Hospitals: Page 213
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Do insurers have unfair advantage over hospitals buying doctor practices?
What happens as hospitals and health insurers continue to acquire physician practices, and hospitals are held to a stricter legal standard on paying fair market value?
By Judy Packer-Tursman • June 16, 2014 -
OIG demands $9.8M Medicare refund extrapolated from few claims
The audit revealed that about half of an Ohio hospital's 228 claims under review were compliant. But the rest of the claims spelled big trouble — after auditors extrapolated the hospital's penalty into the millions.
By Judy Packer-Tursman • June 16, 2014 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
Healthcare providers use EMRs differently
The study found that healthcare providers developed personal approaches to how they used EMR systems, including how often they updated lists of patients' problems and when they responded to clinical decision support alerts.
By Anne Zieger • June 13, 2014 -
Hospitals, unions face changing landscape under reform
Nurses and other unionized workers are striking, picketing and holding rallies across the U.S. This is nothing new and within their rights. But the reform law is changing the environment in ways that may heighten challenges to keep the peace.
By Judy Packer-Tursman • June 12, 2014 -
Medicare poorly tracks hospital infections
Hospital infections continue to pose both health risks and heavy financial costs. And tracking them, according to a new study, is "an imprecise science." Just how big is the impact of hospital complications?
By Judy Packer-Tursman • June 12, 2014 -
How the ACA impacts hospitals: The Henry Ford example
How is the Affordable Care Act affecting health systems' bottom lines? If you ask Detroit's giant Henry Ford Health System, things were OK in 2013 but should improve this year.
By Judy Packer-Tursman • June 12, 2014 -
Kaiser Permanente uses big data to help infants
Kaiser's research division collects data sets on each infant born in the northern California region, along with data on babies admitted to ICUs — and has used the information to determine the risk of sepsis in preterm and newborn babies.
By Anne Zieger • June 12, 2014 -
New payment models to surpass fee-for-service by 2020
The new study by McKesson suggests two-thirds of payments will be value-based in less than 10 years — which worries providers much more than payers.
By Judy Packer-Tursman • June 12, 2014 -
Who are the largest nonprofit U.S. hospitals?
This year the largest nonprofit hospital in the U.S. has 2,259 beds. While some regard hospital bed counts as significant, others say improvements in care delivery mean fewer beds are required. Just how important are bed counts?
By Judy Packer-Tursman • June 12, 2014 -
Provider coalition opposes competitor's acquisitions
Massachusett's largest health system wants to expand, and the state AG's office is obliging. But rival providers are crying foul and urging full public disclosure prior to the deal's final approval.
By Judy Packer-Tursman • June 12, 2014 -
Data-driven simulation models thin crowds in emergency rooms
The researchers' model examines two scenarios: patient flow in the average U.S. emergency department and patient flow in an academic hospital emergency department.
By Anne Zieger • June 11, 2014 -
HHS allows new delay for some SHOP exchanges
Small businesses 'employee choice' option on health plans will wait until 2015 in 18 states with federally facilitated SHOP exchanges. The implications for hospitals remain unclear.
By Judy Packer-Tursman • June 11, 2014 -
Health systems, ACOs urge HHS to lift telehealth restrictions
Increasingly, health systems and ACOs are embracing telehealth as a way to extend care and improve efficiency. But they aren't clear whether federal regulators will heed stakeholders' urging to waive restrictions on it.
By Judy Packer-Tursman • June 10, 2014 -
AMA pushes for physician-led care models
Doctors want to take charge of health-care delivery, leading teams serving primary-care needs through value-based care models such as ACOs. Where does this leave hospitals in the fast-changing market?
By Judy Packer-Tursman • June 10, 2014 -
Hospitals see surge of ER patients under reform
Medicaid expansion was intended shift the newly insured into primary care and away from the ER, but in some states, the opposite is happening. What factors are playing into this unexpected situation, and how can it be corrected?
By Judy Packer-Tursman • June 10, 2014 -
VA audit reveals 57,000 vets await appointments
But does the audit show the full extent of systemic problems? How much will VA's outlined emergency fixes actually help?
By Judy Packer-Tursman • June 9, 2014 -
Deep Dive
The Highmark Health gamble: How risky is insurer-hospital integration?
After purchasing a Pennsylvania health system, Highmark Health posted a $186 million loss in 2013 and may lose the leading area provider from its network. What happens next, and what does the Highmark story mean for the trend of vertical integration?
By Judy Packer-Tursman • June 9, 2014 -
It's time to get tougher on patient dumping
Massive fines haven't staunched a really ugly trend with dire consequences.
By Anne Zieger • June 9, 2014 -
Cleveland Clinic CEO Cosgrove says no to VA post
Why did the senior exec decide to stay put? Is it partly to remain in the driver's seat of a Ferrari instead of riding off in an old Rambler?
By Judy Packer-Tursman • June 7, 2014 -
NC system triples nurse direct care time
When nurses spend more time at the patient's bedside, what is the result? Better patient outcomes? Happier nurses? Hospitals are finding that making inexpensive changes may be the ticket to both.
By Judy Packer-Tursman • June 6, 2014 -
Health care doubles average monthly job growth in May
Economic indicators point to a good start to 2014 for the hospital sector. Will the good news continue?
By Judy Packer-Tursman • June 6, 2014 -
Are hospitals that buy oncology practices grabbing extra profits?
A report says hospitals buying oncology practices have increased their purchases through a federal drug discount program meant for low income Americans — with almost half of such hospitals pocketing savings.
By Judy Packer-Tursman • June 6, 2014 -
CVS dominates retail clinic market (but for how long?)
There's still plenty of room for everyone, a new report says. Even with its market dominance, CVS only has clinics in 10% of its stores nationwide, leaving room for hospitals, insurers and other retail companies to open up shop.
By Judy Packer-Tursman • June 5, 2014 -
NC hospital saves $500K by decreasing patient falls
Patient falls result in 11,000 fatalities annually, creating an expensive problem for providers. One hospital came up with an simple and effective management plan that has reduced falls dramatically.
By Judy Packer-Tursman • June 5, 2014 -
AHA calls for halt of OIG compliance reviews
Are Office of Inspector General audits "redundant" to the Recovery Audit Contractor program? The AHA thinks so — and claims they are an unfair and expensive burden on hospitals.
By Judy Packer-Tursman • June 5, 2014
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