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Policy & Law

Having Insurance Doesn’t Always Pay: The case of the $1,700 mammogram

August 27, 2015 by Jeanne Pinder

This post appeared originally in MedPage Today, where I wrote it as part of our pricing transparency partnership with MedPage Today. Re-posted with permission. Summary: “I live in metro NY and received a bill for $2200 (approx) for a mammo/Ultrasound, of which approximately $767 was covered by insurance. I was balance billed $1...[read more]

The ABCs of CCJR

August 21, 2015 by James Dias

The recent announcement by CMS of its proposed Comprehensive Care for Joint Replacement (CCJR) program is raising more than a few eyebrows. This mandated orthopedic bundle program is scheduled to begin January 1, 2016 for hospitals in specified geographic areas.[read more]

HIMSS Federal & Stage Public Policy Update

August 20, 2015 by Elizabeth Zampino

Speaker:  Jeffrey R. Coughlin, MPP Senior Director, Federal & State Affairs HIMSS North AmericaThis luncheon appropriately took place in the relatively new and beautiful Alder Commons Auditorium on the University of Washington Campus. Jeff briefed me (I cannot speak for others in the room) on Meaningful Use current events (what...[read more]

Patient Outcomes Culture - A Healthcare Game Changer

August 20, 2015 by Tim Kilpatrick

The fifty-four year old Dennis Manners suffered from alcoholism and seizures. He was treated 337 times in the Emergency room in less than two years. He racked up $626,143 in charges at the University Hospital in Louisville, Kentucky. With Dennis being homeless, he had no way to pay his bill.To address this, University...[read more]

Wal-Mart provides evidence Obamacare is working

August 20, 2015 by David E Williams

Healthcare Shopping Cart

What’s in your basket? Weakness in Wal-Mart's pharmacy business is a sign that the Affordable Care Act is having an impact for lower middle class families.[read more]

exclusive

World’s First Approved Malaria Vaccine Shows a Ray of Hope but Also Leaves Much Scope for an Improved Solution

August 20, 2015 by Varsha Jain

Malaria control tools currently available to the world have allowed the elimination of this deadly condition in many regions across the globe. While it is entirely preventable and treatable, it is also a major killer in sub-Saharan Africa. According to the WHO, almost 90% of all malaria deaths across the globe (an estimated 627,000) in...[read more]

2015 Trends for Rural Hospitals and Rural Healthcare

August 18, 2015 by Moira O'Connell

According to the NC Rural Health Research Program there have been 56 rural hospital closures since 2010. The reasons behind the closures may vary but the message rings true, rural hospitals are struggling and something needs to be done. From difficulties implanting new HER systems to the re-evaluation of Medicare reimbursements, rural hospitals are looking for new ways to stay afloat. We’ve selected 4 trends that we’ve seen buzzing in the rural healthcare sector this year and that have been helping rural hospitals make the changes they need to succeed.[read more]

Why Doctors Need to Hear Patient Gripes and Complaints

August 17, 2015 by Stewart Gandolf, MBA

The dramatic changes in the nation’s healthcare delivery system means, more than at any time in the past, that doctors need to listen intently to what patients are concerned about, and have a system in place to document and remedy patient issues.[read more]

Who Deserves Quality Medical Care?

August 17, 2015 by Michael Kirsch
1

Quality Care Waffle

We all should know the difference between a slogan and real substance.   One of these has size and shape while the other is just a shadow.   Why then, is the slogan so powerful?A slogan is one of the weapons wielded by the Guardians of Political Correctness.  They will point toward the slogan du jour, and then,...[read more]

5 Signs That It Is Time to Reevaluate Your Independent Review Organization

August 14, 2015 by Danyell Jones
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Have you gotten comfortable with your independent review organization?The real question is, have you gotten a little too comfortable with your Independent Review Organization to the point where you have not seriously examined your contract or services in a while?It is great to keep moving along with a vendor that you have a well-...[read more]

Healthcare Executives – Keep Calm and Be A King for A Day

August 14, 2015 by Phil C. Solomon

If you were king for a day, what three strategies would you pursue to enable health systems to win in post-reform healthcare?[read more]

Ireland Reveals Its Patient Stories

August 13, 2015 by Andrew Schorr

Odds are you are traveling sometime this summer. When I travel my favorite thing is to chat with people and listen to their stories. Typically, when I share what I do—telling stories for cancer patients and family members—more stories are served up to me. Right now, Esther and I are in Ireland. I wanted to share some of the stories I’ve...[read more]