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Top 4 Payer Priorities for 2016




Health Leaders Media


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  February 17, 2016 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Top 4 Payer Priorities for 2016

Rene Letourneau, Senior Editor for HealthLeaders Media

A new payer survey offers insights for providers as both deal with a common challenge: technology. >>>

 

Editor’s Picks

Value-Based Care Shifts into High Gear

Guideposts for the paths to participating in value-based healthcare models come into focus at a payment innovation summit held in Tennessee. >>>

CMS Finalizes Medicare Overpayment Reporting Rule

An overpayment is considered identified by Medicare when an employee using "reasonable diligence" has, or should have, determined it was received and quantified the amount, according to the final rule. >>>

Incoming Carolinas HealthCare CEO Driven by Community, Mission

The newly named CEO of Carolinas HealthCare System, Eugene A. Woods, talks about his legacy at Christus Health and the challenges that await him when he takes the helm at one of the nation’s largest public health systems. >>>

CMS, AHIP Standardize Quality Measures

Seven measure sets aim to alleviate the burden and cost of measuring clinical quality and will "support multi-payer alignment, for the first time, on core measures primarily for physician quality programs," says CMS. >>>

Dignity Health Announces Urgent Care Partnership

The urgent care centers will be a 50/50 partnership, with Dignity Health Medical Foundation providing the clinicians, GoHealth providing the organizational infrastructure and expertise, and both entities equally sharing the capital investment. >>>

ONC: Time to Get Busy with Value-based Payment Models

"We’re in a little bit of a we-don’t-know-what-we-don’t-know state as an industry. And it’s going to dawn on people really quickly that MACRA is a really big deal," says a co-chair of ONC’s Health IT Standards Committee. >>>

The Healthcare Partnership Midrange

The middle ground of the healthcare partnership continuum is dotted with a variety of relationships that feature varying degrees of shared governance. >>>

Intelligence Report:
The Analytics Challenge—Gaining Critical Insight into Risk-Based Models

As providers undertake contracts with increasing levels of downside risk, their need for advanced analytics to manage decision making and monitor results will only grow. >>>

LIVE Webcast

Webcast: Integrating Behavioral Health: Decreasing Costs and Improving Care

Date: March 15, 2016, 1:00–2:00 p.m. ET
In this expert webcast, hear how Carolinas HealthCare System developed a strategy to optimize resources to create a truly integrated model.
Register Today >>>


News Headlines

Community Health stock slumps after surprise loss, rivals also hit

Fox Business, February 17, 2016

When a brain surgeon becomes a malpractice lawyer

ProPublica, February 17, 2016

High cost of cancer care may take physical and emotional toll on patients

The Wall Street Journal, February 17, 2016

Christ Hospital seals surgery deal with UnitedHealth Group division

Cincinnati Business Courier, February 17, 2016

Aetna gets FL insurance regulator’s approval for Humana deal

CNBC / Reuters, February 16, 2016

Cancer patients snagged in health law’s tangled paperwork

Chicago Tribune, February 16, 2016

Hacking of healthcare records skyrockets

WRCB-TV / NBC News, February 16, 2016

Top hospitals likely are available on a marketplace plan, study finds

Kaiser Health News, February 15, 2016

With end of ‘doc fix’, effort to craft a new payment system underway

The Hill, February 12, 2016

Healthcare battle brewing between governors in KY

ABC News / Associated Press, February 12, 2016

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Multimedia/Events

HealthLeaders Media LIVE at NCH Healthcare System: Population Health

Date: February 23, 2016 | 11:00–2:00PM ET
In this live e-conference, discover how NCH Healthcare System has expanded its population health program with a multi-layered strategic plan.
Register Today >>>

From HealthLeaders Magazine

Changing Patient Behavior Through Technology

Software and hardware developments are opening new ways to get patients more involved in their own care. >>>

 

Cancer: Aligning Costs and Care

 

The Healthcare Partnership Midrange

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