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Illinois Blues delivers blow to small hospitals
Kristen Schorsch, Crain's Chicago Business | October 07, 2014
A recent decision by Blue Cross & Blue Shield of Illinois could make it more difficult for small hospitals to preserve their independence by affiliating—rather than merging—with larger healthcare systems.
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News
More U.S. hospitals to receive 30-day readmission penalties
By Sabriya Rice | October 02, 2014 | Basic Web Basic Web Subscription Details
A total of 2,610 hospitals in the U.S. will see their Medicare payments docked in fiscal 2015 for having excessive numbers of patients return to the hospital within 30 days of discharge. This is third year the CMS has instituted the penalties in an effort to promote better outcomes in the nation's...
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News
Reform Update: Ascension Health bars Genentech sales reps from its hospitals
Bob Herman | October 02, 2014 | Basic Web Basic Web Subscription Details
Pharmaceutical giant Genentech has come under a maelstrom of criticism from hospitals for its decision to change its distribution methods for three widely used cancer drugs, and now the nation's largest not-for-profit health system is responding with a bold message.
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News
Comments on RAC stats refreshing
October 02, 2014 | Basic Web Basic Web Subscription Details
Regarding “RACs' effectiveness exaggerated”: It is refreshing to see this rebuttal, calling CMS statistics out when they are so far from accurate.
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News
Medicaid managed-care plans get federal help on state rates
Virgil Dickson | October 02, 2014 | Basic Web Basic Web Subscription Details
The CMS took action Wednesday to improve the way states pay private health plans to oversee the care of Medicaid beneficiaries.
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RACs' effectiveness exaggerated
October 01, 2014 | Basic Web Basic Web Subscription Details
Regarding “RACs recouped $3B for Medicare in 2013”: I am a healthcare statistician who works very closely with pre- and post-audit compliance risk and mitigation issues. I would strongly disagree with the validity of the 18.1% reversal rate claimed by the recovery audit contractor trade...
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Vital Signs
Mentally ill shouldn't be treated in ERs: civil rights panel
Steven Ross Johnson | September 30, 2014
Hospital emergency departments need to do more to identify and transfer mentally ill patients to appropriate facilities for care, a new government report says, but it falls short of recommending how healthcare providers can address a continuing shortage of available inpatient beds in mental health...
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Information
Walgreen posts 4Q loss on Alliance Boots charge
Associated Press | September 30, 2014
Walgreen booked a $239 million loss in its fiscal fourth quarter after swallowing a huge accounting charge from its Alliance Boots acquisition, but the drugstore chain's results still met Wall Street expectations.
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News
More critical-access hospital closings likely
Michael Sandler | September 30, 2014 | Basic Web Basic Web Subscription Details
Amid ongoing federal scrutiny of the extra funding paid small hospitals to serve remote areas, the number of critical-access hospitals in the U.S. continued to fall over the past year, according to Modern Healthcare magazine's annual review of CMS data published in this week's By the Numbers list.
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News
Reform Update: Doc groups concerned over looming Medicare penalties tied to quality reporting
Andis Robeznieks | September 29, 2014 | Basic Web Basic Web Subscription Details
Medicare will begin docking physicians' pay next year if they decline to report on quality measures under the voluntary Physician Quality Reporting System launched in 2007. Providers, however, remain confused and frustrated by its framework.
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