Anthem Blue Cross and Blue Shield in Missouri and SSM Health Care-St. Louis have collaborated to develop an alternative to fee-for-service reimbursement for total knee replacements through a bundled payment initiative, according to an SSM Health Care-St. Louis news release.
Integration & Physician Issues
What’s bothering your physicians? The following 28 grievances were collected from physicians at three different hospitals over a period of six months, according to Rochell Pierce, vice president of physician relationship management for Brentwood, Tenn.-based Aegis Health Group. The complaints…
The Accountable Care Implementation Collaborative, a group of 28 hospital systems under Charlotte, N.C.-based Premier healthcare alliance, has developed a financial modeling tool to allow hospital leaders to predict the risks and opportunities of forming accountable care organizations, according to…
Evaluating the Medicare demonstration programs The Patient Protection and Affordable Care Act health reform legislation created several new types of provider arrangements that many hospitals and physician groups are evaluating. These organizational structures are intended to enhance the ability of…
A federal appeals court has found Citizens Medical Center in Victoria, Texas, has a rational basis for enacting a resolution that excludes non-contracted cardiologists from exercising clinical privileges at the hospital, according to an American Medical News report. Three cardiologists…
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Indianapolis-based St. Francis Medical Group has acquired Indy Southside Surgical, effective March 1, according to a news release.
Blue Shield of California is teaming with five healthcare providers to form two accountable care organizations, according to a news release.
An essential component of the development of accountable care organizations is physician integration: the alignment of physicians with hospital goals and standards. Before hospitals can successfully partner with physicians, however, physicians need to integrate with themselves, says Michael G. Cassatly,…
New Hanover Regional Medical Center in Wilmington, N.C., has announced two local cardiology groups have joined its NHRMC Physician Group, according to a news release by the health system.
The success of physician integration may be the "tipping point" for the development of an accountable care organization, says Michael McKenna, MD, VP of Medical Management at Advocate Lutheran General Hospital in Park Ridge, Ill.