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The Real Reason Full Implementation of the Affordable Care Act has been Delayed 22 Jul 2013 | 11:37 pm

The real reason the Administration has delayed full implementation of the ACA until 2015 is that the data management systems required to carry out the Act’s provisions are not yet operational, and ...

Will State Health Insurance Exchanges Really Work as Planned? 13 Jun 2013 | 11:00 pm

The biggest challenge facing the operation of state health insurance exchanges is a successful rollout of the proposed Federal Data Services Hub. When the Affordable Care Act goes into full effe...

The Transformation of American Hospitals 14 May 2013 | 02:44 am

U.S. hospitals are currently undergoing a transformational—and for physicians, highly disruptive—change in their management philosophy. Prior to the 1980s hospitals were reimbursed on the basis of th...

Storm Warnings on the Cost of Health Insurance 2 Apr 2013 | 01:36 am

There are growing indications that health insurance premiums could rise significantly in 2014-15. The objective of the 2010 Accountable Care Act was to extend health insurance to millions of uninsure...

Key Healthcare Trends in 2013 14 Feb 2013 | 10:56 pm

Four key trends will have a dominant influence on the U.S. healthcare market in 2013. Trend #1  The pace of physician realignment and consolidation will accelerate. Physicians looking for stability, ...

Why Only a Funding Crisis Can Reform Healthcare 4 Jan 2013 | 03:45 am

The present unsustainable trajectory of U.S healthcare spending ultimately can only be resolved through a funding crisis. Over the past four decades, healthcare spending has grown at a 35% faster rat...

Healthcare in Play in Fiscal Cliff Negotiations 9 Nov 2012 | 11:55 pm

Negotiations over the looming Fiscal Cliff are about to begin in earnest, and healthcare spending will be an important bargaining chip in the discussions. On January 1 Washington faces both huge tax ...

An Alternative Paradigm for Healthcare Improvement 1 Oct 2012 | 09:32 pm

Many healthcare improvement initiatives fall short of expectations not because of a lack of effort or good intentions, but because they are based on an incorrect model of how healthcare organizations ...

Potholes in the Road to Accountable Care 22 Aug 2012 | 09:03 pm

Accountable Care Organizations are a central component of the effort to deliver better health outcomes at lower cost.  But before ACOs can work as planned, two formidable obstacles have to be overcome...

The Long-Term Outlook for Healthcare Reform 6 Jul 2012 | 12:03 am

The short-term outlook for healthcare reform is highly uncertain, but the long-term prospect is much more predictable. With the Supreme Court upholding the insurance mandate and striking down the req...

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