This book is a compilation of excerpts from articles originally published in the newsletter, Health Capital Topics, which have been organized by topic in relation to the Four Pillars concept.
Health Capital Topics is a monthly e-newsletter, which has been published by Health Capital Consultants since 2007, featuring timely topics related to the regulatory, reimbursement, competition, and technology aspects of the U.S. healthcare delivery environment. It is sent monthly to over 12,000 healthcare executives, physicians, attorneys, accountants, and other professionals in the healthcare industry. Copies of past Health Capital Topics newsletters, as well as special alert issues, can be found at www.healthcapital.com.
Some of the articles represent a retrospective look at a topic as noted by the date of original publication that appears following the article title. The intent of this book is to serve as an (admittedly abridged) brief annual primer and reference source for these issues. In the months and years ahead, we will strive to continue staying on top of key issues in the healthcare industry and presenting them in the monthly e-publication issues of Health Capital Topics and special alert issues.
Table of Contents
SECTION I. REGULATORY TOPICS
Accountable Care Organizations Series
Healthcare Reform's Tax Provisions Strain IRS Resources
Medicare Advantage Plans Squeezed in 2012 Under Healthcare Reform's
Tax Provisions Strain IRS Resources
Dealing with the Medicare Doughnut Hole
Medical Loss Ratio Final Rule Divides Consumers and Insurers
What the New Form 990 Means for Exempt Organizations
HHS Releases Final Rule on State Health Insurance Exchanges
Individual Insurance Under Healthcare Reform: A Boon for Policyholders
SCOTUS Upholds Health Law - What Happens Next?
Federal Fraud Task Force Has Largest Takedown to Date
Statutory Elimination of Physician-Owned Hospital Exceptions
CMS Auditing Series
First Annual RAC Report: Missouri is the “Big Winner”
CMS Continues Self-Referral Disclosure (SRDP) Settlements
Auditing Programs: Back to the Drawing Board?
Public Health Series
Medicaid Expansion: A Fiscal Decision to Ensure Access to Care
AHRQ Quality Indicators Toolkit Offers Hospitals Implementation Guidance
Preventive Care: What is an Ounce Really Worth?
New IOM Report Calls for Better Learning and Adoption
SECTION II. REIMBURSEMENT TOPICS
Vermont Adopts Single-Payor System
CMS Bundled Payments Initiative: Four Models for Coordinated Care
CMS Bars Medicaid Payments for Preventable Conditions
Value-Based Modifier: Another Step Toward Value-Driven Healthcare
Better Patient Outcomes Through Pay-for-Performance
SECTION III. COMPETITION TOPICS
Insurer-Run Care Expanding into Retail Clinics
Capital Spending in the Current Healthcare Environment
Provider Supply Series
Update on Pediatrics
Shared Decision Making: A Step Toward Patient-Centered Care
SECTION IV. TECHNOLOGY TOPICS
CMS Finalizes Rule on Telemedicine
The Expense of the ICD-10 Conversion
HIPAA Version 5010: What and When
Whistling Past the Graveyard Series
Stage 2 Meaningful Use: What’s Coming Down the Pike
SECTION V. ABOUT HEALTH CAPITAL CONSULTANTS
HCC Leadership Team
Robert James Cimasi, MHA, ASA, FRICS, MCBA, AVA, CM&AA
Todd A. Zigrang, MBA, MHA, FACHE, ASA
Anne P. Sharamitaro, Esq.