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affordable care act

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Published By: MedAssets     Published Date: Aug 06, 2015
How can you prepare for regulatory reimbursement changes? Scenario planning is proving essential to cope with value-based reimbursement, shrinking networks and the Affordable Care Act. Strategize and plan for success by downloading this checklist.
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MedAssets
Published By: HealthLeaders Media     Published Date: Apr 14, 2016
Nearly six years after passage of the Patient Protection and Affordable Care Act, the healthcare industry is in the midst of a massive retooling that is dramatically altering the way we think about cost management, strategic partnerships, and customer service. Fee-for-service reimbursement is giving way to new models of care delivery and payment to support a system based on pay-for-value. With financial risk or payments tied to value measures (such as patient satisfaction, clinical performance, and population health), compensation and reimbursement will increasingly be tied to value-based incentives.
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HealthLeaders Media
Published By: API Healthcare     Published Date: Apr 24, 2015
Workforce management and the pursuit of productivity have formed a consistent pain point for hospitals for several years. The Affordable Care Act has only exacerbated the problem, increasing the demand on providers as the number of insured grows and the bar continues to rise on quality of care. According to a recent HealthLeaders Media Council survey, workforce productivity and acuity-based staffing will continue to be top priorities this year. Karlene Kerfoot, PhD, chief clinical integration officer at API Healthcare, says the survey results indicate a shift taking place as workforce management initiatives are expected to deliver more than reduced labor costs.
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API Healthcare
Published By: Truven Health Analytics     Published Date: Oct 01, 2014
The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as 39% by 2020. The implications are significant because the excess-benefits tax requires the employer to pay 40% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.
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Truven Health Analytics
Published By: Parallon     Published Date: Sep 16, 2015
A recent HealthLeaders Media Intelligence survey asked respondents to rank their top challenges impacting financial performance and to identify specific areas of concern within each of those issues. Their top three issues were system implementation and interoperability, recruiting and retaining talent, and reengineering the revenue cycle. On the surface, it’s tempting to think these findings aren’t surprising. Yet emerging external factors, including the cumulative effects of the HITECH Act (meaningful use), the Affordable Care Act, and an aging U.S. population, are creating new frameworks in which to view and solve these traditional problems.
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Parallon
Published By: Parallon     Published Date: Dec 18, 2015
Download the free, on-demand version of this webcast that took place on December 16, 2015. Change is commonplace within the healthcare industry. Executives are faced with many of the traditional challenges of operating hospitals. Now emerging external factors like the HITECH Act (meaningful use), the Affordable Care Act and an aging U.S. population are pushing providers to change the frameworks in how they view and solve these traditional problems.
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Parallon
Published By: Capella University     Published Date: Oct 23, 2015
Registered nurses, with targeted training, are the secret weapon in the race for comprehensive care coordination. Accountable care organizations. Patient-centered medical homes. Value-based reimbursements. Bundled payments. Healthcare is experiencing a revolution brought on by the Patient Protection and Affordable Care Act that aims to put patients squarely in the middle of all their clini­cal and financial decisions. Payers, including government agencies and insurers, are tying the quality and safety of patient care to reimbursements, making patient-centered care a necessity in all settings.
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Capella University
Published By: Aflac     Published Date: Mar 15, 2013
While several provisions of the new Affordable Care Act (ACA) have already gone into effect, there are several key dates business owners need to be aware of in the coming months and years. We’ve compiled a list, as well as several useful resources.
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Aflac
Published By: Dynamic Health Strategies     Published Date: Jun 13, 2014
Employer-sponsored health benefits provide coverage for over 60% of the insured persons in the United States. Even with the Affordable Care Act expanding healthcare coverage, reliance on employer based coverage will remain a key component of the market. Employers are challenged with a continuing, rising trend in the cost of healthcare which significantly contributes to the overall cost of business.
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Dynamic Health Strategies
Published By: IBM     Published Date: Jun 08, 2017
The healthcare payer ecosystem in the United States has changed dramatically over the last decade and is expected to evolve at an even faster pace over the next few years. Many world-class companies involved in healthcare payment processing are finding themselves constrained by their existing information technology infrastructure. The silos that they built around business-to-business (B2B) processing are constraining them, making it difficult to achieve governmental mandates and (more importantly) increase processing efficiency and competitive advantage. Gone are the days of a small set of data following static and simple standards traded between a limited set of organizations. Gone are the days where the rules for when data is valid versus invalid can expressed in a paragraph or two. Gone are the days when information about a healthcare payment was almost entirely about the "who," "when," and "how much."
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hipaa, healthcare, b2b, organizational strategy, affordable care
    
IBM
Published By: Collaborative Consulting     Published Date: Jan 15, 2014
When a pharmaceutical company discovered its risks under the new Patient Protection and Affordable Care Act, it turned to Collaborative to comb and consolidate its data. The result: compliance and insight into new business opportunities, too, through a company-wide business data warehouse and enhanced business intelligence.
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collaborative consulting, data, data warehouse, complicane, risk management, business intelligence, consolidation, infrastructure
    
Collaborative Consulting
Published By: QlikView     Published Date: Jun 12, 2013
Today’s changing healthcare landscape demands more from the finance department than ever before. No longer a sideshow in the healthcare delivery equation, finance now plays a starring role as hospitals and healthcare providers of all kinds face the challenge of implementing the reforms of the Affordable Care Act (ACA) of 2010.
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financial, healthcare, aca, hospitals, network infrastructure, privacy and security
    
QlikView
Published By: Lumeris     Published Date: Aug 04, 2014
For health plans, health systems and delegated payer operations, or health systems wanting to become their own payer, Lumeris’ turnkey outsourcing offers expert support to design, build, operate, measure, and optimize value-based health plan operations that can drive clinical and financial excellence. This can be evidenced by our ability to help clients achieve higher revenue, lower costs, higher market share, and meeting mandates for medical cost ratio contained in the Patient Protection and Affordable Care Act.
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lumeris, health plan delivery, health plan operations, population health services, value based health plan operations, health plan outsourcing, operating a health plan, information technology
    
Lumeris
Published By: The TriZetto Group     Published Date: Oct 20, 2011
The evolving healthcare landscape has created a wealth of fresh opportunities for payers. There is a sense of urgency for payers in leadership roles to leverage technology and successfully transition to a value-driven healthcare system that rewards top performers and high quality standards. Passage of the Patient Protection and Affordable Care Act (PPACA) quickly changed many aspects of payers' business with higher costs, new oversight, more competition and a longer-term promise of millions of new members. Since healthcare insurance reform became law, opponents have vowed changes, if not its outright repeal. While it may be tempting to take as little action as possible and hope that the 2010 mid-term election or 2012 general election will make this all go away, the reality is that repeal is not a likely possibility.
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trizetto, healthcare, healthcare reform, ppaca, investments
    
The TriZetto Group
Published By: Keas     Published Date: Sep 17, 2013
Keas surveyed more than 100 Human Resource Executives across the United States via an online survey between July 31 and August 16, 2013. This survey tracked HR executive opinions on HR topics and plans and priorities for the 2014 calendar year. The survey revealed health and wellness programs are taking center stage in employee engagement and retention. With healthcare costs and obesity-related diseases on the rise and wellness incentives baked into the Affordable Care Act (ACA), this will be the first year health will play a major role in health benefits as organizations integrate preventative care programs to manage costs.
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health and wellness, wellness programs, health and wellness programs, aca, affordable care act, hr trends, healthcare reform
    
Keas
Published By: Keas     Published Date: Sep 17, 2013
The start of the Affordable Care Act has been delayed to January 2015 and now is the time to get educated on provisions for Corporate Wellness Programs which are critical to combatting rising healthcare costs.
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aca, affordable care act, employee wellness, health and wellness programs, wellness programs
    
Keas
Published By: TriNet     Published Date: Sep 13, 2016
This factual guide covers ACA definitions, regulations, mandates, forms that need filing, deadlines for filing, and potential penalties for employers. Whether you’re a small or midsize business, this complex law presents challenges that TriNet can help you manage and comply with.
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trinet, hr technology, minimize risk, hr employment recruitment, co-employment, three-point relationship, talent market
    
TriNet
Published By: CIC Plus     Published Date: Sep 23, 2014
Learn more about HR compliance under Section 6056 of the ACA, including: • New reporting requirements for 2015 • What those requirements mean for your business • What you can do to ensure compliance • Risks of noncompliance
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aca, affordable healthcare act, aca compliance, obamacare, irs section 6056, hr compliance, online hr forms, onboarding
    
CIC Plus
Published By: CareCloud     Published Date: Jul 30, 2014
The 2nd annual Practice Profitability Index (PPI) was created to gauge the operational and financial health of private practices. Thanks to the insights provided by over 5,000 physicians, the report underscores challenges that make staying profitable a demanding task for today’s physician practices – and what they’re doing about it.
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carecloud, practice profitability, ppi, healthcare reform, affordable care act, icd-10, administrative, meaningful use stage 2
    
CareCloud
Published By: CareCloud     Published Date: Apr 27, 2015
Learn 6 best practices to make the most of your medical accounts receivables. Get CareCloud’s new white paper: “6 Key Strategies for Medical A/R Management” to ensure you’re getting paid what you deserve.
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carecloud, a/r management, healthcare reimbursement system, affordable care act, medical billing process, profitability, us economy
    
CareCloud
Published By: Innotas     Published Date: Jan 09, 2014
Learn to escape the chaos of regulatory compliance with Integrated IT Portfolio Management. This eBook for healthcare IT executive shares how to gain greater visibility into the delivery and execution of complex projects such as implementing EHR implementation, ICD-10 compliance efforts and the Affordable Care Act.
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innotas, meaningful use, icd-10 compliance, project management system, portfolio management, project management office, it governance, governance model
    
Innotas
Published By: CareCloud     Published Date: Oct 25, 2013
In this white paper, you'll learn: • What technologies have the greatest impact on profitability • What technologies most improve productivity • Why many practices are replacing outdated systems with modern solutions • The most important tool for patient engagement, and more.
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carecloud, cloud-based technologies, patient portals, family physicians, family care, shifting to the cloud, reducing costs, gain convenience
    
CareCloud
Published By: Virgin Pulse     Published Date: Nov 19, 2010
The Patient Protection and Affordable Care Act (PPACA) will make some employers focus only on compliance. Forward-thinking companies that take advantage of the available benefits the reform laws have to offer will take the competitive advantage. Provisions of the new regulations, specifically wellness and prevention strategies, will have long-term tax benefits, while also decreasing lifestyle-related healthcare costs.
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virginhealth miles, healthcare, employee health, costs, wellness, ppaca, legislation
    
Virgin Pulse
Published By: Virgin Pulse     Published Date: Dec 13, 2010
The Patient Protection and Affordable Care Act (PPACA) will make some employers focus only on compliance. Forward-thinking companies that take advantage of the available benefits the reform laws have to offer will take the competitive advantage. Provisions of the new regulations, specifically wellness and prevention strategies, will have long-term tax benefits, while also decreasing lifestyle-related healthcare costs.
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virginhealth miles, healthcare, employee health, costs, wellness, ppaca, legislation, participation
    
Virgin Pulse
Published By: Ultimate Software     Published Date: Sep 14, 2012
Be sure your organization is on track to comply with the new healthcare legislation by reading this newly updated white paper.
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healthcare, ppaca, human capital management, payroll, human resources
    
Ultimate Software
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