CMS Proposes Recognition of Same-Sex Spouses Print E-mail
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Friday, 19 December 2014 16:28

On December 12, 2014, CMS issued proposed regulations that would add recognition of same-sex spouses to the Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) relevant to patients in hospitals, ambulatory surgical centers, hospices, laboratories, long-term care facilities and mental health centers. The resulting changes to the CoPs and CfCs would focus on the role of same-sex spouses as personal representatives of patients (i.e., those individuals who may receive information or be involved in making care decisions).

The proposed rule would require providers to recognize same-sex spouses even if their marriage is not recognized in a provider's state. Providers would have to apply the "celebration rule" to confirm that the patient and same-sex spouse were lawfully married under the law of the state, territory or foreign jurisdiction where they entered into the marriage. Same-sex marriage is legal in 35 states in the United States and in 18 other countries. If the proposed rule is adopted, providers would need to ensure that a patient's same-sex marriage was valid in the location in which it occurred (per the celebration rule) before affording that same-sex spouse the rights provided under the CoPs or CfCs.
This proposed rule follows 2011 rulemaking in which the CoPs and CfCs were revised to provide certain rights for domestic partners (including visitation). Comments on the proposed rule are being accepted through February 10, 2015.
Board recommends next CEO for Broward Health Print E-mail
Written by Florida Health Industry Week in Review   
Tuesday, 16 December 2014 12:32

What Happened. Why it Matters.

According to Brian Bandell, a reporter for the SFBJ, in a December 10 post:

The North Broward Hospital District has recommended hiring Dr. Nabil El Sanadi as the President and CEO of Broward Health and the final decision could come as soon as Wed., Dec. 17. Sanadi, a doctor at Phoenix Physicians, serves as Broward Health's Chief of Emergency Medicine.

With a background in public health in addition to his MD credentials, Dr. El Sanadi is well versed in the benefits of population health and preventive care. As chairman of the Florida Board of Medicine, he is intimately acquainted with the challenges facing providers. With a specialization in Emergency Medicine as well as holding an MBA, he can clearly see the massive misallocation of resources currently devoted to many of the country's Emergency Departments. Chosen from a field of seven finalists, Dr. El Sanadi is uniquely qualified to lead Broward Health into the next generation of healthcare.

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Last Updated on Tuesday, 16 December 2014 12:42
Top Florida Hospitals Print E-mail
Written by SFBJ   
Friday, 12 December 2014 17:29

The South Florida Business Journal has released its annual list of top hospitals in the state, ranked by licensed beds. Here are the top 5:
5     Tampa General Hospital (1018)

4     Memorial Regional Hospital (1037)

3     Orlando Health (1690)

2     Jackson Health System (2106)

1     Florida Hospital (2485)
GI Roundtable: The Survival of the Specialty Print E-mail
Written by Gastroenterology & Endoscopy News   
Wednesday, 10 December 2014 12:31

In recent years, and particularly since the passage of the Affordable Care Act, there has been a trend toward consolidation in medicine. Hospitals and payors are merging into larger entities, and hospitals are acquiring independent providers and practices. This trend is driven by many forces, including the desire of younger physicians to work for institutions that can provide a steady salary and a bounded schedule; the increased complexity of managing private practices; and the presence of dominant, and sometimes predatory, hospitals and insurers in some regions.
As articles in the lay and medical trade press have observed, in addition to the effect this trend may have on physician preference, livelihood and career path related to the work environment (good or bad), it may have a deleterious effect on the cost of health care. For one, large, consolidated entities are in a better position to negotiate and demand higher prices. Furthermore, the cost of care for procedures performed in a hospital outpatient setting is significantly higher than for procedures done in an office or ambulatory surgery center (ASC), so much so that the Centers for Medicare & Medicaid Services (CMS) has asked the Brookings Institute, a public policy think tank, to explore reducing facility payments for hospital outpatient services to the level of ASC facility payments, explained Klaus Mergener, MD, PhD, MBA, director of Digestive Health Specialists, part of MultiCare Health Systems, in Tacoma, Wash.

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Sponsor Showcase Print E-mail
Written by Sponsor   
Friday, 05 December 2014 00:00
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Last Updated on Friday, 05 December 2014 14:46

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