Issue link: https://beckershealthcare.uberflip.com/i/221514
300 Hospital and Health System Leaders to Know p. 17 INSIDE Q&A With AHA President and CEO Rich Umbdenstock p. 26 Could ACOs Drive Monopolization? p. 24 CHE Trinity Health's Ben Carter on Financial Leadership p. 50 3 Observations About the EHR Market in 2013 and Beyond p. 47 Hospital Review December 2013 • Vol. 2013 No. 12 The 10 Biggest Hospital Stories of 2013 2013 was a challenging year for healthcare, and one marked with much uncertainty. Perhaps the most uncertainty in the industry stemmed from the rollout of the Patient Protection and Affordable Care Act's healthcare exchanges. For months leading up to their launch, health systems worried as they struggled to estimate, and therefore plan for, the number of patients who would enroll in plans offered on the exchanges and reimbursement rates under these plans. When the exchanges did launch, they launched in the midst of a federal government shutdown. And, the federal exchange website, www. Healthcare.gov, experienced weeks of technical difficulties, forcing the Obama administration to delay the start date for imposing penalties on the uninsured within six weeks, at the time this issue went to press. continued on page 8 INDEX Clinical Integration & ACOs p. 23 Transaction & Valuation Issues p. 43 More Employee Responsibility, More Unpaid Bills? Executive Briefing: Employee Leasing Agreements p. 44 The Rise of High-Deductible Health Plans and What it Means for Hospitals HIT p. 47 By Helen Adamopoulos Executive Briefing: Reducing Hospital Readmissions p. 29 Executive Briefing: Enterprise Imaging p. 49 Finance, Revenue Cycle & ICD-10 p. 50 Executive Briefing: ICD-10 p. 53 Remember When it Was Called a "Hospital System"? By Molly Gamble Here's a game you might want to try sometime. Find a friend or family member, preferably an individual from an earlier generation. Sit them down and describe a large, integrated health system to them, one with a regional or national presence. Refer to some recent contracts the system signed, new services it launched, or partnerships it cemented in the past five years. But here's the catch: Don't use the words hospital, healthcare, medical center or health system. Instead, replace each of those with the concise term "organization." DeSoto Memorial Hospital in Arcadia, Fla., faces numerous financial issues. Dan Hogan, the 49-bed rural hospital's CFO, says the facility struggles with uncompensated care in particular. What might your description sound like? Well, if the "organization" is anything like those we cover in our day-to-day headlines, it recently launched an insurance plan. It formed a partnership with another organization in China. It inked a contract with Wal-Mart to provide continued on page 12 continued on page 15 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, http://www.beckershospitalreview.com/2013conference/