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ASSOCIATION NEWS

2015 Scientific Assembly recap
NJAFP
Thank you to everyone who attended the 2015 Scientific Assembly at Caesars Atlantic City. The weekend was filled with great education, networking and fun! We are already making plans for 2016 and we hope to see you there.

If you attended and didn't have a chance to complete the evaluations, please check your email for a message that will include all the links for each day.
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INDUSTRY NEWS


10 New Jersey hospitals with the most challenging mix of payers
NJ Spotlight
In understanding hospital finances, it's crucial to understand the term "payer mix." That's the industry lingo for the different sources of payment for hospital patients, and hospitals can live or die based on whether they have enough patients who are privately insured. The payer mix is divided between the following groups of patients.
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NJ approves new healthcare industry captive authority
NJ.com
Department of Banking and Insurance Commissioner Ken Kobylowski announced the approval of a new line of authority for the captive insurer formed last year by Healthcare Services Group, Inc. of Bensalem, Pennsylvania. Under the new authority, HCSG joins a new but growing area of captive insurance for company employee benefit plans.
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New York hospitals cast an acquisitive eye toward New Jersey
Crain's New York Business
More than a dozen hospitals in New Jersey have announced acquisitions in the past two years, a flurry of mergers that has left only a handful of independent hospitals in the state. But recently, two very large transactions took shape: a merger between Hackensack University Health Network and Meridian Health, and a strategic alliance between Barnabas Health and Robert Wood Johnson Health System. Those two deals could create health systems that rival the scale of their counterparts across the Hudson River—and that threaten current patient-referral patterns to New York hospitals.
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Study: Best practices for the primary care practice
By Christina Thielst
The healthcare delivery system and payment models are changing. Much more emphasis is being placed on preventative care, engaging patients and their family caregivers as members of the care team, and improving satisfaction and outcomes. A recent analysis of commercial insurance data provides some hints at what primary care practices (as well as some specialty or multispecialty practices) can do to improve their performance and bottom line.
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New tick-borne disease found in NJ flourishes in late summer
NJ.com
Joseph Gugliotta has an M.D. after his name, signifying that he is a physician, but as an infectious disease specialist, Gugliotta could just as well be described as a detective. The Flemington physician gained prominence two years ago when he became the first to identify a nasty little tick-borne pathogen called Borellia miyamotoi as the source of a severe human illness.
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For docs who take a break, coming back can be tough
MedPage Today
Like many professionals, physicians take time off to raise children, care for sick family members or to recover from their own illnesses. Some want to return from retirement or switch from nonclinical jobs back to seeing patients. But picking up where they left off is more difficult in medicine than in most careers. In medicine, change occurs quickly. Drugs, devices and surgical techniques that were standard a decade ago may now be obsolete. Or a returning doctor's skills may simply be rusty.
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ICD-10 grace period could have negative impact on implementation
Fierce Health IT
New legislation that calls for a grace period or transition period to ICD-10 is misguided and could have negative impacts on implementation of the new code set, according to proponents of ICD-10. A safe harbor would compromise the ability of Medicare to monitor quality of care, the Coalition for ICD-10 writes in a post on its website.
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Regulation on out-of-network emergency room visits long overdue in NJ
NJ.com
In New Jersey, health insurers create networks with hospitals and providers that agree to accept set prices. The aim is to offer their members reasonably priced healthcare. Members who seek care inside these networks generally pay less out of their own pockets. But what about members who find themselves in an emergency and the closest hospital is out of their network? To protect these patients, New Jersey requires insurers to pay the bills when their members require emergency care — even if members get that care outside the network.
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Colby Horton, Executive Vice President of Publishing, 469.420.2601
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