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2015 Brings Dramatic Changes to Healthcare, Time to Get Into Focus!

2015 has been a year of dramatic change for healthcare payers and providers. Executives and leaders have been challenged to conform to the new State and Federal regulations, evaluate consolidation and merger opportunities and take significant steps to improve the quality of patient care. These initiatives leverage the application of new technologies and the use of the latest medicines, methods and strategies designed to improve consumer health. Our government, providers, payers and consumers all have a stake in seeking remedies for the issues affecting today’s delivery of healthcare services.

The goal of the MiraMed Focus is to provide our subscribers with varying perspectives and valuable insights about our healthcare industry that can only reside in our healthcare journal. We’ve gathered some of the industry’s top thought leaders to share their experience and knowledge with you. I hope you enjoy reading this edition of the MiraMed Focus.

Dr. Tawnya Bosko DHA, MS, MHA, MSHL is a Vice President with The Camden Group. In her article, The CMS Hospital Quality Incentive and Penalty Programs: Where Do They Stand? Dr. Bosko addresses the new value-based reimbursement rules as they relate to incentivizing or penalizing providers based on their performance on certain quality metrics.

MiraMed’s own Denise Nash MD, CCS, CIM, serves as Vice President of Compliance and Education. In Dr. Nash’s article, Doctors and Patients Will Pay a Heavy Price with ICD-10, she highlights how the abandonment of the current reimbursement system for newer models, such as ICD-10, will create a new cumbersome healthcare delivery system.

Robert L. Wambolt, MBA, owner of RLW Consulting, shares his insight concerning healthcare pricing transparency in his article, Will Price Transparency be Enough to Change Behavior? He explains why he believes that if healthcare pricing were more readily available to patients, it could significantly reduce healthcare spending across all segments of our population and ultimately improve patient care outcomes.

It is my pleasure to introduce one of our newest author’s, Arne Pedersen, MBA, FACMPE. Mr. Pedersen serves as Vice President of Practice Management for Anesthesia Business Consultants. In his article, Developing Physician Leaders, he offers specific strategies that can identify, incentivize and motivate employees to become emerging leaders within their organizations.

Also featured in this issue is Four Ways to Encourage Innovation, an article written by Chris Garner, the Co-Founder & CEO of Artemis Consultants. Mr. Gardner is a healthcare executive matchmaker who recruits and places senior level professionals in various healthcare organizations.

Joette Derricks, CPC, CHC, CMPE, CSSGB, Vice President of Regulatory Affairs & Research for MiraMed shares her knowledge about how providers and payers are getting ready for the upcoming coding transition of ICD-10 in Preparing for the ICD-10 Transition Tsunami.

We are pleased to have Lyman Sornberger return as an author. Mr. Sornberger is the Chief Executive Officer of LG Associates, a healthcare consulting firm. In his article, CMS Steps Up to Help Providers Avoid Costly Coding Errors, he offers his insight about how the American Medical Association has handled the deep divide over the implementation of the new International Classification of Diseases, 10th Edition (ICD-10) codes.

Once again, David W. Johnson, CEO and Founder of 4sight Health, has provided us with his entertaining and informative perspective about how healthcare is changing its delivery model by following innovative thinking similar to other business industries. In his article, Uber Up! Customer Interfacing Discovers Healthcare.

Jonathan Landsman, CISA, MBA is MiraMed’s Senior Director of Big Data and Strategy. In his article, Key Performance Indicators, Metrics, and Measures, Mr. Landsman outlines how big data and analytics can provide insight into how operational performance and measurement tracking can address sustainability and even survivability of a healthcare organization.

I hope you have found the information in this edition to be provocative, timely and valuable. We are committed to delivering you the most relevant and diverse content written by industry opinion leaders. For those of you who are attending the American Health Information Management Association (AHIMA) Convention and Exhibit September 26th to 30th in New Orleans, please make it a point to stop by our booth #523 and say hello.

With best wishes,

Tony Mira
President and CEO


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