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QIPP @lert: Accountable care strategies: lessons from the Premier Health Care
Accountable care strategies: lessons from the Premier Health Care Alliance’s accountable care collaborative — This report shares the perspectives of hospitals and health systems taking part in the Premier health care alliance’s accountable care implementation collaborative.
See on qippalert.blogspot.fr
For an aggregation of other articles on Hot Topics in Healthcare Law, go to my magazine on Scoop.it – Hot Topics in Healthcare Law and Regulation and my newspaper on Paper.li – Hot Topics in Healthcare Law.
For an aggregation of other articles on improving healthcare, go to my internet magazine Scoop.it! Changing Health for the Better.
Virginia health-care professionals urge Medicaid expansion
An additional 100,000 Hampton Roads residents would qualify for Medicaid under the proposed expansion authorized by the Affordable Care Act to take effect in 2014, according to new figures released by the Urban Institute. Those account for more than a quarter of the newly eligible in the whole state.
Speakers at a public meeting of the Hampton-Newport News Community Services Board at the Embassy Suites in Hampton on Thursday outlined the potential economic and health impacts of “Obamacare.” Despite the anticipated costs, all urged the state to adopt the Medicaid expansion for its potential benefits for the general health of the population, and in particular for those with behavioral health diagnoses as the ACA mandates parity for mental health treatment.
See on www.dailypress.com
For an aggregation of other articles on Hot Topics in Healthcare Law, go to my magazine on Scoop.it – Hot Topics in Healthcare Law and Regulation and my newspaper on Paper.li – Hot Topics in Healthcare Law.
For an aggregation of other articles on improving healthcare, go to my internet magazine Scoop.it! Changing Health for the Better.
Health-care reform: Has Team Romney embraced the individual mandate? – CSMonitor.com
Conservatives have howled over the health-care reform law’s requirement that people buy insurance. But recent comments from the Romney campaign have some wondering if the presumptive GOP nominee is now embracing it.
See on www.csmonitor.com
For an aggregation of other articles on Hot Topics in Healthcare Law, go to my magazine on Scoop.it – Hot Topics in Healthcare Law and Regulation and my newspaper on Paper.li – Hot Topics in Healthcare Law.
For an aggregation of other articles on improving healthcare, go to my internet magazine Scoop.it! Changing Health for the Better.
Papa John’s CEO says health care reform law will increase price of pizza
See on Scoop.it – Hot Topics in Healthcare Law and Regulation
Expect to pay more for pizza orders in 2014 when key provisions of the health care reform law go into effect, says Papa John’s International Inc. CEO John Schnatter.
See on www.businessinsurance.com
Whistleblower lawsuit Florida Hospital: Whistleblowers lawsuit against Florida Hospital claims Medicare fraud
A whistle-blower lawsuit based on insider information from a former Florida HospitalOrlando billing employee and a staff physician alleges that seven Adventist Health hospitals in Central Florida have overbilled the federal government for tens of millions of dollars in false or padded medical claims.
The suit claims Florida Hospital used improper coding for more than a decade to overbill Medicare, Medicaid and Tricare, all federal government payors. In addition, it alleges, the hospital commonly overbilled for a drug used, for example, in MRI scans and billed for computer analyses that were never performed.
See on articles.orlandosentinel.com
For an aggregation of other articles on Hot Topics in Healthcare Law, go to my magazine on Scoop.it – Hot Topics in Healthcare Law and Regulation and my newspaper on Paper.li – Hot Topics in Healthcare Law.
For an aggregation of other articles on improving healthcare, go to my internet magazine Scoop.it! Changing Health for the Better.
Doctors Caught Between Patient Pain, Prescriptions – HealthLeaders Media
For some physician leaders, pain management may become a significant boon to their business, especially as the U.S. population ages. In a Health Leaders Media Industry survey this year, 37% predicted pain management will grow 1 to 5% over the next five years.
But doctors are on a precipice as they prescribe pain medication, especially long-acting and extended-release opioid analgesics such as oxycodone. Most are aware of the persistent potential for abuse, misuse, or mistaken use of the highly potent prescription drugs among patients. And the stress is mounting – for the docs.
States are tightening treatment requirements, while the federal government weighs the possibility of mandatory educational plans for doctors in their handling of opioids, putting federal officials at loggerheads with much of the medical establishment.
Some physicians are so upset over what they term the “bureaucratic” infringements, that they are considering no longer seeing patients who seek pain treatment. Instead, they would prefer to refer those patients to colleagues who are willing to prescribe potent analgesics.
See on www.healthleadersmedia.com
For an aggregation of other articles on Hot Topics in Healthcare Law, go to my magazine on Scoop.it – Hot Topics in Healthcare Law and Regulation and my newspaper on Paper.li – Hot Topics in Healthcare Law.
For an aggregation of other articles on improving healthcare, go to my internet magazine Scoop.it! Changing Health for the Better.
U.S. Officials Brace for Huge Task of Operating Health Exchanges
See on Scoop.it – Hot Topics in Healthcare Law and Regulation
Obama administration officials are getting ready to set up and operate new health insurance markets in about half the states, where local officials appear unwilling or unable to do so.
The markets, known as exchanges, are a centerpiece of President Obama’s health care law, and running them will be a herculean task that federal officials never expected to perform.
When Congress passed legislation to expand coverage two years ago, Mr. Obama and lawmakers assumed that every state would set up its own exchange, a place where people could shop for insurance and get subsidies to help defray the cost.
But with Republicans in many states resisting the creation of exchanges or deterred by the complexity of the task, federal officials are preparing to do the job, with or without assistance from state officials.
“We realize that not all states will be ready to establish these exchanges by 2014, so we are setting up a federally facilitated exchange in those states,” said Michael Hash, the top federal insurance regulator. “We are on track to go live in October 2013, which is the beginning of the first open season for the individual and small group markets.”
Governors of 13 states with nearly one-third of the United States population have sent letters to the Obama administration saying they intend to set up exchanges. Complete applications are due on Nov. 16, just 10 days after the presidential election.
See on www.nytimes.com
Reform Driving Physicians Out of Private Practice to Reduce Costs
See on Scoop.it – Hot Topics in Healthcare Law and Regulation
So, the question is: Is driving a systemically distressed, contracting, dissatisfied and undercompensated physician sector to be forcibly absorbed by a traditional antagonist, but symbiotic hospital sector on the edge of distress itself and binding them together with miles of red tape and questionably reachable incentives going to reduce costs?
See on member.ubmmedica.com
Joseph Rugg's Health Law Blog 