Friday, December 21, 2012

Costly Cancer Treatment Criticized


"In a finding likely to add fuel to the debate over treatments for prostate cancer, proton-beam therapy provided no long-term benefit over traditional radiation despite far higher costs, according to a study of 30,000 Medicare beneficiaries published…<recently>… in the Journal of the National Cancer Institute.

 
Read the WSJ article HERE.

Friday, December 7, 2012

Good Economic News (Finally)

LEARNING TO CRAWL

Tara Pihn
Here’s some good news.  A lot of FL folks don’t fully appreciate what’s happening because we are away from the economic action.  Please read this great article from CNNMoney entitled US to Become Biggest World Oil Producer in Less than 10 Years.  Excerpts:

“The United States will overtake Saudi Arabia to become the world's biggest oil producer before 2020, and will be energy independent 10 years later, according to a new forecast by the International Energy Agency.  The recent resurgence in oil and gas production, and efforts to make the transport sector more efficient, are radically reshaping the nation's energy market, reported Paris-based IEA in its World Energy Outlook… The U.S. is experiencing an oil boom, in large part thanks to high world prices and new technologies, including hydraulic fracking, that have made the extraction of oil and gas from shale rock commercially viable…North America would become a net exporter of oil around 2030, the global organization said recently.”

This could save our entitlement programs and prevent draconian cuts to Medicare and Medicaid. I know this post will annoy a lot of environmentalists who want to end our dependence on fossil fuels.  That will happen but we are not ready yet; we are probably 100 years away from viable, environmentally friendly, renewable energy solutions.  This is a good interim step to rebuilding our economy, solving our trade deficit and filling a huge budget hole. 

Friday, November 16, 2012

The Way Forward

FOR CRYING OUT LOUD
 

Tara Pihn

      The fiscal cliff is the hot topic post-election and the economic reality (as opposed to political myth) is that the government needs to increase revenue and cut costs to cope with the demographic bulge created by aging baby boomers. And they need to do it fast. Truth is all aspects of the federal budget are manageable with the exception of this perfect storm of prolonged economic malaise (thus lowering tax revenue) and exploding elderly population which are costly to care for and are paid for (in most instances) via government programs (Medicare & Medicaid). We are only able to do it now because we borrow heavily abroad and, as even a child knows, our national debt is rising exponentially. And it's going to get worse, much worse, very soon.

We can't afford to raise tax rates for high income earners and/or the wealthy as that will destroy their incentive to work and produce, take risk and invest, hire and contract.   We can't afford to cut programs designed for the aged and the poor. These are our most vulnerable and we must not abandon our moral obligations.

What we can do is reform the tax code to flatten the tax rate structure and eliminate needless tax loopholes. The Republicans will support this as, if done right, we will be able to increase tax revenue without raising tax rates.

Meanwhile we need to engage in aggressive entitlement reform. If done in a thoughtful way, this can be done without cutting benefits to seniors or punishing healthcare providers. I am talking about payment reform, care coordination, EHR, ACO's, Medical Homes and all the other gizmos that promise to bend the cost curve. The Democrats will support this as, if done right, we will be able to slow the growth of the Medicare and Medicaid programs without cutting benefits to seniors.

Let's hope our leaders have the good sense to put a visionary, bi-partisan plan together so we can all look forward to a brighter and more prosperous 2013.

 

Friday, November 2, 2012

Examining the Looming Elder Care Crisis


I wanted to remind of this upcoming event.  The topic will be The Looming Elder Care Crisis and the venue is conveniently located just off I-95 in Hallandale Beach.
This is an excellent Sponsorship opportunity with heavy event day exposure combined with steady pre-event promotion plus a post-event wrap-up featured as the lead story in FHIweekly/FloridaHealthIndustry.com.

To learn more about the event including a link to the online registration page, click HERE.  To view the Sponsorship Packages, click HERE.

We are just getting ready to launch a major initiative to drive attendance.  The event will be displayed prominently in all issues of FHIweekly (5946 subscribers) and Specialty Focus (3880 subscribers) leading up to the event.  Starting this Wednesday, I will start sending a series of dedicated e mail blasts to Dade and Broward subscribers (total of 2930).

The Event Host, Park Shore Pharmacon is top-notch and the facility tour alone is probably worth the price of admission. As always, we will assemble a distinguished group of healthcare experts to offer insight and enlightenment to healthcare leaders.  To view some comments from attendees of our last event, click HERE.  To view the program from our last event, click HERE.

Sponsorships are exclusive by business category and of course you don't want to miss out on any of the pre-event marketing.  So please contact me right away if you are interested.

Also, I want to take a moment to express my sincere gratitude to the sponsors who have already committed:
 
Employers Mutual Inc.
Bay Imaging Group

Sincerely,

Jeffrey M. Herschler
FHIcommunications
305.299.3937
JHerschler@comcast.net
INFORM | CONNECT | ENGAGE
 
 

Friday, October 19, 2012

Two Floridians Make Modern Healthcare's List


Modern Healthcare just released its 2012 List of the 100 Most Influential People in Healthcare. Governor Rick Scott ranked #43 according to the source while Gary Newsome President and CEO, Health Management Associates, Naples, FL earned a #47 rating. Supreme Court Chief Justice John Roberts was #1. President Obama, Mitt Romney, Paul Ryan and our pal Peter Stark all made the list. 25 doctors earned a spot in the rankings. Nominees for the list come from readers while "an expert panel" ultimately determines the final rankings. 

Saturday, October 6, 2012

List of Largest South Florida Medical Practice Groups Released


According to SFBJ, the Top 5 Physician Practice Groups in South Florida (ranked by number of physicians) are:

5. Pediatric Associates               130

4. Holy Cross Medical Group       155

3. ApolloMD                                643

4. Mount Sinai Medical Center     657

1. UHealth                                 1200

To read the complete article, click HERE

Friday, September 21, 2012

July 2012 Readers’ Poll Results

The FHIcommunications Readers' Poll for July was conducted in partnership with Marcum Healthcare. We asked:

Now that SCOTUS has ruled on the ACA, what will small employers do with regard to health benefits?

There were a total of 175 participants in the poll. 31% believe small employers will not provide health benefits and therefore pay a fine.  Reflecting a concern voiced by many on both sides of the aisle, just 7% of subscribers feel undersized firms will continue to offer health benefits as before, understanding premiums are expected to keep rising. The majority of participants (56%) are of the opinion that companies will opt to offer reduced health benefits that still meet ACA criteria (i.e. much larger family and individual deductibles). As always we encouraged readers to write in their own answers. Some suggested firms will reduce workforce to below fifty full time employees to avoid a fine. Other, more optimistic participants suggested that companies will look at products on the Insurance Exchange.

Editor's Note: Percentages will not add up to 100 due to rounding errors and write-in votes.

Friday, September 7, 2012

Critical Conversations in Healthcare


The South Florida Business Journal recently hosted a healthcare panel discussion featuring some of the biggest names in the local healthcare community.

Included on the panel were:

  • Jerry Fedele: President and CEO Boca Raton Regional Hospital
  • Brian E. Keeley: President and CEO Baptist Health South Florida
  • Jeffrey B. Kramer: CPA, Partner Goldstein Schechter Koch
  • Lee F. Lasris: Founding Partner Florida Health Law Center
  • Penny Shaffer: Market President, Florida Blue & immediate Past Chair of the Greater Miami Chamber of Commerce
  • Mike Segal: Partner Broad and Cassel
  • Dr. Fernando Valverde: CEO Florida International University College of Medicine Health Care Network
  • Dr. Steven G. Ullmann: Director of Programs University of Miami Center for Health Sector Management 
Not surprisingly the discussion focused on the future of healthcare delivery in the post SCOTUS ACA decision world.  Refreshingly the conversation focused on the policy issues and challenges without overt political partisanship.

Editor's Note:  To save space, initials of panelists are used throughout. 

JF pointed out that there is profound pressure on the health industry regardless of the ACA.  He stated that end of life care is a critical issue left unaddressed by the new health law.  Mr. Fedele predicts "intense" consolidation of providers and insurers.

BK foresees a market-driven solution to the cost crisis, not an ACA solution.  His organization is focusing on four things to prepare for the future:

1.     Physician Integration (i.e. aligning incentives)

2.     Huge Investment in IT

3.     Commitment to Family Medicine

4.     Wellness and Prevention Initiatives   

JK observed that small groups struggle to cope with the rapid pace of change.  He cited as examples EHR adoption, myriad rules and regulations as well as payment reform.  Since solos and small groups can't afford the expertise necessary to affect necessary changes within their practices, they look to be employed or combine to form larger groups.  

LL sees contraction in the healthcare marketplace as well as increased use of physician extenders (nurse practitioners and physician assistants) and changes in physician compensation programs to control cost.  

PS asserted that true healthcare reform would address access, quality and cost.  She laments that the ACA deals with access pretty well but is deficient in solving the quality and cost issues.   

MS emphasized that Fee-for- Service is a thing of the past and solo docs are out of business.  He stated that ACO's are emergent, a "sea-change". Mr. Segal also pointed out that the ACA is only part of the massive transformation going on in the health industry currently.  

FV expressed a profound concern for an imminent physician shortage.  He predicts that ARNP's and PA's will assume a huge role in primary care with physicians migrating to the specialties.

SU foresees increased demand for well educated and trained practice and facility administrators.  He warned that Medicare's survival relies on reimbursement cuts that may be draconian. 

 

Friday, August 24, 2012

Enjoying the Ride? Get Ready for the Next Med Mal Storm

 Jeff Herschler

The cyclical nature of the medical malpractice insurance industry is well documented. Check out this excerpt from the digital archive at CBS Life & Health Library, just nine years ago, when we were on the other end of the wave:

"Medical malpractice claims have held steady, yet insurance premiums have skyrocketed. This pattern can be attributed to the cyclical nature of the commercial insurance business. We are in the midst of a classic hard insurance cycle. The first such crisis, which was particularly acute in the product liability and medical liability sectors, occurred in the mid-'70s. The second crisis, dramatically detailed in the 1986 Time magazine cover story entitled Sorry, Your Policy Is Cancelled was more..."

According to Matt Gracey, President of Danna-Gracey, a medical malpractice brokerage firm with offices in Delray Beach and Orlando, the current soft market in medical malpractice is characterized by the following:
  • Low rates: Up to 60% lower than 2005;
  • More choices of insurers; much more competitive climate due to the favorable claims cycle;
  • Loose underwriting; claims are more often overlooked by insurers.  
  • Expanded coverage; lots of bells and whistles on standard policies!
Sounds good! Let the good time roll, right? Not so fast, says Gracey. With a hard market ahead, it makes sense to get ready for the inevitable. And the market might be turning sooner rather than later.  

There are already some ominous signs. For example:
  • Loss ratios are increasing as pricing decreases; many insurers are over or approaching a "combined loss ratio" of over 100%. 
  • Reserve takedowns dwindling; insurers have been using claims reserves to bolster their losses, thus allowing them to keep their pricing as low as possible.   
  • Market shrinking as doctors retire, sell out to hospitals, or go bare.
Meanwhile the 2003 Tort Reform law is being challenged in Florida's Supreme Court and there are serious concerns that the law will be struck down. But they are working on Tort Reform at the national level (see House proposal would reform medical liability), so why worry? Says Gracey, "For years the House has passes great versions of Tort Reform, which all fail to get the 60 votes needed in the Senate. This one will go the same way. This is just election year posturing to show doctors that Republicans are trying and it's the Democrats' fault."
 
To get ready for the next medical malpractice storm, Gracey recommends the following:
  • Move to high ground! Insure with highly rated, financially solid companies that have a track record of being committed to Florida's doctors in more difficult market conditions. 
  • Plan now to avoid being uninsurable, or not able to afford coverage;
  • Examine coverage options; get an independent expert to review your coverage for gaps. 
  • Examine bare options and reexamine your asset protection plan. 
In closing, Gracey has one last piece of advice: "Enjoy the party while it lasts!"

Friday, August 10, 2012

Is SCOTUS Decision on ACA a Victory for Progressives?

Although Progressive's are lauding the decision as a huge victory for Obama and America, the SCOTUS endorsement of the ACA is actually, exceptionally weak. The Individual Mandate is now labeled a tax and will cost the President hugely in political capital. Meanwhile the Medicaid expansion will no longer be (effectively) mandatory. I predict many states will opt out. Another factor often overlooked is the exception to the Individual Mandate whereby many citizens can, without penalty, choose to be uninsured because health plans available do not meet the affordability requirement. Thus the number of insured will not increase in any significant way. And therefore, the other provisions of the ACA cannot be funded.

My prediction is that within a few months or years we will realize we have made no meaningful progress on Healthcare Reform. We will still have huge swaths of the population uninsured and seeking healthcare only when there is an acute episode and then going to a high cost provider (a hospital ED). We will have expanding government programs that can only pay for themselves with borrowed money. We will continue to have healthcare inflation (perhaps blunted by a weak economy and/or payment reforms, i.e. pay for performance, bundled payments, modernized capitation models etc.). Health insurance will still be a lousy value. We will continue to see American companies at a competitive disadvantage in the global marketplace due to the cost of employee health benefits.

For true Healthcare Reform, we need to activate the capitalists and the entrepreneurs. We also need bi-partisan support for any new federal laws. Government policy has been successful in creating the environment for innovation and change in other industries and there is no reason healthcare is any different. Hat's off to the Democrats for coming up with a plan. Unfortunately, I don't think this one (the ACA) is going to be the solution.

-Tara Pihn

Friday, July 20, 2012

20 Most Beautiful Hospitals in the US

According to Soliant Health, Florida is home to three of the nation's most beautiful hospitals, the most for any state. Weighing in at #4 is Miami Children's Hospital. Meanwhile Health Central Hospital in Ocoee grabbed the #7 spot and MD Anderson Cancer Center Orlando was ranked #13. This is Soliant's fourth annual survey. According to their website, they received a total of nearly 170,000 votes.

To See the Whole List, Click 20 Most Beautiful Hospitals in the US

Monday, July 9, 2012

4 Healthcare Companies Make S&P's Top 20 Best Performing Stocks List

Fortune magazine recently released its Top 20 Best Performing S&P 500 Stocks of 2011. Four healthcare companies made the list:
  • WellCare #2
  • Biogen Idec #4
  • Humana #7
  • Rite Aid #20
With a whopping 73.7% total return to shareholders last year, the editors had this to say about WellCare's startling reversal of, no pun intended, fortune:

"It was only a few years ago that this Tampa-based health company struggled amid Medicaid-fraud probes and shareholder lawsuits, which subsequently led to a management shake-up. The insurer began improving its bottom line during the second half of 2010 and continued to do so in 2011.

WellCare, which provides managed care plans for Medicare and Medicaid, reported strong earnings as membership rebounded after declining in 2010. This was largely driven by the growth in its Medicare prescription drug programs. Like other health insurers, WellCare also benefitted as Americans used fewer medical services, which in turn has helped drive down the portion of premiums used to cover medical costs."

Monday, June 25, 2012

Bad News, Good News: Total Healthcare Costs for American Family Exceeds $20k, Rate of Cost Growth Slows

By Jeffrey M. Herschler

According to the recently published Milliman Medical Index 2012, the average American family’s annual healthcare expenditures will exceed $20,000 (roughly the cost of a basic, mid-size sedan) for the first time.  This figure represent the total cost of healthcare for a family of four covered by an employer sponsored Preferred Provider Plan (PPO).  This is a 6.9% increase over last year. The rate of increase fell below 7% for the first time.  Of the cities studied, Miami was the most expensive with an average annual figure of $24,965.  New York, Chicago, Boston and Philadelphia rounded out the top five most expensive cities.  Meanwhile the least expensive cities were Denver, Dallas, Seattle, Atlanta and Phoenix.  Employers continue to shoulder the larger portion of total cost (58%).  That said the study’s authors are quick to point out that the employer piece of the payment is part of the employee’s total compensation.  Thus, in reality, the employee is burdened with the entire cost of healthcare since his/her salary would be higher without the benefit. 

With the Supreme Court decision looming, one very significant section of the report addresses Healthcare Reform (the Patient Protection and Affordable Care Act) and its impact on cost.  Examining several different scenarios (PPACA fully intact,  PPACA without the Individual Mandate and no PPACA), the report forecasts effects on consumers, employers, the government and providers.   The authors conclude, somewhat ominously, “While several aspects of healthcare reform would have meaningful impact on the cost of insurance coverage, the effect on total cost of care is very limited for our family of four.”   With regard to providers, the authors state “the pressure to lower healthcare costs, including a focus on provider reimbursement, coordination of care, and narrower networks, will not go away” regardless of PPACA’s fate.

Milliman is among the world's largest independent actuarial and consulting firms, with revenues of $723 million in 2011. Founded in Seattle in 1947, the firm currently has 55 offices in key locations worldwide.  Milliman has published the index since 2001. To view the entire report, click HERE.  To view a related article from the New York Times, click HERE.

Monday, June 11, 2012

Acquirers Seek High Performing Medical Groups

Healthcare M & A

As the economy picks up, Healthcare M & A activity has increased markedly. The trend is accelerated by an emerging consensus that pending changes in payment models necessitate "strength in numbers". According to AxialMarket.com, "...within the Health Care industry in the United States and Canada in 2011...Health Care accounted for 9% of overall network activity and experienced a 96% increase in deal flow in Q4."

On April 27, Bob Wilson, a Managing Director at Grant Thornton, presented on transaction and integration issues as they relate to healthcare company mergers and strategic partnerships. He spoke at the annual FICPA Health Care Industry Conference in Orlando and placed particular emphasis on the Elements of High Performing Medical Groups. Potential suitors are obviously trying to identify these elements as they search for acquisition targets and partners.

Mr. Wilson named the following Group Practice Essentials:

Operating Performance
  • Operating Efficiency
  • Medical Management
  • Physician Activities
  • Patient Access & Throughput
  • Cost Structure
  • Revenue Cycle
Infrastructure
  • Governance
  • Management
  • Policies & Procedures
  • Technology
In addition, he stressed that a high performing Culture must be pervasive throughout the organization. Those practices seeking a buyer or partner would be well served by developing and showcasing their high performance metrics.

Friday, May 25, 2012

Top South Florida Diagnostic Centers

According to the SFBJ, these are the top imaging centers in the region based on patient volume:

5. Jupiter Medical Center

4. North Broward Medical Center

3. Broward Health Broward General Medical Center

2. Coral Springs Medical Center

1. Memorial Hospital West Outpatient Center

Read More.

Monday, May 7, 2012

Great Places to Work in Healthcare

According to Becker's ASC Review, these are the 100 Great Places to Work in Healthcare in the U.S. Six Florida companies made the list. They are:

-Baptist Health South Florida (Coral Gables, Fla.)
-BayCare Health System (Tampa Bay, Fla.)
-Doctors Hospital of Sarasota (Florida)

-Harborside Surgery Center
(Punta Gorda, Fla.)
-Melbourne Surgery Center
(Florida)
-Memorial Healthcare System
(Broward & Palm Beach County, Fla.)

Florida compared favorably to the other large states. California boasted eight healthcare facilities while Texas had ten and New York contributed only two. From the Midwest, Illinois had six on the list, Michigan four. New Jersey contributed an impressive seven and Pennsylvania was not far behind with five.

According to the BeckersASC.com web site "The 2012 list was developed through nominations and extensive research, and the following organizations were chosen for their demonstrated excellence in providing robust benefits, wellness initiatives, professional development opportunities and atmospheres of employee unity and satisfaction."

Friday, April 13, 2012

INTERVIEW EXCLUSIVE with Bay Harbor Islands Plastic Surgeon Michael Salzhauer, MD

After viral video, threat of professional sanctions and accusations of perpetuating negative racial stereotypes, Dr.Schnoz reflects on a busy few weeks.
In case you were in a coma or off the planet, here is a recap:

The story first got picked up by AdWeek's Ad Freak and then ran in the Huffington Post, ABC News, the South Florida Business Journal and a host of other media outlets including yours truly. Click on the links below to see a few of the articles that ran plus the controversial video.


Nose Job Doc Michael Salzhauer's 'Jewcan Sam' Video Being Investigated Huffington Post
Miami Surgeon Under Investigation SFBJ
Miami Plastic Surgeon Being Investigated for Involvement in Jewcan Sam Video ABC News
To see the video, click
HERE.

The SFBJ even ran a Business Pulse Reader Survey on the subject. Click
HERE to see the poll results.

Below is a transcript of our recent chat:

Interviewer, Jeff Herschler (JH): Tell me about the reaction to the video.

Interviewee, Michael Salzhauer (MS): Overwhelmingly positive with regard to the demographic I am trying to attract-young people, people with a sense of humor. Overall reaction is 80-85% positive. The few negative comments are coming from persons who are opposed to plastic surgery in general. Reasonable people have the right to an opinion. That said, these people would probably not be my clients anyway. By the way the story has just hit the Israeli media and the response has been 100% positive so far.

JH: You have received over 125,000 Hits on YouTube to date so you have definitely been noticed.


MS: That's far beyond my wildest expectations. Farrell Goldsmith of Yeoville Productions, a local guy, was the video director and producer. He did an outstanding job. And the band is very talented with a great sound and catchy lyrics.

JH: Have you acquired any new patients attributable to the video exposure?

MS: On Tuesday (March 20) evening, we had three new patients come in, all because of the video.

JH: How do you respond to people who say the video is offensive because it perpetuates negative racial stereotypes?

MS: A spokesman from the anti-defamation league said that. It is his job to not have a sense of humor.

JH: How worried are you about sanctions from the American Society of Plastic Surgeons?

MS: I have not heard from them except for their statements to the press. I have already sent a letter of apology.

JH: Will this video catapult the Groggers to major rock stardom?

MS: Definitely in the Jewish rock music niche! I guarantee they are now a household name in every Jewish Orthodox family in the country.


About the interviewer: Jeff Herschler is the Editor and Publisher of FHIweekly and Specialty Focus. He also produces the website www.FloridaHealthIndustry.com.

Monday, April 9, 2012

Future of Healthcare Delivery at a Crossroads

Examining the challenge to the Individual Mandate (IM) that was discussed by the Supreme Court in late March (they will announce their decision in early summer), the key questions appear to be:
  • Is the IM constitutional?
  • Is an unconstitutional IM severable from the rest of the law or does a stricken IM invalidate the entire law?
  • If IM is found to be unconstitutional and can be severed, thus making the rest of the law still valid, can HCR succeed without it?
I had a chance to catch up with several Florida Health Policy experts and ask them to address these questions.  Click HERE to read more.

Friday, April 6, 2012

Happy Birthday HCR: Affordable Care Act Turns 2

March 23 marked the second anniversary of the Affordable Care Act being signed into law (source: YouTube). Meanwhile the United States Supreme Court heard arguments from March 26 to 28 challenging its validity.  The judges will announce their decision in early summer.

More Video:
In this video, Obama argues HCR will lower health costs. Source: Fox via YouTube
Also from Fox... Is Government Run Healthcare Constitutional?  Source: Fox via YouTube

Monday, March 12, 2012

Where America Stands on HCR

Where America Stands on HCR   "A USA Today / Gallup poll released this week shows that almost three-quarters of us think a requirement for nearly all people to buy insurance - the so-called individual mandate - is unconstitutional."         LA Times 

Friday, March 2, 2012

Med Mal Litigation Results in Questionable Justice

According to author Philip K. Howard in his book LIFE WITHOUT LAWYERS - Restoring Responsibility in America:

"Overall, including settlements, about 25 percent of medical malpractice payments are made on claims, without merit..." 

He goes on to point out that "The error works in the other direction as well...25% of meritorious claims got nothing."

Mr. Howard, by the way, is an attorney.

Friday, February 24, 2012

MGMA Chief Calls for Further Delay of 5010 in Letter to HHS Secretary

"The Medical Group Management Association (MGMA) requests that you take immediate action to address the payment disruption issues that have occurred as a result of the federally mandated transition to HIPAA Version 5010 electronic transactions on Jan. 1. Medical practices throughout the nation are experiencing significant challenges implementing these new transactions, a situation that has led to considerable cash flow problems for physicians and their practices. Problems are being reported with both Medicare Administrative Contractors (MACs) and commercial plans.

Should the government not take the necessary steps, many practices face significantly delayed revenue, operational difficulties, a reduced ability to treat patients, staff layoffs, or even the prospect of closing their practice. As the transition to Version 5010 is a mandatory step toward ICD-10 implementation, this raises even more concerns, understanding the magnitude of ICD-10 is exponentially greater than Version 5010."

Click HERE to read the entire letter.

Friday, February 17, 2012

AMA Writes to Speaker Boehner, Recommends a Stop to ICD-10 Implementation

"The implementation...will create significant burdens on the practice of medicine with no direct benefit to individual patient care..."

James L. Madara, MD, Executive VP and CEO of the American Medical Association recently wrote a letter to John Boehner, Speaker of the House, urging him to "put a stop to the Health Insurance Portability and Accountability Act (HIPAA) required implementation of ICD-10". Citing the burden of coping with "with 68,000 codes - a fivefold increase from the current 13,000 codes" and issues in Canada involving "high risk for claims processing and payment disruptions" associated with ICD-10, he recommends a "call on stakeholders to assess an appropriate replacement for ICD-9." Dr. Madara estimates the cost of transitioning to the new coding system as between $83,290 to more than $2.7 million per healthcare practice.

Click HERE to read the letter.

Friday, February 10, 2012

Best Places to Work

Fortune Magazine recently released its list of Best Places to work for 2012. Several healthcare companies made the list including Miami based Baptist Health South Florida.  

#9           CHG Healthcare Services


#36         Southern Ohio Medical Center


#42         Baptist Health South Florida


#53         Methodist Hospital

#56         Scripps Health

#65         Atlantic Health

#68         Genentech

#71         Mayo Clinic

#80         Stryker

#87         The Everett Clinic

#88         OhioHealth

#96         Meridian Health

Saturday, February 4, 2012

SFHEF Installs 2012 Board

The South Florida Healthcare Executive Forum, the official local chapter of the American College of Healthcare Executives, held its
     click hyperlink above to view the rest of the story.

The following new Board Members were installed at the gala event held at the Miami Beach Resort and Spa.

To learn more about the SFHEF, click HERE.

Friday, January 27, 2012

2012 Election Preview?

By Tara Pihn

In reviewing some recent campaign literature circulating in Dade County, this reporter observed the following:

Mitt Romney Day One Executive Order #1:  Pave the Way to End ObamaCare
Direct the Secretary of HHS and all relevant federal officials to return the maximum possible authority to the states to innovate and design healthcare solutions that work best for them.

Meanwhile we can expect the President to continue to tout the new healthcare law.  Mr. Obama has a page on his website detailing his record on healthcare where particular attention is paid to vilifying insurance companies.  This taps into an almost universal (and often well deserved) dislike of insurance companies by Americans