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The Week in Healthcare news and information

Magazine
The new normal? | Shift to outpatient care, payer pressure hit hospitals
By Beth Kutscher and Melanie Evans | August 10, 2013 | Print Magazine Print Magazine Subscription Details
Three years ago, Henry Ford Health System began to overhaul how its doctors and nurses care for patients outside the Detroit-based system's six hospitals. Now it must face the economic strains of its own success, as fewer patients turn up to fill hospital beds.
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Magazine
Stark threat on Medicaid | Pending case will test whether states can be held liable for providers' violations
By Joe Carlson | August 10, 2013 | Print Magazine Print Magazine Subscription Details
For 20 years, the CMS has not applied the federal ban on physician conflicts of interest known as the Stark law to Medicaid claims. It's focused on Medicare only. But private whistle-blowers have begun pressing for clarity on the issue because a 1993 law applying Stark to Medicaid remains on the...
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Magazine
Paying off | Efforts to lower childhood obesity may be working
By Steven Ross Johnson | August 10, 2013 | Print Magazine Print Magazine Subscription Details
The Educare early childhood center, a Head Start preschool on Chicago's South Side, opened over a decade ago inside crime-ridden Robert Taylor Homes housing project.
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Magazine
Breaking the rules | Insurers fail to meet coverage query requirements
By Joseph Conn | August 10, 2013 | Print Magazine Print Magazine Subscription Details
Many private and public health insurers are violating federal rules for the rapid electronic handling of queries for information about patients' coverage, according to insurance claims transmission experts.
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Magazine
Making the difference | Tavenner tells Women Leaders in Healthcare attendees they can help make reform work
By Beth Kutscher | August 10, 2013 | Print Magazine Print Magazine Subscription Details
With the complicated state health insurance exchanges going live in October, CMS Administrator Marilyn Tavenner has a lot to think about at the end of the day.
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Magazine
Embracing ACOs | Private insurers forge string of provider deals for accountable care
By Melanie Evans | August 10, 2013 | Print Magazine Print Magazine Subscription Details
In a growing number of contracts with providers, private health insurers are embracing accountable care, a payment model that holds hospitals and doctors jointly responsible for controlling costs and improving patient outcomes.
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Magazine
Unions say ACA threatens their jobs and benefits
By Jessica Zigmond | August 03, 2013 | Print Magazine Print Magazine Subscription Details
President Barack Obama has enjoyed strong support from labor unions. But he's now facing the wrath of some labor leaders who argue that the Patient Protection and Affordable Care Act.
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Magazine
Corrections and clarifications
August 03, 2013 | Print Magazine Print Magazine Subscription Details
An article in Modern Healthcare's July 29 edition, “Still seeking best practices,” pullout section, p. S1, incorrectly identified the journal whose proper name is BMC Health Services Research.
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Magazine
Screening debate | Can cancer scans lead to overdiagnosis?
By Steven Ross Johnson | August 03, 2013 | Print Magazine Print Magazine Subscription Details
The decision last week by the U.S. Preventive Services Task Force recommending annual lung cancer screenings for heavy smokers using low-dose computed tomography scans has reignited the controversy among physicians about the trade-off between benefits and risks for a number of cancer-screening...
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Magazine
Penalty loophole | Disclosure a good deal for Stark law violators
By Joe Carlson | August 03, 2013 | Print Magazine Print Magazine Subscription Details
Several years ago, Leake Memorial Hospital, a critical-access facility in rural central Mississippi, was on the verge of closing and was looking for a buyer when its officials discovered that the publicly run hospital was sitting on a time bomb.
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