Hospitals & Providers - Managed Healthcare Executive
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Hospitals & Providers

Partial integration has its benefits

February 15, 2012

Healthcare systems looking to innovate might do well to avoid completely open or closed models, according to research by the Innosight Institute, a not-for-profit think tank.

Risk-adjustment calls for deep dive into data

December 1, 2011

Medicare Advantage plans are evaluating best practices in risk adjustment for the upcoming health exchanges and accountable care organizations.

Hospitalist model a work in progress

April 1, 2009

More than half of all hospitals use the hospitalist model to deliver inpatient care

FQHCs need more funding

March 1, 2009

Federally qualified health centers need $248 million to meet plan targets, much more than the proposed $100 million in the appropriations bill

ASCs putting the squeeze on acute-care hospitals

February 1, 2009

ASCs are gaining in popularity due to their convenience, but acute-care hospitals are losing patients and profits.

Triglyceride levels rise despite increase use of cholesterol-lowering meds

December 5, 2008

Regardless of gains made by medications to control some lipids, triglycerides, like obesity and diabetes, are on the rise, according to WellPoint's HealthCore. LDL levels alone aren't enough to knock out heart disease.

Plans not paying for mistakes

November 1, 2008

Insurers follow updated CMS rules regarding financial responsibility for egregious medical mistakes, do not pay list and never events

Nonprofit hospitals aim to maintain margins

September 1, 2008

Each year, nonprofits must review their rate strategies in the context of maintaining financial viability. To achieve sustainability goals, some must raise rates to cover costs of patient care, for example.

Grassroots movement grants medical home, access to uninsured

July 1, 2008

While legislators and healthcare stakeholders across the country wrangle over the problem of the nation's 46.5 million uninsured, a grassroots movement called Project Access is having an impact on the health of thousands of uninsured Americans.

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