News

Managed Care: Past, Present and Future
8/12/2017

Managed Care: Past, Present and Future

Past

Imagine a scenario: political wrangling over national health care policy, a general public concerned about rising health care costs and new models for delivering and paying for health care. Sound familiar? While this could describe the current public debate surrounding the Affordable Care Act (ACA), the same conditions held true in 1973 when the Nixon Administration passed the Health Maintenance Organization Act.


High Deductible Health Plans: Increasing in Popularity with Consumers and What That Means for Hospitals
4/15/2015

High Deductible Health Plans: Increasing in Popularity with Consumers and What That Means for Hospitals

To date, the Affordable Care Act (ACA) has resulted in an estimated 32 million newly-insured Americans since 2010; nearly one-third of which purchased coverage through exchanges. On the surface, it appears that this would be nothing but positive news for health care providers, as their ability to collect for billed services should be enhanced with more insured consumers seeking care. However, taking a closer look at the plans the newly insured are choosing reveals a growing issue in collections for providers: the increasing popularity of high deductible health plans (HDHPs).

3/4/2015

What Experts are Saying about the King v. Burwell Hearing

Once again, the future of the Affordable Care Act (ACA) is being decided by the U.S. Supreme Court. And with oral arguments taking place on Wednesday, once again supporters and opponents of the law are listening closely to the interpretations of various health and legal experts who are parsing the justices’ every word.

How Will Quality Metrics Impact a Hospital’s Credit Rating?
How Hospitals Are Shifting Resources Post-ACA
4/22/2014

How Hospitals Are Shifting Resources Post-ACA

Health care reform has caused a seismic shift in the U.S. health care landscape. The aftershocks continue to be far reaching—toppling long-standing paradigms and causing hospitals to reevaluate how they currently operate.

Protecting the Bottom Line with Quality Risk Management Programs
4/21/2014

Protecting the Bottom Line with Quality Risk Management Programs

Each day, long-term-care (LTC) providers in the United States are caring for 1,383,700 residents in nursing homes and 713,300 inhabitants in assisted and residential care communities, according to the National Center for Health Statistics.

Tax-Exempt Status: From Charitable Care to Community Benefit
2/27/2014

Tax-Exempt Status: From Charitable Care to Community Benefit

Nonprofit hospitals are in a new era of compliance, with reporting obligations now inextricably tied to an organization’s tax-exempt status. Two recent notices from the IRS attempt to provide more clarity for hospital leadership. 

Tax-Exempt Status: From Charitable Care to Community Benefit
2/18/2014

Tax-Exempt Status: From Charitable Care to Community Benefit

Nonprofit hospitals are in a new era of compliance, with reporting obligations now inextricably tied to an organization’s tax-exempt status. Two recent notices from the IRS attempt to provide more clarity for hospital leadership. 

Health-Care Reform: The SCOTUS Ruling’s Impact on Providers
8/5/2012

Health-Care Reform: The SCOTUS Ruling’s Impact on Providers

In late June, the Supreme Court of the United States (SCOTUS) narrowly ruled that the Patient Protection and Affordable Care Act, commonly referred to as the Affordable Care Act or ACA, was for the most part constitutional. Now that the high court has green lighted this major reform of the nation’s health-care system, we have some answers but just as many questions regarding its impact on providers.

The Territory Ahead: Accountable-Care Organizations Under Health-Care Reform
4/5/2012

The Territory Ahead: Accountable-Care Organizations Under Health-Care Reform

The Patient Protection and Affordable Care Act, more commonly referred to as the Affordable Care Act (ACA), has driven the recent health-care reform in this country as well as the controversy among business and government officials as to whether it will ultimately generate a positive outcome for the health-care industry. Regardless of the anticipated outcomes, all agree that its effects will be widespread.