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Category Archives: Industry News

Why Some Health Systems Aren’t “Systems” at All

Dr. Toussaint was in Chicago last week for the American College of Healthcare Executives 2014 Congress. There, he accepted ACHE’s 2014 Dean Conley Award for his article, “A Management, Leadership and Board Road Map to Transforming Care for Patients,” which published in the spring 2013 issue of Frontiers of Health Services Management. Dr. Toussaint took some […]

CMS Estimates That a One-year Delay of ICD-10 Could Cost Between $1 billion and $6.6 billion

On Monday, the Senate is scheduled to vote on a bill (HR 4302) that would implement a temporary fix for Medicare’s sustainable growth rate formula and delay the ICD-10 compliance deadline until 2015, The Hill’s “Floor Action” reports. The House-approved “doc fix” proposal, introduced by Rep. Joseph Pitts (R-Pa.), would push back the ICD-10 compliance […]

Massachusetts Payment Reform Model: Results and Lessons

In 2009, Blue Cross Blue Shield of Massachusetts introduced a payment reform model called the Alternative Quality Contract (AQC). The AQC employs a population-based global budget coupled with significant financial incentives based upon performance on a broad set of quality measures. The twin goals of the AQC are to significantly reduce health care spending growth […]

Clinical Business Intelligence Network Welcomes Aspirus, Shares Insights from HIMSS Conference Symposium

Appleton, Wis. (March 13, 2014) — The Clinical Business Intelligence Network (CBIN), a peer‐to‐peer learning community that brings together healthcare leaders in performance improvement, clinical analytics, business intelligence and IT, is pleased to announce its newest member, Aspirus in Wausau, Wis. For full story click here.

Medicare Data Show Wide Differences In ACOs’ Patient Care

A Wisconsin ACO formed by two health systems, Bellin Health and ThedaCare, had the most success in keeping its diabetes patients’ blood sugar levels below the target set by Medicare, the data show. Eighty-four percent of that ACO’s patients hit that target, much better than the average ACO rate of 65 percent.  Just 24 percent of patients with the Accountable Care Coalition […]