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Accountable Care Organizations (ACOs)

Eroding the payer/provider divide

November 6, 2013  |  Pamela Tabar, Editor-in-Chief
blog

Payers, providers and care networks are making vast efforts to combine care delivery, coverage and costs—merging control over the once-siloed segments of healthcare business. Will the post-acute care sector be the golden ticket to success or the cost-laden...

Bundling without bungling

October 29, 2013  |  Pamela Tabar, Editor-in-Chief
article
Bundling payments is becoming a reality for many long-term and post-acute care communities, but do you know where to start?

Omnicare settles $120M kickback suit

October 24, 2013  |  Pamela Tabar, Editor-in-Chief
news

Long-term care pharmacy giant Omnicare has agreed to pay $120 million to end a lawsuit alleging kickbacks for skilled nursing medications.

Seniors with chronic diseases overpaying for medications

October 14, 2013  |  Pamela Tabar, Editor-in-Chief
news

Seniors with diabetes, COPD, heart disease or Alzheimer’s disease need to pay careful attention when choosing a drug coverage plan, a new study says.

S.C. health system ordered to pay $276M in billing fines

October 2, 2013  |  Pamela Tabar, Editor-in-Chief
news

A South Carolina health system owes the government millions for fraudulent billings and violations of the Stark anti-kickback law for the way it funnelled business to its outpatient services.

 

House, Senate spar over a delay to ACA; shutdown looms

September 30, 2013  |  Pamela Tabar, Editor-in-Chief
news

After a weekend of squabbling over the federal budget, the Senate has rejected a proposal to delay the Affordable Care Act. With the budget crisis still unsolved in the 11th hour, what would a government shutdown mean for long-term care?

Jacob Reider named acting national coordinator for ONC, David Muntz resigns

September 26, 2013  |  Rajiv Leventhal, Assistant Editor, Healthcare Informatics
news

Farzad Mostashari, MD, has announced that Jacob Reider, MD, will take over as acting national coordinator. The ONC also announced that David Muntz has decided to step down as principal deputy national coordinator for health IT.

RACs are effective, but CMS should provide better oversight, says OIG report

September 4, 2013  |  Pamela Tabar, Editor-in-Chief
news

Recovery Audit Contractors (RACs) are doing an effective job of rooting out Medicare fraud and billing errors, but federal Medicare agencies need to be more diligent about tracking cases, a new government report says.

Mostashari steps down from ONC

August 6, 2013  |  Pamela Tabar, Editor-in-Chief
news

Farzad Mostashari, head of the Office of the National Coordinator for Health Information Technology (ONC) for the past four years, has announced his resignation.

House reps votes to delay employer, individual insurance mandates by one year

July 17, 2013  |  Pamela Tabar, Editor-in-Chief
news

Following President Obama’s July 2 announcement to delay the employer insurance benefits mandate required by the ACA, the U.S. House voted today to delay the individual insurance mandate as well. But will the Senate agree?

9 ACOs plan to leave Pioneer Program

July 16, 2013  |  Rajiv Leventhal, Assistant Editor, Healthcare Informatics
news

After one year, quality benchmarks may be up, but cost savings are not—and nine ACOs have decided to leave the Pioneer ACO program, CMS announced today.

Report lists 30 ways to address cognitive health

July 16, 2013  |  Lois A. Bowers, Senior Editor
news

More than 280 public health experts put their heads together to come up with 30 ways to promote cognitive functioning and address impairment. A new report contains advice for those working with or caring for those with dementia.

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