MedPAC suggests alternative models for rural hospitals

http://www.fiercehealthfinance.com/story/medpac-suggests-alternative-models-rural-hospitals/2015-10-15?utm_medium=nl&utm_source=internal

Rural Health

Standalone EDs, clinics could work as viable replacements

Home healthcare at the crossroads as market expands

http://www.healthcaredive.com/news/home-healthcare-at-the-crossroads-as-market-expands/407174/

 

CMS’ 6 health equity problems: What execs should know

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/cms-6-health-equity-problems-what-execs-should-know-slideshow

health equity priorities

Moda Health’s financial hit due to underfunded federal program larger than expected

http://www.bizjournals.com/portland/blog/health-care-inc/2015/10/moda-healths-financial-hit-due-to-underfunded.html?ana=e_ptl_hc&u=FAuoHGaGEPdmk4X6khnaiw045b16af&t=1444506175

Moda Health's logo adorns Moda Center. The insurance carrier won't get as much money as it had hoped from the "risk corridor" program.

504 hospitals hit with whistle-blower lawsuit alleging false claims violations

http://www.beckershospitalreview.com/legal-regulatory-issues/504-hospitals-hit-with-whistle-blower-lawsuit-alleging-false-claims-violations.html

Whistleblower

HHS directed to re-examine $220 million hospital pay cut

http://www.capitalnewyork.com/article/albany/2015/09/8577544/hhs-directed-re-examine-220-million-hospital-pay-cut

hhs-directed-re-examine-220-million-hospital-pay-cut

A federal judge has ruled that the secretary of health and human services does have the authority to cut Medicare payments for all hospitals, but that she failed to follow the proper procedures for doing so

Post-Acute Care Transformation Taking Hold in SNFs

http://healthleadersmedia.com/page-1/FIN-321096/PostAcute-Care-Transformation-Taking-Hold-in-SNFs

Nursing Home

Payment reform, new regulations, and opportunities to boost quality of care for older patients with comorbidities are revolutionizing skilled nursing facilities.

CMS: Government shutdown won’t jeopardize ICD-10 transition

http://www.fiercehealthit.com/story/uncertainty-surrounds-cms-icd-10-coordination-center-ombudsman-government-s/2015-09-24?utm_medium=nl&utm_source=internal

However, uncertainty surrounds ICD-10 Coordination Center, ombudsman

Observation status, ED visits create illusion of fewer readmissions, quality gains

http://www.fiercehealthcare.com/story/hospitals-cheat-readmissions-quality-standards-with-observation-status/2015-08-27

Observation Unit

Pay for performance “pressures hospitals to cheat,” authors say