Healthcare Executive - September/October 2013 - 61
that such arrangements reward states
making lesser efforts to promote access.
The Department of Health & Human
Services cautioned in its May proposed
rule that “we intend to account for the
different circumstances among states in
the formula in future rulemaking.”
Members of the Medicaid and
Children’s Health Insurance program
payment and Access Commission have
expressed concern that in some states
with low uninsurance rates, safety net
hospitals with high uncompensated
care levels will be punished.
Other Medicare Provisions
This year’s inpatient prospective payment system update was reduced by 1.7
percent as part of HHS’ ongoing effort
in the following areas: to recoup overpayments to hospitals in 2008 and
2009, to ACA productivity adjustments, and to changes in admission and
medical review criteria.
Maximum penalties under the readmissions reduction program rise from
1 to 2 percent in October 2013. Also
based on the ACA, the rule proposes a
1 percent penalty for hospitals in the
highest quartile for hospital-acquired
infections, starting in 2015. Fiscal
2014 funding for the value-based purchasing program is to come from
reducing base DRG payments to participating hospitals by 1.25 percent,
creating a projected incentive pool of
$1.1 billion. Quality measures will be
updated and aligned on an ongoing
basis with electronic reporting requirements. Incentive payments for adoption and meaningful use of EHRs,
predating the ACA, rose to $2.5 billion in 2012 and will peak at an estimated $3 billion in 2013, after which
they decline and end in 2016.
The most important trend for healthcare executives to watch is spending
growth. If it remains relatively flat or
grows only modestly if and as the
economy improves, the pressure on
Medicare to take drastic measures
should subside. But if keeping the
cost curve flat depends critically on
efficiency improvements, the performance challenges for U.S. hospitals
will be unremitting. s
Robert Cunningham is the former
deputy editor of Health Affairs. He
can be reached at rcunningham44@
gmail.com.
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Healthcare Executive
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61
Healthcare Executive - September/October 2013
Table of Contents for the Digital Edition of Healthcare Executive - September/October 2013
Healthcare Executive - September/October 2013
Contents
ACHE Online
Take Note
Perspectives
Health Information Exchange: Achieving Coordinated Care
Protecting Patient Medical Data: The C-Suite’s Role
Global Lessons for U.S. Healthcare Leaders
Professional Pointers
Healthcare Management Ethics
Satisfying Your Customers
Community Health Innovations
Public Policy Update
Careers
Governance Insights
Improving Patient Care
On Physician Relations
Executive News
CEO Survey
On the Move
Member Accolades
Board Highlights
Chapter News
Professional Development Calendar
Policy Statements
Healthcare Executive - September/October 2013 - Healthcare Executive - September/October 2013
Healthcare Executive - September/October 2013 - Cover2
Healthcare Executive - September/October 2013 - Contents
Healthcare Executive - September/October 2013 - 2
Healthcare Executive - September/October 2013 - 3
Healthcare Executive - September/October 2013 - ACHE Online
Healthcare Executive - September/October 2013 - 5
Healthcare Executive - September/October 2013 - Take Note
Healthcare Executive - September/October 2013 - 7
Healthcare Executive - September/October 2013 - Perspectives
Healthcare Executive - September/October 2013 - 9
Healthcare Executive - September/October 2013 - Health Information Exchange: Achieving Coordinated Care
Healthcare Executive - September/October 2013 - 11
Healthcare Executive - September/October 2013 - 12
Healthcare Executive - September/October 2013 - 13
Healthcare Executive - September/October 2013 - 14
Healthcare Executive - September/October 2013 - 15
Healthcare Executive - September/October 2013 - 16
Healthcare Executive - September/October 2013 - 17
Healthcare Executive - September/October 2013 - 18
Healthcare Executive - September/October 2013 - 19
Healthcare Executive - September/October 2013 - Protecting Patient Medical Data: The C-Suite’s Role
Healthcare Executive - September/October 2013 - 21
Healthcare Executive - September/October 2013 - 22
Healthcare Executive - September/October 2013 - 23
Healthcare Executive - September/October 2013 - 24
Healthcare Executive - September/October 2013 - 25
Healthcare Executive - September/October 2013 - 26
Healthcare Executive - September/October 2013 - 27
Healthcare Executive - September/October 2013 - 28
Healthcare Executive - September/October 2013 - 29
Healthcare Executive - September/October 2013 - 30
Healthcare Executive - September/October 2013 - 31
Healthcare Executive - September/October 2013 - Global Lessons for U.S. Healthcare Leaders
Healthcare Executive - September/October 2013 - 33
Healthcare Executive - September/October 2013 - 34
Healthcare Executive - September/October 2013 - 35
Healthcare Executive - September/October 2013 - 36
Healthcare Executive - September/October 2013 - 37
Healthcare Executive - September/October 2013 - 38
Healthcare Executive - September/October 2013 - 39
Healthcare Executive - September/October 2013 - 40
Healthcare Executive - September/October 2013 - 41
Healthcare Executive - September/October 2013 - Professional Pointers
Healthcare Executive - September/October 2013 - 43
Healthcare Executive - September/October 2013 - 44
Healthcare Executive - September/October 2013 - 45
Healthcare Executive - September/October 2013 - 46
Healthcare Executive - September/October 2013 - 47
Healthcare Executive - September/October 2013 - Healthcare Management Ethics
Healthcare Executive - September/October 2013 - 49
Healthcare Executive - September/October 2013 - Satisfying Your Customers
Healthcare Executive - September/October 2013 - 51
Healthcare Executive - September/October 2013 - 52
Healthcare Executive - September/October 2013 - 53
Healthcare Executive - September/October 2013 - Community Health Innovations
Healthcare Executive - September/October 2013 - 55
Healthcare Executive - September/October 2013 - 56
Healthcare Executive - September/October 2013 - 57
Healthcare Executive - September/October 2013 - Public Policy Update
Healthcare Executive - September/October 2013 - 59
Healthcare Executive - September/October 2013 - 60
Healthcare Executive - September/October 2013 - 61
Healthcare Executive - September/October 2013 - Careers
Healthcare Executive - September/October 2013 - 63
Healthcare Executive - September/October 2013 - Governance Insights
Healthcare Executive - September/October 2013 - 65
Healthcare Executive - September/October 2013 - 66
Healthcare Executive - September/October 2013 - 67
Healthcare Executive - September/October 2013 - Improving Patient Care
Healthcare Executive - September/October 2013 - 69
Healthcare Executive - September/October 2013 - 70
Healthcare Executive - September/October 2013 - 71
Healthcare Executive - September/October 2013 - On Physician Relations
Healthcare Executive - September/October 2013 - 73
Healthcare Executive - September/October 2013 - 74
Healthcare Executive - September/October 2013 - 75
Healthcare Executive - September/October 2013 - Executive News
Healthcare Executive - September/October 2013 - 77
Healthcare Executive - September/October 2013 - 78
Healthcare Executive - September/October 2013 - 79
Healthcare Executive - September/October 2013 - CEO Survey
Healthcare Executive - September/October 2013 - 81
Healthcare Executive - September/October 2013 - On the Move
Healthcare Executive - September/October 2013 - 83
Healthcare Executive - September/October 2013 - Member Accolades
Healthcare Executive - September/October 2013 - 85
Healthcare Executive - September/October 2013 - Board Highlights
Healthcare Executive - September/October 2013 - 87
Healthcare Executive - September/October 2013 - Chapter News
Healthcare Executive - September/October 2013 - 89
Healthcare Executive - September/October 2013 - Professional Development Calendar
Healthcare Executive - September/October 2013 - 91
Healthcare Executive - September/October 2013 - Policy Statements
Healthcare Executive - September/October 2013 - 93
Healthcare Executive - September/October 2013 - 94
Healthcare Executive - September/October 2013 - 95
Healthcare Executive - September/October 2013 - 96
Healthcare Executive - September/October 2013 - Cover3
Healthcare Executive - September/October 2013 - Cover4
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