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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Group purchasing cuts costs, optimizes supply chain

A report from the Healthcare Supply Chain Association (HSCA) said the group purchasing organizations (GPOs) it represents help cut supply chain costs by an average of 15 percent and reduce drug spending by 25 percent.

3 ways to proactively identify underpayments before CMS audits

A Recovery Audit Contractor (RAC) review from CMS isn’t cause for celebration for most healthcare organizations, but it can be beneficial if those facilities take proactive steps to identify underpayments.

New ACA market rule coming

CMS has indicated a new rule aimed at stablizing the Affordable Care Act (ACA)'s insurance exchanges for 2018 is coming, but it isn't offering many details. 

ACA repeal may be more like a ‘repair’

The rhetoric on healthcare reform is changing, as Republican majorities in Congress are beginning to shift away from fully eliminating the Affordable Care Act (ACA) to modifying it.

Online reviews increase physician stress

Just like online reviews for the coffee shop around the corner, patients are rating physicians on both independent and health system websites. A study in the Journal of General Internal Medicine, published by Springer, examines how these rating systems effect physician stress levels and how both parties view the online review process.

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CMS proposes 0.25% increase in Medicare Advantage payments for 2018

CMS is offering a more modest 0.25 percent increase in payment rates for Medicare Advantage (MA) insurers, one year after a 0.85 percent hike, in its proposed MA update for 2018. 

Former Tenet exec indicted in $400 million Medicaid fraud case

John Holland, a former senior vice president for Tenet Healthcare’s southern region, has been charged with allegedly taking part in a scheme to pay bribes in exchange for patient referrals and resulting in $400 million in fraudulent Medicaid billings. 

AMGA Encouraged by CMS Willingness to Modify Medicare Advantage Encounter Data Risk Scoring

AMGA is pleased that the Centers for Medicare & Medicaid Services (CMS) is not proposing to move forward with a more aggressive use of Medicare Advantage (MA) encounter data for risk adjustment as part of its Advance Notice of Methodological Changes for Calendar Year 2018 Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2017 Call Letter.

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Around the web

Cardiovascular Business
Cardiologist compensation still rising, especially in invasive and interventional cardiology

Updated compensation data includes good news for multiple subspecialties. The new report also examines private equity's impact on employment models and how much male cardiologists earn compared to females.

Cardiovascular Business
FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

Cardiovascular Business
Cardiology groups cheer new bill that would improve access to Medicare claims data

If passed, this bill would help clinician-led clinical registries explore Medicare data for research purposes. The Society of Thoracic Surgeons and American College of Cardiology both shared public support for the bipartisan legislation. 

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