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Docs face stark choices under new Medicare pay proposal

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.

Blog: 'Measure madness' consuming healthcare resources

By Sabriya Rice  |  April 22, 2016

The volume of measures that exist, promulgated by lack of alignment and poor coordination, has created an environment of measure madness, “consuming precious resources that could be directed toward meaningful efforts to continuously enhance quality and patient safety,” according to a...

'Turnaround was job one. Now we are moving forward'

'Turnaround was job one. Now we are moving forward'

By Modern Healthcare  |  April 09, 2016

Last fall, Karen Ignagni took over as CEO of EmblemHealth—a financially troubled New York insurer with 3.2 million covered lives—after 22 years at the helm of America's Health Insurance Plans. She recently discussed the challenges she faces in her new position.

HHS to review comments on more flexible privacy rules

By Beth Kutscher  |  April 09, 2016

HHS' Substance Abuse and Mental Health Services Administration is about to begin reviewing comments on its proposed changes that would make it easier to share information about patients in federally funded alcohol or drug abuse treatment programs.

Paying patients for saving money

By Beth Kutscher  |  April 09, 2016

The term “shared savings” usually brings to mind the CMS' accountable care programs and the shared rewards for hospitals that save money over the benchmark costs of care. But a select number of technology companies are bringing the concept of shared rewards directly to consumers,...

Providers praise big changes to ACO cost targets

By Virgil Dickson  |  April 05, 2016

Major healthcare systems are generally praising the CMS' attempts to make Medicare's biggest accountable care program more attractive as the agency strives to grow the number of participants while also persuading more of them to assume greater financial risk.

Hospitals get rewards for saving money. Why not patients?

Hospitals get rewards for saving money. Why not patients?

By Beth Kutscher  |  April 05, 2016

The term “shared savings” usually brings to mind the CMS' accountable care programs and the shared rewards for hospitals that save money over the benchmark costs of care, but a select number of technology companies are taking the concept of shared rewards directly to consumers.

Forward from 40: The top healthcare milestones of the past 40 years

By Modern Healthcare  |  March 26, 2016

In celebration of Modern Healthcare's 40th anniversary, we have created a list of the 40 most important healthcare milestones of the past 40 years, as chosen by our readers. Find out what events and breakthroughs made our Top 40.

Rewarding patients with loyalty points

Rewarding patients with loyalty points

By Sabriya Rice  |  March 26, 2016

Loyalty programs are by no means widespread in healthcare, and some policy experts say more providers should try them.

Q&A: 'If you are disruptive, somebody's ox is being gored'

Q&A: 'If you are disruptive, somebody's ox is being gored'

By Modern Healthcare  |  March 12, 2016

Crystal Run Healthcare, a fast-growing, multispecialty physician practice in upstate New York, recently launched an insurance arm and has partnered with Mount Sinai in New York City to bring its patient-friendly focus into Manhattan. CEO Hal Teitelbaum discusses the group's strategy.

Universal American sheds more ACOs but takes on more risk

By Melanie Evans  |  March 02, 2016

Universal American, the Medicare managed-care company that quickly moved into Medicare accountable care, continues to scale back its participation in ACOs, but has grown more aggressive with remaining accountable care efforts.

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