Healthcare Executive - November/December 2013 - 59

changes in the percentage of individuals that are uninsured.” This
calculation will be complex and
complicated as a result of the oneyear delay in the employer mandate.

important payment source for many
years, a continued focus on its
functioning is critical, even in the
face of other new reimbursement
systems coming on line.

The Healthcare Complexity
Industry
U.S. healthcare policy vacillates
between market based solutions—
Medicare Part D—and detailed
payment control from the government—
inpatient PPS. Detailed payment
control is based on the viewpoint
that some providers will exploit the
federal government because it is
distant, bureaucratic and slow.

The legacy prospective payment
system has lasted 30 years—it may
last for 30 more. s

To minimize overpayments,
Medicare continues to refine the
details of its payment system, and
this is well demonstrated in the final
rule. Third-party vendors to
Medicare identified in the rule
include contractors that specialize in
the following:
•	 Recovery audits
•	 Medicare administration
•	 Long-term care hospital
payment research
•	 ICD-9-CM
•	 Local claims payment
•	 Rates of the uninsured
•	 Total hospital-acquired
condition scores
•	 Comprehensive error rate testing
•	 Medicare specific groups and
payment software contractors

Looking Forward

Although one can question the
value of the highly complex payment systems, it is incumbent on
hospitals to develop appropriate and
cost-effective responses. Because
PPS will continue to be an

Daniel B. McLaughlin is director of
the Center for Health and Medical
Affairs at the University of St.
Thomas, Minneapolis. He is also the
author of books published by Health
Administration Press, which focus
on health policy and operations
management. He can be reached at
dbmclaughlin@stthomas.edu.

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cmich.edu/globalcampus CMUglobal@cmich.edu 37405 9/13

Healthcare Executive
nOv/DEC 2013

59



Healthcare Executive - November/December 2013

Table of Contents for the Digital Edition of Healthcare Executive - November/December 2013

Healthcare Executive - November/December 2013
Contents
ACHE Online
Take Note
Perspectives
Managing Your Career in Transformative Times
Generation Now: The New Era of Leadership
Aspirations of a Servant Leader
Professional Pointers
Healthcare Management Ethics
Satisfying Your Customers
Community Health Innovations
Public Policy Update
Careers
Governance Insights
Improving Patient Care
CEO Focus
Executive News
On the Move
Member Accolades
Chapter News
Professional Development Calendar
2013 Editorial Index
Healthcare Executive - November/December 2013 - Healthcare Executive - November/December 2013
Healthcare Executive - November/December 2013 - Cover2
Healthcare Executive - November/December 2013 - Contents
Healthcare Executive - November/December 2013 - 2
Healthcare Executive - November/December 2013 - 3
Healthcare Executive - November/December 2013 - ACHE Online
Healthcare Executive - November/December 2013 - 5
Healthcare Executive - November/December 2013 - Take Note
Healthcare Executive - November/December 2013 - 7
Healthcare Executive - November/December 2013 - Perspectives
Healthcare Executive - November/December 2013 - 9
Healthcare Executive - November/December 2013 - Managing Your Career in Transformative Times
Healthcare Executive - November/December 2013 - 11
Healthcare Executive - November/December 2013 - 12
Healthcare Executive - November/December 2013 - 13
Healthcare Executive - November/December 2013 - 14
Healthcare Executive - November/December 2013 - 15
Healthcare Executive - November/December 2013 - 16
Healthcare Executive - November/December 2013 - 17
Healthcare Executive - November/December 2013 - 18
Healthcare Executive - November/December 2013 - 19
Healthcare Executive - November/December 2013 - Generation Now: The New Era of Leadership
Healthcare Executive - November/December 2013 - 21
Healthcare Executive - November/December 2013 - 22
Healthcare Executive - November/December 2013 - 23
Healthcare Executive - November/December 2013 - 24
Healthcare Executive - November/December 2013 - 25
Healthcare Executive - November/December 2013 - 26
Healthcare Executive - November/December 2013 - 27
Healthcare Executive - November/December 2013 - 28
Healthcare Executive - November/December 2013 - 29
Healthcare Executive - November/December 2013 - Aspirations of a Servant Leader
Healthcare Executive - November/December 2013 - 31
Healthcare Executive - November/December 2013 - 32
Healthcare Executive - November/December 2013 - 33
Healthcare Executive - November/December 2013 - 34
Healthcare Executive - November/December 2013 - 35
Healthcare Executive - November/December 2013 - 36
Healthcare Executive - November/December 2013 - 37
Healthcare Executive - November/December 2013 - 38
Healthcare Executive - November/December 2013 - 39
Healthcare Executive - November/December 2013 - Professional Pointers
Healthcare Executive - November/December 2013 - 41
Healthcare Executive - November/December 2013 - Healthcare Management Ethics
Healthcare Executive - November/December 2013 - 43
Healthcare Executive - November/December 2013 - 44
Healthcare Executive - November/December 2013 - 45
Healthcare Executive - November/December 2013 - 46
Healthcare Executive - November/December 2013 - 47
Healthcare Executive - November/December 2013 - Satisfying Your Customers
Healthcare Executive - November/December 2013 - 49
Healthcare Executive - November/December 2013 - 50
Healthcare Executive - November/December 2013 - 51
Healthcare Executive - November/December 2013 - Community Health Innovations
Healthcare Executive - November/December 2013 - 53
Healthcare Executive - November/December 2013 - 54
Healthcare Executive - November/December 2013 - 55
Healthcare Executive - November/December 2013 - Public Policy Update
Healthcare Executive - November/December 2013 - 57
Healthcare Executive - November/December 2013 - 58
Healthcare Executive - November/December 2013 - 59
Healthcare Executive - November/December 2013 - 60
Healthcare Executive - November/December 2013 - 61
Healthcare Executive - November/December 2013 - Careers
Healthcare Executive - November/December 2013 - 63
Healthcare Executive - November/December 2013 - 64
Healthcare Executive - November/December 2013 - 65
Healthcare Executive - November/December 2013 - Governance Insights
Healthcare Executive - November/December 2013 - 67
Healthcare Executive - November/December 2013 - 68
Healthcare Executive - November/December 2013 - 69
Healthcare Executive - November/December 2013 - Improving Patient Care
Healthcare Executive - November/December 2013 - 71
Healthcare Executive - November/December 2013 - 72
Healthcare Executive - November/December 2013 - 73
Healthcare Executive - November/December 2013 - 74
Healthcare Executive - November/December 2013 - 75
Healthcare Executive - November/December 2013 - CEO Focus
Healthcare Executive - November/December 2013 - 77
Healthcare Executive - November/December 2013 - 78
Healthcare Executive - November/December 2013 - 79
Healthcare Executive - November/December 2013 - Executive News
Healthcare Executive - November/December 2013 - 81
Healthcare Executive - November/December 2013 - 82
Healthcare Executive - November/December 2013 - 83
Healthcare Executive - November/December 2013 - On the Move
Healthcare Executive - November/December 2013 - 85
Healthcare Executive - November/December 2013 - 86
Healthcare Executive - November/December 2013 - 87
Healthcare Executive - November/December 2013 - Member Accolades
Healthcare Executive - November/December 2013 - 89
Healthcare Executive - November/December 2013 - Chapter News
Healthcare Executive - November/December 2013 - 91
Healthcare Executive - November/December 2013 - Professional Development Calendar
Healthcare Executive - November/December 2013 - 93
Healthcare Executive - November/December 2013 - 2013 Editorial Index
Healthcare Executive - November/December 2013 - 95
Healthcare Executive - November/December 2013 - 96
Healthcare Executive - November/December 2013 - Cover3
Healthcare Executive - November/December 2013 - Cover4
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