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AHA-AMGA Collaborative - Clinical Integration: Pathway to Value

By Jay Bhatt, D.O.
September 20, 2017

By Jay Bhatt, D.O., AHA Senior Vice President and Chief Medical Officer

The AHA and the AMGA invite members to apply for the next iteration of our clinical integration learning collaborative. As we strive to deliver smarter, better, safer care, it’s imperative that health care organizations are experienced in developing plans for more integrated systems of care.

The inaugural class consisted of more than 20 teams that developed plans for more integrated care specific to their... read more

Topic: Quality and Patient Safety
Tags: quality improvement, physician issues, clinical integration

The Next Generation of Community Health

February 14, 2017

Hospitals and health systems are on a journey that promises to take them to a place where they can improve the lives of thousands of people all at once, not just the health of one patient at a time … where their success in addressing the social determinants of health within the communities they serve will be as important as the high-quality medical care they provide within their four walls.

It’s a journey described in the AHA Committee on Research’s new report, “The Next... read more

Topic: Community Health
Tags: population health, Community health, Redefining the H, clinical integration, care coordination

Hospital mergers can be a key to meet patients' needs and improve care

By Rick Pollack
January 27, 2017

Rapid change in the health care field has led hospital leaders to search for new ways to reduce costs, increase the quality of care, and preserve access to care, so they can continue to meet their patients’ needs. For some hospitals, mergers may be the right path to meet these goals. This week the AHA released a new study finding that hospital mergers result in significant cost savings and quality improvements. The study, prepared by economists at Charles River Associates, found... read more

Topic: Advocacy and Public Policy
Tags: acquisitions, consolidation, mergers, clinical integration, care coordination, antitrust

Outdated Regs Impede Care Transformation

By Rick Pollack
July 15, 2016

Every day hospitals and health systems seek to provide the best care for each and every patient. But a growing list of regulatory barriers hampers their efforts to transform and improve care. Improving the coordination of patient care is a prime example. Last week, we released a report as part of the AHA’s on-going campaign seeking regulatory relief for hospitals and health systems. It highlights how outdated fraud and abuse regulations created under the Stark and Anti-Kickback... read more

Topic: Advocacy and Public Policy
Tags: regulation, administrative simplification, self-referral, clinical integration, antitrust

Tackling Outdated Regulatory Barriers that Impede Health Care Transformation

By Melinda Reid Hatton
July 5, 2016

A new report released today examines some of the most detrimental legal barriers that hospitals and physicians face whenever they try to work together to transform the delivery of patient care. Unquestionably, these barriers impede the hospital field’s efforts to move from a payment system based on volume to one that rewards value.  That is because the legal framework that controls the ability of hospitals and physicians to work together, and with their patients, is firmly stuck in... read more

Topic: Advocacy and Public Policy
Tags: consolidation, mergers, clinical integration, antitrust

SMARTER Moves for the FTC

By Rick Pollack
March 25, 2016

The Standard Mergers and Acquisitions Review Through Equal Rules (SMARTER) Act passed the House on Wednesday. This represents real progress on legislation that the AHA actively supports. The act would align the Federal Trade Commission’s (FTC) merger review with that of the Department of Justice (DOJ) by eliminating FTC’s ability to use its own administrative tribunal to challenge a merger – it would have to go to court just like DOJ. This would remove costly and unfair regulatory... read more

Topic: Advocacy and Public Policy
Tags: mergers, clinical integration, antitrust

New resource available to help hospitals improve behavioral health

February 29, 2016

Improving behavioral health is one of the top priorities for hospitals and the communities they serve.  A new guide from the AHA’s Hospitals in Pursuit of Excellence outlines how hospitals and health systems can address the challenges of integrating physical health with behavioral health, enhance collaboration among community partners and sustain resources for needed services.  Cases studies in the guide provide concrete steps and results so hospitals and health systems can adapt... read more

Topic: Access and Coverage
Tags: population health, Community health, Mental health, Behavioral health, clinical integration, care coordination

Coordinating care to serve patients

September 9, 2015

Hospitals are working together and with physicians and other community partners to provide patients with convenient, high quality and affordable care. Here’s how. 


The AHA’s President and CEO Rick Pollack will be testifying before the House Judiciary Subcommittee on Regulatory Reform, Commercial and Antitrust Law about the state of competition in the health care marketplace as it relates to hospital and insurer consolidation tomorrow, September 10. For real-time coverage,... read more

Topic: Access and Coverage
Tags: acquisitions, consolidation, mergers, Coverage, access, clinical integration, care coordination, antitrust

Where Hospital Health Plans Excel

By Rick Pollack
August 21, 2015

Hospitals are constantly assessing new ways to meet the needs of the patients and communities they serve and to provide the best possible care. Some have chosen to offer provider-sponsored health plans to patients in an effort to improve quality and reduce costs. A recent study by HealthPocket showed these plans had higher premiums than similar plans offered by other carriers.  But that’s not the full story.

The study is a snapshot of just one year for enrollees in only 12... read more

Topic: Access and Coverage
Tags: quality care, Coverage, access, clinical integration, care coordination

Mega Insurance Deals Not Good for Consumers

By Melinda Reid Hatton
August 18, 2015

The recently announced mega deals in the insurance industry will lead to further consolidation of an already highly concentrated health insurance market and will not benefit consumers says an opinion piece in Law360. The column, authored by former policy director of the Bureau of Competition at the Federal Trade Commission David Balto, concludes that these mega deals “raise profound economic and public health concerns.”

“The mergers between Aetna and Humana and Anthem and Cigna... read more

Topics: Access and Coverage, Community Health
Tags: acquisitions, mergers, Coverage, access, price, clinical integration, care coordination, antitrust



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