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Feb. 14, 2011

Today’s issue is brought to you by AIS’s Health Reform Week, the nation’s leading publication on the business implications of the massive changes for the health industry mandated by reform.

Today's Featured Story

New HHS Fraud-Prevention Rules Could Cause New Barriers to Entry for Providers
Reprinted from AIS’s Health Reform Week

The final rules that HHS issued on Jan. 24 to implement fraud-prevention provisions in the health reform law include some “very scary tools” the department will have that could wind up hurting honest providers, according to a leading health care fraud attorney. She doesn’t question the intent of the rules, but says they may have unintended effects in creating new and not challengeable barriers to entry at a time when the reform law is encouraging providers to engage in new kinds of transactions and forms of care .... Read Full Story


Quote of the Day

“I don’t know that they will all call it [a medical home], but at the end of the day, I think the [ACOs] that are going to be successful will be using strategies that look awfully similar [to what medical homes are doing.]”

— Mark Hedberg, a Richmond, Va., partner with the health care group of Hunton & Williams LLP, told AIS’s ACO Business News.

Click here to read the ACO BUSINESS NEWS article in which this quote appeared. (Free for ABN subscribers; $17 for non-subscribers).


Today's Datapoint

70%...of primary care physicians say they “always” or “most of the time” send specialists their patients’ histories and the reasons for referrals, but just 35% of specialists say they regularly receive such information, according to a recent Robert Wood Johnson Foundation study.



Today from Washington

People on the Move

InfraReDx, Inc., a medical device company, named Donald Southard president and CEO. Southard was CEO at Zonare Medical Systems....Teladoc Medical Services appointed Jeff Nadler chief technology officer (CTO). Nadler was CTO at Aetna’s ActiveHealth Management.


Today's Featured Health Business Job Opening

Blue Shield of California
Director, Quality Initiatives
San Francisco

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