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Healthcare News

Wed, 23 Apr 2014 21:53:44 -0500

The Affordable Care Act is having a lasting impact on small businesses, affecting how owners make decisions about hiring and managing staff, upgrading equipment and more.

Wed, 23 Apr 2014 11:50:00 -0500

Negotiating a managed care contract is not the same as it was even a few years ago. Now all of the power providers have in managed care negotiations is in their ability to prove that they can manage quality and cost more effectively than the next guy, says one expert.

Wed, 23 Apr 2014 11:40:00 -0500

Healthcare organizations are at their weakest not necessarily on technical implementations, but in their ability to coordinate and collaborate across organizations, says a security expert.

Wed, 23 Apr 2014 11:36:00 -0500

On the first day of an AHIMA-organized summit, the Coalition for ICD-10 picked up a strong ally, America's Health Insurance Plans, but got no new information from federal officials about an implementation date.

Tue, 22 Apr 2014 11:45:00 -0500

AHIMA and other ICD-10 stakeholders say they want to know when federal officials intend to set a new implementation date for the delayed code set.

Tue, 22 Apr 2014 11:39:00 -0500

To fix its "deeply flawed" website, the Maryland Health Benefit Exchange is turning to Access Health CT. Now CT officials are mulling offering similar services to other state exchanges—for a fee.

Mon, 21 Apr 2014 13:13:00 -0500

A Community Hospital Corporation deal illustrates the great financial strain on Georgia 's small and rural hospitals as a result of a decade-long decline in state Medicaid reimbursements, the economic recession, and the challenging demographic of older, poorer, and sicker patients.

Mon, 21 Apr 2014 12:19:00 -0500

In a display of unprecedented cooperation and compromise, Arkansas is on the verge of creating the country's first public-private, universal payer, value-based healthcare delivery system.

Thu, 17 Apr 2014 12:02:00 -0500

To say doctors are under tremendous pressure may be the understatement of the year. One key indicator to how well they are navigating the healthcare system is reimbursement.

Thu, 17 Apr 2014 11:52:00 -0500

Two Pennsylvania physicians share their experiences decoupling from Medicare. They've lost 12% of their patient population, but say they're providing more personalized care and the effects on their revenue and financial viability have been positive.

Wed, 16 Apr 2014 12:05:00 -0500

The American Hospital Association wants CMS to adjust measures in pay-for-performance programs to reflect factors such as race and income, even though doing so "would be a complex undertaking" for everyone involved.

Wed, 16 Apr 2014 11:56:00 -0500

Multispecialty medical practices with non-physician providers typically perform better financially than those without physician assistants and nurse practitioners, an MGMA report finds.

Tue, 15 Apr 2014 12:06:00 -0500

A federally backed drive to create a value-based healthcare delivery system in partnership with providers and payers is under way nationwide. Three years ago, an unprecedented financial crisis prompted Arkansas "to bet the farm" on a similar value-based healthcare model.

Tue, 15 Apr 2014 11:49:00 -0500

New players in healthcare are gaining a toehold with frustrated consumers who are "ready to abandon traditional care models for ones that echo experiences in banking, retail and entertainment," research from PwC's Health Research Institute indicates.

Mon, 14 Apr 2014 11:54:00 -0500

"The timelines and the pressures we're putting on the industry need some flexibility and sequencing so that people can be successful," says the CEO of CHIME. He and others are hopeful that Kathleen Sebelius's successor will listen to and understand the needs of the field.

Mon, 14 Apr 2014 11:47:00 -0500

While the latest delay of ICD-10 has created some confusion, the CEO of AHIMA says providers, payers, and other stakeholders are doing what they can to prepare staff. Those that can afford it will try to teach both ICD-10 and ICD-9.

Fri, 11 Apr 2014 12:32:00 -0500

A study stops short of identifying the optimal hospitalist-to-patient ratio, but "workload does have implications for efficiency of care," says the study's lead author.

Fri, 11 Apr 2014 12:09:00 -0500

Despite an official prediction that MA health plan payment rates will be essentially unchanged in 2015, Cigna, Aetna, and Humana expect payments to fall next year.

Fri, 11 Apr 2014 11:18:00 -0500

Health and Human Services Secretary Kathleen Sebelius is resigning after a five-year tenure of landmark achievements and technical fiascos. President Obama will nominate Sylvia Mathews Burwell, the director of the Office of Management and Budget, to replace her.

Thu, 10 Apr 2014 12:15:00 -0500

The federal Centers for Medicare & Medicaid Services released a potential treasure trove of 2012 Medicare physician claim information. The release, which makes the data public for the first time since 1979, is "a huge step to making the Medicare system more transparent," CMS says.

Thu, 10 Apr 2014 12:01:00 -0500

The American Medical Association says the public should exercise caution when interpreting the 2012 Medicare payment data for physicians, saying "the manner in which CMS is broadly releasing physician claims data, without context, can lead to inaccuracies, misinterpretations and false conclusions."

Mon, 10 Mar 2014 22:04:15 -0500

With just over three weeks left to choose new coverage in the health law marketplaces, deciphering the complex system of subsidies remains a key challenge for many would-be insurance customers.

Fri, 28 Feb 2014 18:47:12 -0600

A WSJ reporter followed a group of families and scientists trying to accelerate the development of a drug to treat Niemann-Pick Type C disease, a rare and fatal cholesterol metabolism disorder known as NPC that strikes primarily children.

Wed, 26 Feb 2014 21:31:45 -0600

Health law overhaul is affecting millions of Americans. Readers write to the Wall Street Journal to answer the question, "How has the health law affected you?"

Tue, 25 Feb 2014 16:18:21 -0600

On Tuesday, February 25 at 3:00 p.m. ET the Wall Street Journal's Anna Mathews will be joined by Karen Pollitz, a senior fellow at the Kaiser Family Foundation, Mike Stahl, senior vice president at HealthMarkets, and Adam Okun, senior vice president at Frenkel Benefits, to discuss the health law, what it means for consumers and employers, and answer reader questions.

Tue, 18 Feb 2014 23:27:25 -0600

This is a huge year for the law known as Obamacare. Tell us your story of how the health law has affected you.

Mon, 09 Dec 2013 20:08:45 -0600

Dr. Christopher Austin and the Journal's Health reporter Amy Dockser Marcus took questions about treatments for rare disease during a Reddit AMA.

Tue, 03 Dec 2013 14:35:50 -0600

For years, Christopher P. Austin has been trying to develop a way for science to build a better partnership with patients. Dr. Austin and the Journal’s Amy Dockser Marcus are answering questions now.

Fri, 06 Sep 2013 15:27:34 -0500

Sleep experts say napping done right is good for the brain and our work performance. But what’s the best way to grab some extra zzz’s during the day?

Wed, 12 Jun 2013 00:12:20 -0500

Physician pay accounts for about 20% of total health-care spending, and in many specialties it has increased much faster than inflation in recent years. Some critics say that’s because most doctors get paid for every service they perform, which creates an incentive to order unnecessary tests and hospitalize people who don’t need it. That critique is the basis for a push to tie physician pay to performance, evaluating doctors on how well they follow procedures for patient care and how well they score on patient satisfaction surveys, among other things. [wsj-poll name="20130611-200308-1747367582" category="topic" size="E"]

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