Becker's Hospital Review

Becker's Hospital Review Nov 2013

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200 Hospital Benchmarks p. 15 INSIDE Restructuring for Future Success: Q&A With SSM Health Care's New Leader of Hospital Operations Chris Howard p. 19 From Sprints to Marathons: How to Help Hospital Leaders Cope With Continuous Change, pg. 39 Reducing ACO Patient Leakage Begins With Education p. 32 Study: HighestPriced Hospitals Have Charges Up to 60% Higher Than Competitors p. 50 60 Statistics on Physician Compensation by Specialty p. 51 INDEX Clinical Integration & ACOs p. 32 Executive Briefing: The New Physician Workforce p. 35 Executive Briefing: Big Data p. 43 Transaction & Valuation Issues p. 46 Finance, Revenue Cycle & ICD-10 p. 50 Compensation p. 51 Hospital Review November 2013 • Vol. 2013 No. 11 Opening Up: How Pricing Transparency Will Change Hospital Benchmarking By Helen Adamopoulos Years before healthcare reform and publicized hospital charges stirred up demand for more clarity surrounding the cost of care, Omaha, Neb.-based Alegent Creighton Health's CEO made a bold statement at a management forum: He said his nonprofit health system would be price transparent by the end of that year. That vow spurred to system to develop an online tool to individualize the cost of a procedure to a patient and their health insurance, says Tim Meier, former campus CFO and operations leader for revenue cycle operations at Alegent and current associate vice president at Conifer Health Solutions. Alegent launched its cost transparency project, My Cost, in January 2007. "At the time, there were no tools out there to achieve any sort of continued on page 8 Safety-Nets: Can They Go From "Last Resort" to "Hospitals of Choice"? By Molly Gamble Of all American healthcare organizations, safety-net hospitals are facing one of the largest curveballs, as nearly 30 million Americans stand to gain coverage under the Patient Protection and Affordable Care Act beginning in 2014. Nationwide, only 2 percent of acute-care hospitals are safety-net facilities, but they currently provide about 20 percent of all uncompensated care to the uninsured. continued on page 10 Physician Compensation: 10 Core Legal and Regulatory Concepts By Scott Becker, JD, CPA, Gretchen Townshend, JD, Holly Carnell, JD, and Melesa Freerks, JD, McGuireWoods   As the trend of hospital employment of physicians continues, federal and state governments have increased their focus on physician compensation and compliance with healthcare laws. In the past several years, investigations focusing on compensation paid by a hospital to its physician employees have dramatically increased. This article briefly discusses 10 key considerations related to hospitalphysician compensation arrangements. 1. Key federal laws affecting physician compensation. Three main laws impact employment arrangements between hospitals and physicians: the Stark Law, the Federal Anti-Kickback Statute and Internal Revenue Service guidelines. a. The Stark Law was enacted by Congress in 1989 as a response to studies that showed potential overutilization continued on page 12 Register Now! Becker's Hospital Review 5th Annual Meeting Co-Chaired by Chuck Lauer and Scott Becker 100+ sessions and 190+ speakers May 15-17, 2014 Swissôtel • Chicago, Illinois For more information visit,

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