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Magazine
Redesigning healthcare | New delivery initiatives include ACOs, walk-in clinics, medical homes
By Rich Daly | March 23, 2013 | Print Magazine Print Magazine Subscription Details
Healthcare innovation doesn't happen overnight, or even within three years. Read about the Top 5 innovations happening in healthcare delivery right now.
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Magazine
Cutting out the middleman | Systems buying and developing insurance plans
By Melanie Evans | March 23, 2013 | Print Magazine Print Magazine Subscription Details
One of the nation's largest not-for-profit hospital operators is building its own insurance arm to sell health plans directly to employers.
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Magazine
Medicaid's role in preventing crime | Expansion will help mentally ill offenders, but barriers to care will persist
By Harold Pollack | March 23, 2013 | Print Magazine Print Magazine Subscription Details
Here's another reason for states to expand Medicaid: preventing crime by mentally ill offenders.
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Magazine
Exercising their influence | As policymakers struggle in battle against obesity, providers and insurers are offering their own solutions
By Maureen McKinney and Jessica Zigmond | March 16, 2013 | Print Magazine Print Magazine Subscription Details
Healthcare providers and insurers are moving onto the front lines of the nation's war on obesity as policymakers' efforts flounder.
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Magazine
Countdown to Oct. 1 | Blues chief, CMS wrangle over exchange readiness
By Rich Daly | March 16, 2013 | Print Magazine Print Magazine Subscription Details
An influential doubter poured cold water on the Obama administration's promise that health insurance marketplaces across the U.S. will be open for business in a matter of months, even as officials stand by their word that enrollment will begin in every state Oct. 1.
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Magazine
Long-term tab | As D.C. waits for a new panel to explore how to pay for long-term care, Medicaid is bearing the brunt
By Jessica Zigmond | March 09, 2013 | Print Magazine Print Magazine Subscription Details
As a former investment banker, Henry Purchase was no stranger to paperwork. But even that did not prepare him for the forms and regulations he faced when moving his mother into a nursing home.
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Magazine
Medicaid curveball | Cost-sharing burden tied to exchange-based plan
By Rich Daly | March 09, 2013 | Print Magazine Print Magazine Subscription Details
A growing number of states want to use the coming health insurance exchanges as a means to expand Medicaid coverage, and the approach carries both promise and pitfalls for providers.
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Magazine
Transparency lacking | Despite Sunshine Act rules, policies still an issue
By Jaimy Lee | March 09, 2013 | Print Magazine Print Magazine Subscription Details
Federal authorities and healthcare providers continue to wrestle with conflicts that might taint decisions about which drugs reach patients. Concerns persist even as new federal rules that seek to improve transparency among providers and drug and device manufacturers go into effect.
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Magazine
Under the microscope | Intensity of scrutiny by ZPICs draws provider complaints, attention from feds
By Joe Carlson | February 22, 2013 | Print Magazine Print Magazine Subscription Details
The popular notion in healthcare is that the most aggressive fraud hunters—known as “zone program integrity contractors,” or ZPICs—focus on small players. That idea is wrong.
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Magazine
'Read between the lines' | Obama's address leaves industry guessing on changes to healthcare
By Jessica Zigmond | February 16, 2013 | Print Magazine Print Magazine Subscription Details
President Barack Obama's blink-and-you'll-miss-it mention of healthcare in his State of the Union address left industry leaders to speculate how far the administration will go toward reforming Medicare to reduce the nation's deficit—and which programs will take the hardest hit in the...
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