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AMA, MGMA to Congress: Don't hand power to insurers in surprise billing fix Print E-mail
Written by FHI's Week in Review   
Monday, 21 October 2019 17:06

Joanne Finnegan reports for Fierce Healthcare on Oct. 17, 2019:

Congress' attempt to solve the surprise billing resolution has turned into a battle between providers and insurers. More than 100 physician organizations fired the latest volley, urging Congress in a letter released Thursday not to turn more power over to health insurers. The groups, which represent hundreds of thousands of physicians, asked Congress to find a balanced approach as members hammer out legislation to solve the surprise medical bill issue that has resulted in patients receiving unexpected bills, sometimes for hundreds of thousands of dollars, for care they received by out-of-network providers.

Read more in the current issue of Week in Review>>
 
Vaping Related Illness Now Has a Name: EVALI Print E-mail
Written by FHI's Week in Review   
Monday, 14 October 2019 16:42

Megan Thielking reports for STAT on Oct. 11, 2019:

The vaping-related condition that has sickened hundreds of people has a new name: EVALI, or e-cigarette or vaping product use-associated lung injury. The new name, noted Friday in newly issued guidance for clinicians from the Centers for Disease Control and Prevention, is a sign of the rapidly evolving investigation into the illness, which has sickened 1,299 people across 49 states, Washington, D.C., and the U.S. Virgin Islands. The case count has continued to climb week after week. 

Read more in the current issue of Week in Review>>

Last Updated on Saturday, 16 November 2019 12:23
 
Why Hospitals Are Getting Into the Housing Business Print E-mail
Written by FHInews   
Tuesday, 08 October 2019 16:18

Markian Hawryluk reports for KHN on 10.4.19:

Legally and morally, hospitals cannot discharge patients if they have no safe place to go. So patients who are homeless, frail or live alone, or have unstable housing, can occupy hospital beds for weeks or months - long after their acute medical problem is resolved...To address the problem, hospitals from Baltimore to St. Louis to Sacramento, Calif., are exploring ways to help patients find a home.

"Hospitals are facing higher costs, lower reimbursements and shrinking profit margins; this is true especially for the safety net hospitals," states Eneida O. Roldan, MD, MPH, MBA, CEO, FIU Health Care Network. Meanwhile, the Emergency Medical Treatment and Active Labor Act (EMTALA), passed in 1986, requires every hospital that accepts payment from Medicare to provide adequate treatment to everyone regardless of ability to pay. "It is usually the uninsured and underinsured that delay care and hence arrive in emergency rooms with multiple morbidities that lead to admissions," according to Dr. Roldan. "Prolonged length of stay is usually the case for these patients and today's hospitals have woken to the fact that it is cost efficient and humane to care for these patients outside the hospital walls."

Last Updated on Tuesday, 08 October 2019 16:32
 
Proposed CMS Medicare Rule Signals New Era of Orthopedics Print E-mail
Written by BDO   
Friday, 04 October 2019 17:27

A recently proposed CMS rule signals that the healthcare industry should brace for another wave of orthopedic-related consolidations-especially those driven by private equity and health systems seeking to enter joint ventures with larger orthopedic practices.

In its 2020 Medicare payment rule, CMS proposed several orthopedic-related changes, including for:

• Ambulatory surgery center (ASC) facilities - Adding knee replacement and repair procedures as approved services
• Hospital outpatient facilities - Adding hip replacements as an approved service, shifting them away from their historical inpatient-only setting

At the same time, CMS has also updated its Bundled Payments for Care Improvement (BPCI) Advanced Model to include an outpatient component of knee replacements. The move from inpatient to outpatient and ASCs began several years ago, but these collective changes from CMS represent a focused push to expedite that trend, which threatens a highly lucrative revenue stream for hospitals.  

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Last Updated on Tuesday, 12 November 2019 17:45
 
Steven Ullmann: The Face of UM’s Health Executive MBA Print E-mail
Written by FHInews   
Monday, 16 September 2019 16:54

Steven Ullmann has become synonymous with The University of Miami Business School Executive MBA in Health Management & Policy program. And well he should be, he’s been with the program for 40 of its 41 years.

Ullmann, who is Department Chair and Professor, Health Management and Policy, has been a big part of its development and overall success, ranking as the No. 1 Health Care Executive MBA program in the U.S.

In its early years, the program attracted those whose jobs were geared toward administration. Hospital CEOs, CFOs and those focused more on the business of healthcare, made up a big part of the student body. But as the industry has evolved and clinicians increasingly deal with the financial complexities of running a practice, more than half of the participants today (53 percent), are healthcare providers.

“Physicians don’t know if they should lease or purchase, how to organize their back-office operations. They don’t understand why they are not getting the reimbursement they should be getting, osteve ullmannr how to see patients more efficiently. Those are some of the aspects of healthcare that we teach,” says Ullmann, who teaches two courses.

The MBA program is a three-day weekend, monthly course taught over 23 months. This allows for participants, most of whom are busy executives and clinicians, to attend from around the country and sometimes from around the world. 

“Students are a microcosm of the healthcare industry,” says Ullmann. “We ask for a minimum of seven years of professional experience; the average is 15 years. We get clinicians, nurses, physicians, veterinarians, dentists, those working in the insurance sector, CIO’s and CEOs and people in finance from healthcare systems. We have people in research, we even have some who are moving to the healthcare system from other sectors.”

Classes are taught by those with real-world experience.

“Most of us do consulting in the field, so we have theoretical knowledge, practical experience and teaching ability,” says Ullmann.

Because the healthcare field is continually evolving, Ullmann says the courses also evolve, so students are assured they are learning information that is relevant to what is happening in the here and now.

“I am constantly updating my lectures weekly, if not more often. This industry is so much in flux, it’s a unique way of teaching,” Ullmann says.

The program is a true MBA being accredited by the Association to Advance Collegiate Schools of Business (AACSB) and by the Commission for Accreditation in Management Education (CAMHE). It also is a member of the highly prestigious Business School Alliance for Health Management (BAHM), which is by invitation only.

“Because we are business-school based, students are getting a strong background in all the disciplines of business, but with a focus on healthcare,” Ullmann says.

Teamwork and team building is a big part of the learning process, which continues even after students graduate.

“People come in together, work together and leave together and create a networking cohort that goes on forever,” says Ullmann.

Last Updated on Friday, 20 September 2019 15:26
 
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