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Doctors are shifting their business models
By Los Angeles Times | September 02, 2014
Being a doctor in private practice today is more complicated than it used to be, with growing financial pressures, more government regulation, greater oversight by insurers, rapid developments in medicine and pressure to keep up with technology. In response, doctors say they are increasingly...
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Case Study: An Integrated Health System
September 02, 2014
A major integrated health system in the Northeast was growing rapidly and in need of a payment solution to reduce the amount of paper and checks processed and help bring efficiencies to their cash flow management, as well as improve vendor relationships.
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AMA proposes Medicare pay for end-of-life counseling
By Modern Healthcare | August 31, 2014 | Basic Web Basic Web Subscription Details
The American Medical Association has proposed a new Medicare billing code for physicians who provide counseling for patients who want to write end-of-life directives, the New York Times reports.
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Healthcare associations wary of CMS policy and payment changes
By Andis Robeznieks | August 29, 2014 | Basic Web Basic Web Subscription Details
Comments due Tuesday on the proposed 2015 Medicare physician fee schedule are likely to include a range of concerns from healthcare groups, from reporting and documentation requirements to that annual provider wish, repeal of the Medicare sustainable growth-rate physician payment formula.
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Hospitals squeezed as revenue growth slows to all-time low
By Beth Kutscher | August 27, 2014 | Basic Web Basic Web Subscription Details
Revenue at not-for-profit hospitals grew at an all-time low of 3.9% last year with sluggish gains in both inpatient and outpatient activity, according to a report on 2013 medians from Moody's Investors Service.
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Reform Update: CMS won't limit flexibility of Oregon CCOs, state says
By Virgil Dickson | August 26, 2014 | Basic Web Basic Web Subscription Details
The CMS and Oregon are stepping back from an apparent clash over how the state is paying the managed-care organizations serving Medicaid beneficiaries in its nationally watched Medicaid demonstration. State officials and leaders of Oregon's coordinated-care organizations had expressed strong...
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Reform Update: Providers still skittish of CMS' renal ACO initiative
By Sabriya Rice | August 25, 2014 | Basic Web Basic Web Subscription Details
With just a few months before its launch, some providers are expressing frustration with a CMS initiative aimed at testing innovative payment and care-delivery models specifically geared toward patients with end-stage renal disease. Too many questions remain about key details and the framework...
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Another rural hospital succumbs to mounting financial pressures
By Bob Herman | August 25, 2014 | Basic Web Basic Web Subscription Details
Rural hospitals are about to lose another comrade. Crittenden Regional Hospital, a 142-bed facility in West Memphis, Ark., said Monday that it has stopped admitting patients and will permanently shut down by Sept. 7.
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Hospitals hope for relief from two-midnight purgatory
By Bob Herman | August 21, 2014 | Basic Web Basic Web Subscription Details
The heavily criticized Medicare two-midnight rule involving short inpatient stays has technically been in effect for the past year. But providers, regulators and healthcare observers are not sure the rule will hold up in its current makeshift form.
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SCL Health's margin slips, but Medicaid expansion fuels optimism
By Bob Herman | August 19, 2014 | Basic Web Basic Web Subscription Details
SCL Health's operating margin fell slightly in the first half of its fiscal year, but the Denver-based system believes new healthcare reform efforts such as Medicaid expansion will help it in the long run.
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