AAHAM eNewswatch
Nov. 26, 2014

Healthcare providers' push to consolidate roils payers
HealthLeaders Media
Healthcare provider claims that mergers boost efficiencies are drawing intense scrutiny from regulators and provoking a market challenge from payers. Old habits are hard to break. One of the goals of the federally led drive to create a value-based healthcare industry is to increase cooperation between major stakeholders. As a wave of healthcare provider consolidation sweeps across the country, the new age of cooperation between providers and payers is starting to look a lot like the old age of adversarial relationships.More

Obamacare premiums: Going up unless you shop
CNN Money
Obamacare premiums are going up for 2015. But your Obamacare premium doesn't have to. Multiple experts have sliced and diced the Obamacare health insurance offerings for 2015, and most, if not all, have found that premiums are rising, on average. They used different criteria for measuring premium changes.More

Portals aren't just for outpatients
Healthcare IT News
With all the talk about patient engagement as a component of both meaningful use and of healthcare quality improvement, it seems to be lacking in one of the most obvious places of all: the hospital room.More

The battle over EHR patient data
Medical Economics
Who owns patient data in an electronic health record? It's a simple question with a complex answer. No longer confined to the shelves of a physician’s office, patient data is now shared and used by a myriad of organizations across healthcare: Other physicians and health systems, the EHR vendor, payers, and researchers, not to mention patients themselves. While primary care physicians often originate the medical record, the resulting data are not theirs alone.More

50 things to know about Medicaid expansion
Becker's Hospital Review
As one of the most contentious provisions of the Patient Protection and Affordable Care Act, Medicaid expansion has affected both for-profit and nonprofit hospitals and health systems and served as a point of contention in political campaigns. Here are 50 things to know about the controversial topic.More

HHS formally moves to close loophole allowing plans without hospital benefits
Kaiser Health News
The Obama administration took another step to close what many see as a health-law loophole that allows large employers to offer medical plans without hospital coverage and bars their workers from subsidies to buy their own insurance. "It has come to our attention that certain group health plan designs that provide no coverage of inpatient hospital services are being promoted," the Department of Health and Human Services said in proposed rules issued recently.More

Why this is the last time we should reset the ICD-10 countdown clock
As promoters of patient safety and guardians of data integrity, health information management professionals have dedicated their careers to ensuring the high quality of information in all medical records, paper or electronic. They also have been crusading for the switch to ICD-10 for many years, in large part because they fully understand the ramifications that accompany reliance on an outdated coding system.More

Virtual care: A real-world strategic asset
HIMSS wire
In the face of such hassles, consumers are embracing emerging virtual care models, which empower patients to take control of their health by having the majority of care taking place "virtually" through online resources and access to clinicians via phone, email or video technologies. The fact that payment models are now supporting virtual care, however, is probably what's pushing healthcare organizations to actually make the move to this alternative delivery model.More