Professional Documents
Culture Documents
Midwest Edition
Calendar
December 4-7
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January 6-8
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March 6-7
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Noon CST
Please join Michael Millenson, president of Health Quality Advisors, Jay Warden, senior vice president of The Camden Group and William M. Dwyer, president of Dwyer HC Strategies, to discuss the trends that will shape the Midwest!s healthcare business environment in 2012:
http://www.healthwebsummit.com/ppmidwest120911.htm
a HealthcareWebSummit Event
co-sponsored by
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NEWS
Page 2
Advertise Here
(877) 248-2360, ext. 2
In Brief
HHS Issues Final Rule for Calculation of Medical Loss Ratios
The Department of Health and Human Services declined to accept certain recommendations of the health insurance industry when it set the nal regulation last week setting standards for calculation of minimum medical loss ratios. The Affordable Care Act requires large-group health plans to spend at least 85% of premium revenues on actually medical care for insureds, known as the medical loss ratio, or MLR. The required MLR for small groups and individuals is 80%. Improvements to medical quality may also be included in the MLR. In comments on the preliminary rule issued last December, the health insurance industry requested that antifraud programs and all coding costs be included within the accepted denition of the MLR. The agency agreed to allow some of the costs related to ICD-10 coding implementation. AHIP, the health insurance lobby in Washington, said HHS had followed a thorough and balanced process in crafting this nal regulation. It said it would continue to work with HHS on the fraud issue, and expressed satisfaction that some of the claims upgrading expenses are appropriately recognized as activities that improve healthcare quality.
Continued on Page 3
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NEWS
Page 3
Advertise Here
(877) 248-2360, ext. 2
*For our ads, not your hospital
In Brief
Affordable Care Act, scheduled to be heard in March 2012. In a letter to Chief Justice John G. Roberts, association president Charles Ornstein said that such a historic case with a profound impact on the lives of ordinary Americans deserves more than the traditional renditions by print reporters in the court room. Recently, the court began to allow delayed audio recordings of oral arguments. The case before the court has ramications for these and many other aspects of healthcare in America, however it is decided, the letter said. Given the importance of the issue, the court has expanded its usual one hour of oral argument to ve hours, and has appointed two special counsel to advise it on aspects of the law. Republican attorneys general in 26 states challenged the constitutionality of the so-called individual mandate, and are hoping that the court will invalidate the law.
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OPINION
Page 4
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MARKETPLACE/EMPLOYMENT
Page 5
POSITION REQUIREMENTS
MHA or MBA Preferred. 5 plus years progressive experience in hospital operations as hospital CEO or equivalent. Previous Critical Access Hospital (CAH) experience preferred. Strong physician relations and understanding of physician practice management. Managed care experience, experience and knowledge in quality initiatives.
BENEFITS AND COMPENSATION Salary is commensurate with experience. To attract!and retain the best professionals, we offer a comprehensive and competitive benets package that includes medical, dental, vision, 401(k), employee assistance program, and much more. Contact: Mary Ann Holloway, Director, Human Resources (620) 724-5142 maholloway@girardmedicalcenter.com
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MARKETPLACE/EMPLOYMENT
Page 6
CAN HELP.
We publish advertisements for those seeking new career opportunities for just $1.25 a word. If you prefer discretion, well handle all responses to your ad. Call (877) 248-2360, ext. 2, or e-mail advertise@payersandproviders.com.
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