Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

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Senators say they’ve reached deal on ACA insurer subsidies

Sens. Lamar Alexander, R-Tennessee, and Patty Murray, D-Washington, have told reporters they’ve reached an agreement to fund the Affordable Care Act (ACA)’s cost-sharing reduction subsidies to insurers which had been halted by President Donald Trump.

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Bundled payment cancellation by CMS draws calls for new Advanced APMs

When the previous administration at CMS finalized rules on mandatory bundled payment models for cardiac and orthopedic care late in 2016, 221 public comments were received. The cancellation of those same bundles, however, drew only 85 official comments as of Oct. 18.

Public insurance options included in new healthcare legislation

A bill to be introduced by Sens. Michael Bennet, D-Colorado, and Tim Kaine, D-Virginia, would create new options for Americans under the age of 65 to use Medicare provider networks, effectively serving as the public insurance option that was left out of the Affordable Care Act (ACA).

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Positive results for ACO models, but CMS doesn’t publicize results

Four accountable care organization (ACO) models generated more in gross savings in 2016, but unlike in previous years, CMS hasn’t publicly touted the results as it re-examines payment models created under the Centers for Medicare and Medicaid Innovation (CMMI).

Wellpepper wins $125K, first prize in Amazon Alexa Diabetes Challenge

The Alexa Diabetes Challenge, a competition searching for innovators to develop a type 2 diabetes care platform utilizing the Amazon voice-enabled device, has awarded a grand prize of $125,000 to Wellpepper and its Sugarpod concept. The Challenge was sponsored by Merck & Co., supported by Amazon Web Services and run by Luminary Labs.

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Joint Commission pulls proposed ambulatory telemedicine standards

The Joint Commission has announced it will not move forward in implementing any of its proposed changes to accreditation standards.

DOJ drops Medicare Advantage fraud suit against UnitedHealth

The U.S. Department of Justice (DOJ) has abandoned a lawsuit against UnitedHealth over allegations the insurer submitted false claims in its Medicare Advantage plans, though a similar case remains active.

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Hospital mergers can take more than 2 years to realize cost, quality benefits

Operating revenue fell faster than operating expenses for two years at hospitals which had been merged into or acquired by a new system, with no evidence of improvement on quality measures, according to a report released by the Deloitte Center for Health Solutions and Healthcare Financial Management Association (HFMA).

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Around the web

AI in Healthcare
4 ways HHS plans to help shape a national strategy for healthcare AI

HHS has thought through the ways AI can and should become an integral part of healthcare, human services and public health. Last Friday—possibly just days ahead of seating a new secretary—the agency released a detailed plan for getting there from here.

Cardiovascular Business
FDA announces recall after Philips heart monitor software failed to send alerts—multiple deaths reported

Philips is recalling the software associated with its Mobile Cardiac Outpatient Telemetry devices after certain high-risk ECG events were never routed to trained cardiology technicians as intended. The issue, which lasted for two years, has been linked to more than 100 injuries. 

Cardiovascular Business
Why electrophysiologists needed a champion in Washington

Heart Rhythm Society President Kenneth A. Ellenbogen, MD, detailed a new advocacy group focused on improving EP reimbursements, patient care and access. “If you’re not at the table, you’re on the menu," he said.