliance
By Beth Kutscher | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Three health systems in North Carolina have formed a non-ownership alliance that will allow them to share back-office functions while still maintaining their independence.
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Magazine
Transplant providers dispute changes to allocating donated livers
By Sabriya Rice | September 20, 2014 | Print Magazine Print Magazine Subscription Details
The nation's liver transplant community is sharply divided over a proposed plan to revamp the way donated livers are allocated to patients with end-stage liver disease, even though most experts agree that reforms are needed to address significant geographic disparities in patient waiting times.
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Magazine
Medical liability carriers feel effects of reform sea change
By Andis Robeznieks and Michael Sandler | September 20, 2014 | Print Magazine Print Magazine Subscription Details
The nation's largest medical liability carriers are selling less insurance and collecting less premium revenue because of provider consolidation, more self-insurance, a highly competitive market and a decline in claims frequency, experts say.
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Magazine
Medicaid cost-sharing seen as deterring enrollment
By Virgil Dickson | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Eager to get Republican-led states to expand Medicaid, the Obama administration seems increasingly willing to allow them to impose new premiums and cost-sharing on very low-income adults.
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Magazine
ACOs, other delivery reforms shift job roles at hospitals
By Melanie Evans | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Hospitals' need to cut costs and coordinate care is driving health systems to give clinical and clerical workers greater responsibility for direct patient services, freeing up more-credentialed professionals for work only they are qualified to do.
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Magazine
Legislation requires hospice inspection every three years, and other briefs
By Modern Healthcare | September 20, 2014 | Print Magazine Print Magazine Subscription Details
Legislation that requires hospice facilities to be inspected at least every three years cleared the U.S. House of Representatives and the Senate last week.
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Magazine
Fairview's exit from Minn. exchange expected to shake up market
By Modern Healthcare | September 20, 2014 | Print Magazine Print Magazine Subscription Details
In a surprising move that will shake up Minnesota's state-run Obamacare exchange, PreferredOne, a large provider-run health plan affiliated with Fairview Health Services, will drop out of the MNsure exchange for 2015, company and state officials announced last week.
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Magazine
Back to the future in La La Land
By Merrill Goozner, Editor | September 20, 2014 | Print Magazine Print Magazine Subscription Details
A new joint venture linking California's second-largest insurer and seven major providers in a defined network that will compete directly with Kaiser Permanente throughout greater Tinseltown represents a major milepost in the nation's movement toward healthcare network competition and value-based care.
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Magazine
Healthcare leaders tackle global warming at summit
By Bob Herman | September 20, 2014 | Print Magazine Print Magazine Subscription Details
The healthcare industry is adding its voice to the call for governments and businesses to mobilize and halt the warming of the Earth's climate.
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