Law & Legislation

7 Ways the ACA Will Change How Your Hospital is Run

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Tony Leys of the Des Moines Register has produced a handy list that adequately summarizes the seven ways in which the Affordable Care Act is going to change how your hospital is run. We’ve covered many of these separately before, but this is a concise overview that ties a nice, big bow around most of […]

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Are ACOs a Retread of HMOs?

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Veterans of the healthcare industry are experiencing déjà vu when it comes to accountable care organizations, writes Greg Freeman in the December 2013 edition of Managed Care Contracting and Reimbursement Advisor, a newsletter from HealthLeaders Media. In fact, Richard Amerling, MD, associate director of clinical medicine at Albert Einstein College of Medicine in New York […]

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Question: Are Physician Extenders Filling in the Physician Shortage Gaps?

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Many healthcare organizations are well-versed in the ongoing conflict between physician extenders and physicians over expanded authority for nurse practitioners and physician assistants. Physician extenders claim that allowing them more independence in caring for patients will help meet the challenges posed by the worsening physician-shortage crisis. According to Maggie Fox of NBC News, this is […]

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What Does the Sunshine Act Mean by “Compensation”?

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With the Physician Payment Sunshine Act causing ripples throughout the healthcare industry with its demands for greater disclosure and transparency, it helps to understand what the law means by “compensation,” at least the type of compensation the federal government wants disclosed. According to Greg Freeman at HealthLeaders Media, “It includes cash, cash equivalent, in-kind items […]

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What You Need to Know about the Sunshine Act and Physician Transparency

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A frequent topic of discussion in our conversations with healthcare executives involves their efforts at becoming more transparent and accountable not just to the government, but also to their local community. Of course, the Affordable Care Act has made accountability and transparency a priority for hospitals and physician practices. In fact, the intention of ACA […]

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

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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

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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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Response: HHS Skewing Report to Paint Rosy Picture about HIEs

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Yesterday, we wrote about the report from HHS that highlighted the benefits of the new health insurance exchanges and how consumers will be facing lower premiums under healthcare reform. It was a rather optimistic picture in a debate that has been fraught with many dire predictions of economic and Constitutional disaster because of the Affordable […]

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Report: HHS Expects Premiums under HIEs to be Lower than Expected

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The HHS report released today contains some positive indicators for health insurance exchanges and their impact on premiums among the 36 states where the federal government is involved, Harris Meyer at Modern Healthcare reports. At first glance, it seems “that premiums will be significantly lower than expected in 2014.” Furthermore, consumers will be able to […]

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Hospitals and Physicians Don’t Have Time to be Dealing with Political Squabbles over Medicaid Expansion

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The politicization of healthcare has always placed providers on edge, but Mark Niquette and Brian Chappatta of Bloomberg report the latest battle over Medicaid is simply something physicians and hospitals don’t have the time to be dealing with. One northwest Ohio rural hospital executive, Phil Ennen, told Bloomberg “he’d be out $1.3 million a year […]

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