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Too many treading water in movement to value-based care

Too many treading water in movement to value-based care

By Kevin Lofton  |  May 16, 2015

Few things are constant these days in the ever-changing world of healthcare, but there's one incontestable certainty in the mind of every leader responsible for plotting the strategic direction of a hospital or health system: Value-based payment is here—and it's here to stay.

The Top 25 Women in Healthcare: Gender diversity a work in progress

The Top 25 Women in Healthcare: Gender diversity a work in progress

By Melanie Evans  |  April 25, 2015

For women who aspire to healthcare's executive-level roles, advanced education and the willingness to take risks may not be enough. Surveys of corporate leadership and healthcare management point to a continued, though narrowing, disparity of women to men in leadership roles.

Administration bears down on states to expand Medicaid

Administration bears down on states to expand Medicaid

By Virgil Dickson  |  April 25, 2015

Healthcare providers have mixed responses to the administration's aggressive linkage of uncompensated-care funding to Medicaid expansion. Hospital leaders in Florida, Kansas, Tennessee and Texas strongly support Medicaid expansion but don't want to risk losing the money.

ICD-10 survey finds delay may have been 'self-perpetuating'

By Joseph Conn  |  April 08, 2015

The healthcare industry is being haunted by past delays in its preparations for the planned conversion this fall to ICD-10 diagnostic and procedure codes, according to the Workgroup for Electronic Data Interchange.

Two ways to make ACOs work better

By Dr. Elliott Fisher, Judd Gregg and Dr. James Weinstein  |  March 28, 2015

New payment models adopted by Medicare and many health plans have clearly led to better care for patients. They also might be helping to slow the overall growth of healthcare spending.

Hopes run high for passing doc fix when Senate returns in April

By Paul Demko  |  March 28, 2015

The fix isn't in yet, but it's close. The Senate adjourned for its spring break Friday without taking action on legislation permanently repealing and replacing Medicare's sustainable growth-rate physician-payment formula.

Will new Medicare ACO model enable providers to truly manage care?

By Bob Herman and Melanie Evans  |  March 14, 2015

Medicare's new “Next Generation” accountable care organization program has raised hopes among many healthcare providers that the Obama administration is listening to them as it pushes ahead toward value-based payment models.

Medicare accountable care a 'learning effort': Burwell

By Melanie Evans  |  March 12, 2015

New York's Montefiore Medical Center, the most financially successful of Medicare's most sophisticated accountable care organizations, may bypass what HHS officials are calling the next generation of the evolving payment model.

Actuaries want rates revised if subsidies end

Actuaries want rates revised if subsidies end

By Bob Herman  |  February 28, 2015

Actuaries are pressing HHS to allow health insurers to revise their rates for 2016 coverage if the U.S. Supreme Court invalidates the Affordable Care Act's premium subsidies in federal exchanges.

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