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Centers for Medicare and Medicaid Services (CMS)

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  • ACOs emphasize prevention, coordination

    As talk of reimbursement reform, pay for performance escalates, and health care stakeholders look at ways to improve patient access and outcomes while reducing waste and costs, payers and providers are joining together to create accountable care organizations (ACOs).
  • Use hand cleansers to decrease absenteeism

    Use of alcohol-based hand cleansers significantly reduced several common infections and reduced absenteeism in a study of 129 white-collar workers in 2005 to 2006, according to research from the Institute of Hygiene and Environmental Medicine in Greifswald, Germany.
  • Seven goals of health literacy

    The seven goals to improve health literacy issued by the U.S. Department of Health and Human Services as part of its National Action Plan to Improve Health Literacy are:
  • Insurer, physicians team up for patient care

    When CIGNA members being treated by Piedmont Physicians Group in Atlanta are high-risk or noncompliant, Jennifer Farlow, RN, BSN, clinical care coordinator, contacts them and helps them get back on track for regular visits and recommended tests and procedures.
  • Affirmative action includes impact analyses

    If your hospital is now subject to affirmative action requirements because of a TRICARE contract or any other federal contract, what does that involve?
  • Surprise! You might be a federal contractor

    Prior to the ruling in OFCCP v. Florida Hospital of Orlando, DOL OALJ, No. 2009-OFC-00002, most hospitals did not worry about being a federal contractor and all the obligations that can trigger unless they were engaged in specific business with the federal government. Now, you might be a federal contractor and not even realize it.
  • Volunteers a great asset until they cost you

    Volunteers are a key component to the success of many health care organizations, but how often do you consider the risks they bring? No one wants to turn away people offering their time for free, but at the same time, risk managers must consider the potential downside.
  • Compliance officer hat could take you far

    If you are a risk manager who also serves as the compliance officer, that second title could be your ticket to advancement within the organization, says Roy Snell, CHC, CCEP, CEO of the Health Care Compliance Association (HCCA) in Minneapolis and a former Mayo Clinic administrator, consultant, and compliance officer.
  • More than $9 billion recovered from fraud

    Since January of 2009, the Justice Department's Civil Division and the U.S. Attorneys around the nation have recovered more than $9 billion in cases alleging false claims, fraud against the government, and violations of the Food, Drug and Cosmetic Act.
  • Hospital CEO guilty of six felony counts

    In a case that should frighten every hospital administrator who thinks he or she won't be held personally responsible for criminal fraud, the former CEO and president of Archbold Medical Center and Archbold Memorial Hospital in Thomasville, GA, is facing a potential 105 years in prison after being convicted of six felony offenses related to Medicaid fraud and obstruction of justice.