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What not-for-profit hospitals pay their CEOs has little to do with financial performance or quality scores, but the top executives generally make more at hospitals with expensive technology and high marks in patient satisfaction, according to a new study published in JAMA Internal Medicine. The researchers drew data on 1,877 CEOs overseeing 2,691 hospitals from the Form 990 their organization submitted to the IRS for the 2009 tax year.
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Mostashari
Health information technology leaders have a lot on their plates today and more to come—implementing systems to match the federal IT incentive payment program upgrades, satisfying auditors roaming the land, meeting privacy constraints and preparing for the switch to a huge set of updated diagnostic and procedural codes.
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A credit analyst for not-for-profit healthcare providers is cautioning that the new state health insurance exchanges may introduce more short-term risk than benefit. Moody's Investors Service said in a report Friday that while the exchanges may lead to a bump in the number of insured patients, the larger unknowns will be what happens with insurance contract terms; the potential migration of patients who currently have private insurance to exchange plans; and bad debt for patients.
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New research calls into question the validity of using post-operative blood clot rates as a metric of hospital quality. According to a study published Monday in the Journal of the American Medical Association, rates of venous thromboembolism—a term that includes pulmonary embolism and deep vein thrombosis—could be skewed by surveillance bias. Such bias can occur in hospitals that have more expansive screening criteria for VTE, including the testing of asymptomatic patients, or in hospitals that rely more heavily on imaging for diagnosis, said the authors, who analyzed data from the CMS' Hospital Compare, the American Hospital Association and Medicare claims.
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The federal government's jobs report last month left many eager to find out if the next report would again show weak gains or even losses in hospital employment in spite of durable growth in the healthcare sector at large. But anyone who keeps close tabs on healthcare employment woke up this morning—the first Friday of October—without the monthly fix of federal jobs data thanks to the government shutdown in Washington.
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There has been a lot of complaining lately about the lack of interoperability in healthcare information technology and how the inability of computers to communicate with each other impedes organizing population health-improvement systems. But two Southern California organizations that just announced a deal to open a string of primary-care health centers said interoperability concerns will not stand in the way. Southern California's MemorialCare Health System and UC Irvine Health announced the collaboration Oct. 2. Although the hospitals and medical groups of the two systems use a mix of products that includes Allscripts, NextGen Healthcare as well as both Epic's hospital and ambulatory systems, organization executives say interfaces can be created to let them all talk to each other.
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The advent of recovery auditing in Medicare has led to a sharp increase in administrative appeals by hospitals, creating administrative logjams but not necessarily leading to victories for providers complaining about denied payments. Between 2008 and 2012, the number of administrative appeals annually involving inpatient hospital care skyrocketed from 46,000 to 284,000, according to a report out today from HHS' Office of the Inspector General.
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The annual Health 2.0 Conference is wrapping up in Santa Clara, Calif., today, and with it come several launches worth noting. One is the start of a $100,000 developer's challenge, seeking cloud-based, “innovative health applications that will revolutionize the way physicians and hospitals educate patients,” according to the contest sponsors.
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A Medicare test of accountable care in Wisconsin slowed cost growth last year for about 20,000 seniors. That's good news, of course, to economists and policymakers. But for hospitals, the news was not all good because most payers continue to reimburse on a fee-for-service basis rewarding more admissions and more volume of services. An article in the Journal of the American Medical Association said that for hospitals that participate in Medicare accountable care programs, such as ThedaCare in Appleton, Wis., competing financial incentives can make their ACO efforts counterproductive.
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Keehan
Ascension Health, Bon Secours Health System, the American Hospital Association, the Catholic Health Association and the Federation of American Hospitals are among more than 900 organizations, providers and businesses helping Americans learn about the healthcare reform law and sign up for health insurance coverage, HHS announced one day before open enrollment begins on the law's health insurance exchanges. Called “Champions for Coverage,” these volunteers—which include faith-based organizations, community health centers and bloggers—will use digital and print materials from the CMS to educate people about their options in the state health insurance exchanges that were created by the Patient Protection and Affordable Care Act. Open enrollment on the exchanges will last from October through March, and those who enroll by Dec. 15 will have coverage starting on Jan. 1, 2014.
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Keehan
Ascension Health, Bon Secours Health System, the American Hospital Association, the Catholic Health Association and the Federation of American Hospitals are among more than 900 organizations, providers and businesses helping Americans learn about the healthcare reform law and sign up for health insurance coverage, HHS announced one day before open enrollment begins on the law's health insurance exchanges. Called “Champions for Coverage,” these volunteers—which include faith-based organizations, community health centers and bloggers—will use digital and print materials from the CMS to educate people about their options in the state health insurance exchanges that were created by the Patient Protection and Affordable Care Act. Open enrollment on the exchanges will last from October through March, and those who enroll by Dec. 15 will have coverage starting on Jan. 1, 2014.
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