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AAHAM webinar: 'Enrollment Solutions in the Shadow of PPACA'
Topic: Enrollment Solutions in the Shadow of PPACA

When: June 19, 1:30-3 p.m. EST

Speakers: Michael D. Wilmoth, Esquire and CEO of Advanced Patient Advocacy

Program Focus: In this INTERMEDIATE webinar, learn how the enactment of the new healthcare law, (PPACA) will cause widespread changes in the way that enrollment is handled. This intermediate level session will review the challenges hospitals face and the politics versus reality. This interactive webinar will also provide information on risk versus opportunity and strategies for risk aversion. In this informative webinar, learn:
  • PPACA politics versus reality and legal challenges.
  • Key elements of PPACA
  • Risk aversion strategies
  • How will reform impact healthcare utilization changes
Registration Info: Payment must be received on or before June 5. You will receive your confirmation and handouts via email by June 12.

Click here to download the full description and registration form.

Online member registration.
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8 easy steps to conducting successful, stress-free payments
By Jan Keller
Money has a strong emotional tie for all of us. Discussing it, especially when you're the one asking to be paid for something, can be downright stressful. But it doesn't have to be that way. In fact, the best outcome — a "win/win" where both parties feel they have an agreement that is fair and reasonable — is absolutely achievable. In addition, communication regarding fees can actually help build trust in patient relationships, if done correctly. The process that leads to implementing this type of payment arrangement is a straightforward, eight-step process that covers all aspects of the payment arrangement system.
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Industry Pulse: Has your office developed internal credit guidelines?

Previous Industry Pulse: Which will save the most money in our healthcare system?

Doctor-owned hospitals prosper under healthcare law
The Washington Post
Doctor-owned hospitals are earning many of the largest bonuses from the federal health law's new quality programs, even as the law halts their growth. The health law halted construction or expansion of these hospitals except in unusual circumstances. But physician-owned hospitals have emerged as among the biggest winners under two programs in the health law. One rewards or penalizes hospitals based on how well they score on quality measures. The other penalizes hospitals where too many patients are readmitted after they leave.
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More docs joining forces in ACOs
The number of physician-led accountable care organizations has recently surpassed the number led by hospitals, becoming the largest backers of the payment and delivery model, an analysis showed. Last March, hospital-led ACOs outnumbered those headed by doctors nearly two to one (91 to 45), said Neil Kirschner, PhD, ACP senior associate of regulatory and insurer affairs. But after the Centers for Medicare and Medicaid Services approved a new batch of ACOs earlier this year, physician-led organizations outpaced their hospital counterparts (202 to 189), he reported at the American College of Physicians annual meeting.
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ECRI: HIT errors 'tip of the iceberg'
HealthLeaders Media
Healthcare systems' transitions from paper records to electronic ones are causing harm and in so many serious ways, providers now are only beginning to understand the scope.

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EHR design flaws causing doctors to revert to paper
American Medical News
Improved efficiency was one promise that proponents of electronic health record systems often touted to physicians to persuade them to adopt the systems.

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9 burning trends in healthcare finance, outsourcing and transactions
Becker's Hospital Review
Many forces influence a hospital or health system's bottom line. When it comes to shoring up a healthcare organization's finances, executives usually come back to two principles.

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Healthcare providers want faster changes in payments
USA Today
Healthcare providers are pushing the federal government to scrap the payment plan for medical services, preferring instead one payment for a patient's entire care instead of separate fees for each item. Instead of fee-for-service medicine, in which a provider receives a payment for every test, procedure and visit, providers want the government — or states or private payers — to pay for treatment as a whole. In theory, physicians would provide treatments that have been proven to work but are also cost-effective.
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Operational assessment in strategic planning
Hospitals & Health Networks
Forthcoming changes in hospital payment will require significant transformations in care delivery from hospitals and health systems. The shift to value-based payment mandates that hospitals and health systems do more with less. To be successful, organizations will need to cut costs, enhance operational efficiencies and improve quality and outcomes.
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Clinical experience is key to making EHR helpdesks useful
EHR Intelligence
Nearly everyone has experienced the tedium and frustration of sitting on hold with customer service, trying to resolve a pressing issue, but being passed around from representative to representative just to find someone with the expertise to handle your problem. It's hard enough when it's a malfunctioning television or an erroneous credit card charge, but it's even worse when a physician is trying to document a patient's life-threatening allergy before a surgery, and she can't get access to the file she needs — or to anyone at the helpdesk with the clinical and technical skill to talk her through the solution.
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Looking for similar articles? Search here, keyword: Clinical experience.

Medicare effort to cut readmissions isn't counting patients who come back to ER
Kaiser Health News
A new study says Medicare may be missing factors that lead to post-hospital health problems because it isn't counting many discharged patients who come back to the emergency room, but aren't admitted. The study in Annals of Emergency Medicine looked at 11,976 patients discharged from Boston Medical Center, the largest safety net hospital in New England, in the first half of 2010. The total number of impatient discharges during the period studied was 15,519, including patients who were readmitted more than once.
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Marrying the BYOD phenomenon to HIPAA compliance
In today's mobile-friendly culture, few people think twice before pulling out their phone or tablet to take a picture. Recently, this cultural affinity for mobile technology has appeared in healthcare settings through the form of "Bring Your Own Device" initiatives, which allow employees to use their personal smartphones and tablets to connect to a hospital's network. Many healthcare organizations have readily accepted the BYOD approach because of the convenience and potential cost savings associated with allowing employees to bring their own devices to work. Unfortunately, these benefits can be negated if leadership does not take into consideration the risks associated with the access of/movement of patient information outside of the veil of the Health Insurance Portability and Accountability Act.
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The financial impact of ICD-10: How do you prepare for the unknown?
Of all the changes coming to healthcare in the coming years, conversion to the ICD-10 coding system might be the one with the biggest air of mystery. It's near impossible to tell exactly how it will impact revenue. No one's really sure how much training will be enough. Will systems and partners be ready? Will payers?
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Missed last week's issue? See which articles your colleagues read most.

    Price transparency in healthcare — the latest buzzwords (By Dr. Jonathan Kaplan)
Is it time to upgrade your EHR? (Hospitals & Health Networks)
Employee benefits: How the final HIPAA regulations impact group health plans (Lexology)
HIPAA compliance: 5 key considerations for hospitals and other large providers (Becker's Hospital Review)
New model predicts hospital readmission risk (Brigham and Women's Hospital via ScienceDaily)

Don't be left behind. Click here to see what else you missed.

EHRs aren't ready for genomics-driven healthcare
Current electronic health record systems are not designed to work with genomic data, but could be modified to incorporate genomic clinical decision support coming out of ancillary systems, says a viewpoint article in the Journal of the American Medical Association. This approach, the authors argue, could enable doctors to benefit from the latest genomic advances without waiting for EHR vendors to catch up with this scientific revolution. But eventually, they add, EHRs will have to change.
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5 headaches to avoid in billing
Healthcare Finance News
One of the biggest challenges hospitals face is getting paid. There's a long list of headaches contributing to a very challenging landscape in the medical billing world. Michele Hilton, general manager of medical billing services, ADP AdvancedMD, can say she's experienced all the headaches associated with medical billing. In the following article, she offers a little painkiller cocktail to preemptively strike against the headaches of medical billing.
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AAHAM eNewswatch
Colby Horton, Vice President of Publishing, 469.420.2601
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Lisa Smith, Senior Content Editor, 469.420.2644  
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