Health Capital Topics 2013

This book is a compilation of excerpts from articles originally published in the newsletter, Health Capital Topics, which have been organized by topic in relation to the Four Pillars concept.

Health Capital Topics is a monthly e-newsletter, which has been published by Health Capital Consultants since 2007, featuring timely topics related to the regulatory, reimbursement, competition, and technology aspects of the U.S. healthcare delivery environment. It is sent monthly to over 12,000 healthcare executives, physicians, attorneys, accountants, and other professionals in the healthcare industry. Copies of past Health Capital Topics newsletters, as well as special alert issues, can be found at www.healthcapital.com.

Some of the articles represent a retrospective look at a topic as noted by the date of original publication that appears following the article title. The intent of this book is to serve as an (admittedly abridged) brief annual primer and reference source for these issues. In the months and years ahead, we will strive to continue staying on top of key issues in the healthcare industry and presenting them in the monthly e-publication issues of Health Capital Topics and special alert issues.

 

Table of Contents


CONTENTS

DISCLAIMER

DEDICATION

PREFACE

ACKNOWLEDGEMENTS

INTRODUCTION

 

SECTION I. REGULATORY TOPICS

HIPAA Sweet 16 and Coming of Age

CMS Releases Final Rule on Health Exchanges

Health Care Fraud and Abuse Program Nets $4.2 Million in FY 2012 

IRS Proposes Requirements to Make Charitable Hospitals More “Charitable”

The Sunshine Act and Health Care Transparency

Turning Hospitals into Hotels: How Increasing Amenities Could Sacrifice Quality 

Increasing Challenges for Health Exchange Enrollment 

 

SECTION II. REIMBURSEMENT TOPICS

Infection Control and Patient Safety in an Era of Never Events

2013 Medicaid Changes Under ACA

The ACA in 2013: What Can Stakeholders Expect?

Battling Public Concerns Regarding Healthcare Costs

Challenges to Contain Costs and Standardize End-of-Life Care

CMS Proposes Changes to Medicare Incentive and Enrollment Programs to Combat Fraud

CO-OP Health Insurance Program: October 2013 Implementation

New Consumer Health Insurance Exchange Options Likely to Vary by State

Proposal to Repeal the Flawed SGR System

Wellness Program Woes 

 

SECTION III. COMPETITION TOPICS

Certificate of Need

Clinical Integration Beyond ACOs: The New Frontier

Nurse Practitioners Seek Expansion in Scope of Practice

 

SECTION IV. TECHNOLOGY TOPICS

Big Data

Advancements in Mobile Health Technology

 

SECTION V. VALUING INTANGIBLE ASSETS IN EXEMPT HEALTHCARE ORGANIZATIONS

Valuing Intangible Assets In Exempt Healthcare Organizations

 

SECTION VI. ACCOUNTABLE CARE ORGANIZATIONS VALUE METRICS

Value Metrics and Capital Formation for Accountable Care Organizations

 

SECTION VII. ABOUT HEALTH CAPITAL CONSULTANTS

Firm Background 

HCC Leadership Team

  • Robert James Cimasi, MHA, ASA, FRICS, MCBA, CVA, CM&AA
  • Todd A. Zigrang, MBA, MHA, FACHE, ASA
  • Anne P. Sharamitaro, Esq.