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
HIPAA Sweet 16 and Coming of Age
CMS Releases Final Rule on Health Exchanges
Health Care Fraud and Abuse Program Nets $4.2 Million in FY 2012
IRS Proposes Requirements to Make Charitable Hospitals More “Charitable”
The Sunshine Act and Health Care Transparency
Turning Hospitals into Hotels: How Increasing Amenities Could Sacrifice Quality
Increasing Challenges for Health Exchange Enrollment
SECTION II. REIMBURSEMENT TOPICS
Infection Control and Patient Safety in an Era of Never Events
2013 Medicaid Changes Under ACA
The ACA in 2013: What Can Stakeholders Expect?
Battling Public Concerns Regarding Healthcare Costs
Challenges to Contain Costs and Standardize End-of-Life Care
CMS Proposes Changes to Medicare Incentive and Enrollment Programs to Combat Fraud
CO-OP Health Insurance Program: October 2013 Implementation
New Consumer Health Insurance Exchange Options Likely to Vary by State
Proposal to Repeal the Flawed SGR System
Wellness Program Woes
SECTION III. COMPETITION TOPICS
Certificate of Need
Clinical Integration Beyond ACOs: The New Frontier
Nurse Practitioners Seek Expansion in Scope of Practice
SECTION IV. TECHNOLOGY TOPICS
Advancements in Mobile Health Technology
SECTION V. VALUING INTANGIBLE ASSETS IN EXEMPT HEALTHCARE ORGANIZATIONS
Valuing Intangible Assets In Exempt Healthcare Organizations
SECTION VI. ACCOUNTABLE CARE ORGANIZATIONS VALUE METRICS
Value Metrics and Capital Formation for Accountable Care Organizations
SECTION VII. ABOUT HEALTH CAPITAL CONSULTANTS
HCC Leadership Team
- Robert James Cimasi, MHA, ASA, FRICS, MCBA, CVA, CM&AA
- Todd A. Zigrang, MBA, MHA, FACHE, ASA
- Anne P. Sharamitaro, Esq.