Insurance

Methodist Le Bonheur Embraces Spiritual Health along with Physical Health

November 25, 2014
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Sandra Bailey, Vice President of Senior Services, Methodist Le Bonheur Healthcare As the healthcare landscape changes, hospitals are focusing more on population management and initiatives to keep patients out of overly crowded emergency rooms. One healthcare system in Memphis, Tenn., is addressing the health disparities of one of its lowest-income sectors by building relationships in […]

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MetroHealth Discovers More Than Just Savings with Red Carpet Program

July 16, 2014
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Dr. Akram Boutros, president and chief executive officer of MetroHealth in Cleveland, Ohio, describes the impact his organization’s Red Carpet Program has had on their community.  

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HIEs = Mass Confusion

November 18, 2013
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The roll-out of the Affordable Care Act has been, to say the least, bumpy for consumers, but it is also proving to be a major headache for physicians and by extension, hospitals. “More than a month after HealthCare.gov and 15 state-based exchanges opened for business, consumers and even physicians are finding it isn’t easy or […]

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How are Hospitals Making Up for Reimbursement Shortfalls?

November 1, 2013
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How does your organization make up for reimbursement shortfalls? Do you compensate for these shortfalls by shifting the cost of government insurance and uncompensated care to the privately insured? This is what conventional wisdom has said is the best strategy for the longest time, Steve Jacob of DHealthcare Daily writes. However, two recent studies have […]

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One Major Administrative Hassle Many Hospitals Will Have to Deal with Thanks to HIEs

October 4, 2013
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With the health insurance exchanges finally going live this week, some of the kinks in the system have been exposed, but the fundamental principle of the HIE remains in place: creating a marketplace in which people can shop for the best and most affordable insurance plan for them. Sounds good. Sound great. But what about […]

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Healthcare Executives: The Federal Government Needs Your Help…Again

October 1, 2013
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Now that the health insurance exchanges are open for business, the issue has become enrollment and how to encourage and assist people in signing up for an insurance plan. To provide this kind of muscle, the federal government is turning to community and rural hospitals for assistance, John Commins at HealthLeaders Media reports, and on […]

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Update: Physician Extenders Lobby to be Credentialed within Insurer Networks

September 17, 2013
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As we covered previously on this site, nurse practitioners recently lost a significant legislative fight in California over the expansion of their authority and responsibilities as medical professionals. But this defeat, not to mention the beleaguered battles being fought elsewhere in the country, has only motivated NPs to refocus their efforts. Now, Julie Appleby for […]

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CMS Reveals 10 Things Providers Need to Know about HIEs

September 4, 2013
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In preparation for the Oct. 1, 2013, launch of enrollment for the Health Insurance Exchanges, CMS has released a handy breakdown of what it thinks healthcare providers need to know about the Health Insurance Marketplace. First, providers should understand where this Marketplace exists: online. According to CMS, the goal is to make this online Marketplace […]

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Trend: Primary Care Physicians are Accepting More Medicare Patients than Before

August 27, 2013
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Here’s one of those trends for which the long-term implication can be difficult to decipher. According to Kelly Kennedy in USA Today, physicians are actually accepting more Medicare patients now than in previous years. This, in spite of the fact that 9,500 physicians opted out of Medicare in 2012 compared to 3,700 in 2009, a […]

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Healthcare Reform Could Lower Insurance Costs for Rural Consumers

August 26, 2013
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As we continue to assess the Affordable Care Act’s impact on all facets of the healthcare industry, we turn now to the impact reform is having on rural care. According to Nebraska’s Center for Rural Affairs, health insurance and medical care could actually be cheaper for rural-based consumers, which would be an incredible reversal on […]

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