In 2002, Oak Brook, Ill.-based Advocate Health Care's major payor indicated it was only interested in giving increases if they were related to demonstrated value. In response, Advocate Physician Partners leadership created a clinical integration program and asked the payor…
Leadership & Management
DCS Healthcare, the recovery audit contractor for Region A, posted the following CMS-approved audit issues on February 9-11.
Payments to out-of-network providers by Blue Cross plans in Texas and Illinois, by UnitedHealth Group in New York and by Aetna for some policies are dropping to Medicare levels, no longer honoring the providers' "usual, customary and reasonable" rates, according…
Although the Supreme Court has been shifting rightward, there are signs it might not strike down the healthcare law's mandate to buy insurance when it is expected to review lower court decisions both for and against the provision, according to…
It is a tale of one city – Boston, Mass. – and two hospitals, Beth Israel Deaconess Medical Center and Caritas Christi. It is a tale of two chief executive officers, former CEO Paul F. Levy at BIDMC and current…
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The Christ Hospital in Cincinnati is expanding into Northern Kentucky in what some are considering a "turf battle" with St. Elizabeth Healthcare, also based in Cincinnati, according to a Cincinnati Enquirer report.
Medicare, Medicaid and private payors are pushing hospitals to put more patients into observation status and the length of time sometimes exceeds Medicare limits, according to a report by the Columbus Dispatch.
Grady Memorial Hospital in Atlanta may be forced to cut jobs following an expected reduction in funding from Georgia's Indigent Care Trust Fund, according to an Augusta Chronicle report.
The lack of around-the-clock ICU coverage and a shortage of intensivists is a pressing issue for many community hospitals, particularly those that are mid-size. Fewer than 20 percent of ICUs are staffed with intensivists, according a report from The Hospitalist,…
Bon Secours Health Systems in Marriottsville, Md., recently received the Excellence Award from Premier healthcare alliance for its commitment to excellence and leadership in providing high quality and efficient care, according to a Premier news release.