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Nursing Management April 2009 Sharon H. Pappas |
Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome. |
Managed Care December 2007 Lola Butcher |
Insurers Get Involved in Campaign Against Hospital-Acquired Infections Health plans prod hospitals to do a better job of addressing problems that kill nearly 100,000 Americans a year. |
Managed Care December 2004 Adler & Schukman |
The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue. |
Managed Care November 2007 Lola Butcher |
Blues Build on CMS Program To Boost Hospital Quality The insurer throws support behind a pay-for-performance program that promises "stunning" advances in cost-effectiveness. |
Managed Care May 2005 Frank Diamond |
Hospitals May See Plans as Their New Confidant Not only can health plans pay for performance, they can offer a mechanism for confidential discussions of mistakes. |
BusinessWeek January 7, 2010 Catherine Arnst |
Hospitals: Radical Cost Surgery A hospital that slashes costs - and delivers high-quality care as it innovates? Yes, it exists. |
Managed Care October 2003 Ed Silverman |
Tough Negotiations in Store Between Plans and Hospitals Fallout from the Medicare outlier-payment scandal is likely to force hospitals to try to replace that revenue. Health plans, prepare to negotiate! |
Managed Care December 2006 MargaretAnn Cross |
Confronting The Medicare Cost Shift Plans are increasingly concerned about the degree to which providers overcharge them to make up for losses from government programs. |
Managed Care May 2007 MargaretAnn Cross |
Following the Leaders Top pay-for-performance programs point to increased focus on hospital incentives, efficiency measures, coordination, and standardization. |
Nursing Management September 2011 Sally Austin |
What does EMTALA mean for you? When a patient enters your hospital, do you know what your obligations are under the Emergency Medical Treatment and Active Labor Act? |
Managed Care October 2007 John Carroll |
Medicare Coverage Rules Are Not Always Last Word Yes, commercial health insurers often take a cue from the government, but that doesn't mean that they follow blindly. |
Salon.com December 7, 1999 Dena Bunis |
Medical mistakes are killing us Health plans covering federal workers will be the first to improve the quality of care. |
Managed Care May 2003 |
Employer Coalition Leaps at Challenge of Grappling With Misaligned Incentives The executive director of the Leapfrog Group says that the organization pleads guilty to trying to create 'aspirational' standards for health care. |
Managed Care December 2006 Lola Butcher |
ICUs Cut Costs by Hiring Intensivists Now that the value of hospitalists is well established, attention turns to those whose only duties are in intensive care. |
Managed Care June 2003 Maureen Glabman |
Managed Care Makes It Tough For Some Hospitals To Stay Afloat True, there are other reasons the facilities have closed, but insurers' payment rates stand out. Is it better that some are history? |
Managed Care March 2000 Michael Levin-Epstein |
Medical Errors, D.C.'s New Cause - Will Result Be Action, or Just Talk? ...In its landmark study, "To Err Is Human," the Institute of Medicine embarrassed health care by labeling it at least a decade behind other high-risk industries in protecting its customers.... |
Managed Care June 2001 Jack McCain |
Leapfrog Group Actions Will Be Felt Throughout the Health Care System Thanks to a Business Roundtable-sponsored group calling for better outcomes at hospitals, health plans' lobbying efforts may pay off... |
InternetNews January 12, 2007 Michael Hickins |
Health IT Joins The 21st Century Employers, as well as state and federal agencies, are pushing a variety of IT-based initiatives that may well begin having tangible effects within five years in the health care industry. |
InternetNews April 1, 2005 Susan Kuchinskas |
Online Shopping for Hospitals Hospital Compare gives the nation's hospitals a report card for key best practices. |
BusinessWeek June 23, 2011 Drew Armstrong |
The Simplest Rx: Check on Your Patient Doctors and insurers cut costs by sharing information. |
Managed Care October 2000 |
For Most States, Medical Error Reporting Is Uncertain Science Other industries have figured out how to collect, analyze, and use error data to prevent catastrophes and drive continuous-quality-improvement programs. Health care is only now beginning that process... |
Managed Care July 2007 |
Headlines On Deadline... Paying hospitals extra money does not appear to improve the way they treat heart attack patients... In the coming months, patients at Mount Sinai Medical Center and nine other New York City hospitals will receive... etc. |
Pharmaceutical Executive June 1, 2005 Jill Wechsler |
Washington Report: "D" Is for Data It is critical for Medicare to address important questions on drug safety and utilization, and about how prescribing decisions affect health outcomes and costs. |
The Motley Fool May 12, 2004 W.D. Crotty |
Health Care's Unique Risk Select Medical is just the latest to suffer from regulatory changes. |
BusinessWeek October 1, 2009 Sasseen & Arnst |
Why Business Fears the Public Option Executives contend that it will lead health-care providers to charge patients in private plans higher rates. |
Searcher Jul/Aug 2010 Tara Breton |
What's in the Patient's Medical Bill? If you want more understanding of medical billing, here are the basics of the U.S. medical reimbursement system that will hopefully assist you along with web resources on this subject. |
InternetNews June 14, 2010 |
Lax Data Security Results in Heavy Fines Five California hospitals got an expensive reminder of just how serious the state is about protecting patients' sensitive data. Expect more of the same in the near future. |
Pharmaceutical Executive March 1, 2014 William Looney |
The Call to Community: A Conversation with Dr. David Nash Population health is the foundation for much of what is truly new in US health reform. For big Pharma, it represents yet another escalation in expectations. |
Managed Care September 2005 Ed Silverman |
No Easy Fit For Specialty Hospitals Insurers worry that specialty hospitals will ultimately increase costs at nearby community hospitals |
Commercial Investment Real Estate Sep/Oct 2009 Andrew Dick |
Deal Diagnosis Healthcare real estate transactions not only are driven by economic factors, but also by compliance with federal and state healthcare laws. |
Managed Care October 2007 Frank Diamond |
Proceduralists Seem Up To the Task Proceduralists might help to keep hospital costs down and prevent some hospital-acquired conditions. |
Managed Care January 2005 Leary & Farley |
Health Plans Slow To Adopt Outpatient Prospective Payment The private sector drags its feet over Ambulatory Payment Classifications. Here are some suggestions to move acceptance along. |
Managed Care July 2001 Patrick Mullen |
Interview: Lucien L. Leape, M.D. The way to reduce errors in health care is to change systems, says this Harvard educator. Punishment encourages people to cover up... |
BusinessWeek November 12, 2009 Catherine Arnst |
10 Ways to Cut Health-Care Costs Right Now Employers and hospitals don't have to wait for Congress to address inefficiencies and waste. |
Pharmaceutical Executive April 10, 2014 |
Obama Policies Reshape Pharma Marketing Health reform initiatives promote transparency, challenge reimbursement, writes Jill Wechsler. |
The Motley Fool July 17, 2006 Querna & Fischman |
Good Medical Help Close to Home Your local hospital might be just as good as any glittery big-name center. Finding out if your local hospital is up to snuff requires some homework. Here are the major factors in judging the quality of care, courtesy of U.S. News & World Report's annual "America's Best Hospitals" issue. |
Managed Care September 2007 Martin Sipkoff |
Go Carefully When Measuring Quality Gauging and rewarding good work in health care is a noble goal with potentially negative consequences. |
CFO May 1, 2009 Josh Hyatt |
Strong Medicine Boosted by a substantial injection of cash from the federal stimulus bill, electronic medical records may help relieve the pain of rising premiums by improving efficiencies in the medical system. |
Nursing Management October 2011 Edna Cadmus |
Your role in redesigning healthcare We need to rethink how we provide care and to understand the interconnectedness and the structure of healthcare by looking at it as a whole vs. the sum of its parts. As leaders we need to view the evidence as we rethink healthcare together. |
American Journal of Nursing January 2008 Maslow & Mezey |
Recognition of Dementia in Hospitalized Older Adults Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures. |
Managed Care June 2003 John Carroll |
Specialty Hospitals' Success Sows Seeds of Lobbying Fight Some in government question the propriety of physicians steering patients into facilities that the doctors partly own. |
BusinessWeek March 28, 2005 |
President Bush's IT Doctor Physician/economist David Brailer, point man for the Administration's push for e-health records, on where the planning stands |
BusinessWeek March 28, 2005 Mullaney & Weintraub |
The Digital Hospital Information technology saves lives and money at one medical center, perhaps becoming the future of health care. |
American Family Physician September 15, 2006 Liz Smith |
Newsletter CMS Issues Guidance on Part D vs. Part B Coverage Determination... Residents, Students Adopt Resolutions on Drug Samples, Universal Care... CMS Proposes Changes to Outpatient Services Policies and Payment... etc. |
Nursing Management January 2011 Dawn Chiarenza |
The CNO/ROI Factor of Accreditation In a time of healthcare reimbursement changes and budget cuts, CNOs seeking Magnet recognition must be able to emphasize benefits to organizational leadership-including return on investment. |
BusinessWeek June 10, 2010 Dune Lawrence |
Nurses: Fed Up and Not Taking It Anymore Hospitals and a new nurses' union are taking a tough line on salaries and benefits now, in advance of the cost pressures from Obamacare. |
Managed Care December 2004 Martin Sipkoff |
A Better Case for Quality: Share the Savings! Brent James's research has led to a new and powerful vision of paying for performance that binds physicians, plans and hospitals together. |
BusinessWeek February 20, 2006 Arlene Weintraub |
Should Doctors Own Hospitals? Controversy builds over a fast-growing, profit-driven business in which specialty hospitals are partly owned and run by doctors. |
Managed Care July 2007 John Carroll |
Unlocking a Trove of Quality Data A bill before Congress would give analysts a powerful tool for sifting through Medicare data on the performance of hospitals and physicians. |
CFO January 1, 2002 Andrew Osterland |
Operating Room Rising hospital costs, a plague to most companies, have helped some health-care CFOs nurse profits back to health. |