CEO Power Panel: Are your physicians ready for reform?

http://www.modernhealthcare.com/article/20160903/MAGAZINE/309039989?utm_campaign=socialflow&utm_source=twitter&utm_medium=social

Modern Healthcare CEO Power Panel

Like it or not, ready or not, MACRA is coming.

Anxiety is rippling through the healthcare industry as the initial reporting period for Medicare’s new payment system for physicians fast approaches. Modern Healthcare’s latest CEO Power Panel survey reveals leaders are bracing for uncertainties and challenges generated by the law, formally titled the Medicare Access and CHIP Reauthorization Act.

This coming phase will be extremely painful for doctors, CEOs worry, even as they applaud the overarching goal of paying for healthcare on the basis of quality over quantity. They are keenly aware of the near-term challenges of managing these growing pains and of successfully mitigating potential negative consequences. But they are also optimistic—even confident—that patients and physicians stand to benefit in the long run.

Why the Lahey-Beth Israel merger has failed three times

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/third-time-s-not-a-charm-why-the-lahey-beth-israel-merger-has-failed-three-times.html

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Why have 2 Boston hospitals failed to merge — 3 times?

Burlington, Mass.-based Lahey Health and Boston-based Beth Israel Deaconess have attempted to join forces numerous times, but to no avail.

They tried to merge in 2011. They took another stab at it when they teamed up with Newton, Mass.-based Atrius Health in 2012. Merger talks were once again sparked earlier this year, only to fall through in September.

Despite the effort, the health systems can’t seem to pull it together and unite. But their attempts at merging show more than a lack of a solid relationship — they provide a deeper look at the background of healthcare in Massachusetts and the power of market share.

What 4 health system CEOs think of hospital consolidation

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/good-bad-or-too-tough-to-say-what-4-health-system-ceos-think-of-hospital-consolidation.html

Market Power

There is a great deal of consolidation occurring in the healthcare industry today, and whether that is good or bad news to health system CEOs depends on their organization’s market and M&A track record.

During a panel discussion at the Becker’s Hospital Review 4th Annual CEO Roundtable + CFO/CIO Roundtable in Chicago, Chuck Lauer, former publisher of Modern Healthcare, asked the speakers to offer their thoughts on provider consolidation.

Here’s how CEOs responded.

The rise of ‘super regional systems’ and what it means for healthcare

http://www.beckershospitalreview.com/hospital-transactions-and-valuation/the-rise-of-super-regional-systems-and-what-it-means-for-healthcare.html

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Consolidation has touched all facets of healthcare, including hospitals of all sizes, medical groups and insurers, and this trend will significantly affect the industry as a whole.

Mergers, acquisitions and other types of partnerships are critical as hospitals focus on providing coordinated, cost-effective care. There has been an increase in hospital M&A in recent years, with transactions rising 18 percent in 2015 compared to the year prior, according to an analysis by Kaufman, Hall & Associates.

Through consolidation, hospitals become more efficient and, many times, improve care quality. However, consolidation also increases leverage and causes revenue to rise. This has led to the creation of “super regional systems,” says Gregory F. Hagood, senior managing director and president of SOLIC Capital. This trend is noted in almost every major market, but it is most visible in metro areas like Chicago.

Brooklyn surgeon in Medicare billing scheme convicted of fraud, faces 40 years in prison

http://www.nydailynews.com/new-york/nyc-crime/brooklyn-surgeon-convicted-medicare-fraud-faces-40-years-article-1.2731355

Dr. Syed Ahmed faces over 40 years in prison.

A Brooklyn surgeon is facing more than 40 years in prison after a federal jury convicted him of a massive Medicare fraud that included claims he’d performed 600 procedures on one person.

Dr. Syed Ahmed was found guilty of all six counts late Thursday night in Brooklyn Federal Court. The jury had deliberated about four hours.

Prosecutors alleged that Ahmed, a specialist in weight loss surgery and wound treatment, billed Medicare for over $7 million in procedures, many of which were not performed on patients, prosecutors alleged.

Assistant U.S. Attorney Patricia Notopoulos told the jury that Ahmed billed Medicare for 5,000 surgeries over a three-year period, including 600 alleged procedures on an elderly woman.

Trinity Health Settles Church Pension Suit for $75M

http://www.bna.com/trinity-health-settles-n73014445765/

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Ex-executive who helped feds with Sacred Heart probe given year in prison

http://www.chicagotribune.com/news/local/breaking/ct-sacred-heart-hospital-fraud-met-20160824-story.html

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http://www.beckershospitalreview.com/legal-regulatory-issues/former-sacred-heart-executive-gets-1-year-prison-term.html