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Reimbursement news and information

News
Reform Update: CMS plans changes to performance pay, penalties
By Maureen McKinney | April 29, 2013 | Basic Web Basic Web Subscription Details
In its newly released proposed inpatient hospital payment rule for 2014, the CMS plans a slew of performance-based payment changes, including a penalty program for hospital-acquired conditions and updates to the agency's readmissions reduction program that would expand the parameters for...
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News
AHA gathers in D.C. as Congress clears out
By Jessica Zigmond | April 29, 2013 | Basic Web Basic Web Subscription Details
Members of Congress went home just in time for hospital executives to arrive in Washington for the American Hospital Association's annual membership meeting this week.
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Information
Medicaid problems hinge of Texas doctor, nurse pay
By Associated Press | April 27, 2013
The Texas Legislature has been balancing the state's budget by intentionally paying doctors 40 to 75 percent less for Medicaid patients than what private insurers pay for the same treatment. Doctors generally plan to do some charity work, but more and more physicians are reaching their limit,...
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Modern Physician
Doc associations wary of linking pay, quality measures
By Andis Robeznieks | April 25, 2013
U.S. House of Representatives committee chairmen asked for guidance on replacing the sustainable growth-rate Medicare physician payment formula, and healthcare associations were happy to comply. The responses reflected the concerns of each responding association's constituency—particularly...
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Webinar: Bending the Cost Curve: Improving Value, Decreasing Costs and Meeting Quality Expectations in Today's Clinical Enterprise | Now Available On-Demand
April 23, 2013
Cost pressures, reimbursement challenges and healthcare reform make it difficult for hospitals to maintain healthy margins. Join our panel of leading physicians and hospital financial experts for an interactive discussion on how clinical redesign can help you significantly transform your...
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Video
Video Feature: Mayo Clinic's John Noseworthy (8:00)
By Modern Healthcare | April 19, 2013
Mayo Clinic President and CEO Dr. John Noseworthy discusses Medicare payment issues, a new initiative that Mayo launched with UnitedHealth Group's Optum, and a recent request the Clinic made to the state of Minnesota.
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Sponsored
Webinar: Embracing Emerging Models of Care Delivery | Now Available On-Demand
April 18, 2013
With healthcare costs rising at an unsustainable rate, CMS and commercial payers are turning to reimbursement models that reward cost efficiencies and quality outcomes. These emerging payer models encourage providers, payers and purchasers to team up in more collaborative ways to share data and use...
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News
Session to focus on EHR-billing controversy
By Joseph Conn | April 18, 2013 | Basic Web Basic Web Subscription Details
The controversy over the appropriate use of health information technology systems to streamline workflow while not fraudulently increasing healthcare claims will get a public airing early next month.
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News
Second Tuomey trial may decide hospital's future
By Joe Carlson | April 15, 2013 | Basic Web Basic Web Subscription Details
South Carolina jurors may render a verdict that would put Tuomey Healthcare System out of business, but they won't know about that risk beforehand.
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Video
Video Feature: Industry leaders on the coming insurance expansion (5:55)
By Modern Healthcare | April 13, 2013
Industry leaders at this year's American College of Healthcare Executives' Congress on Healthcare Leadership discuss the coming insurance expansion and its potential impact on their organizations.
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