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Credentialing Solutions News…

Pace of U.S. Health Spending Increased in 2015, With Further Rise Expected

Federal actuaries project spending growth of 6% by 2025, compared with 5.5% last year

WASHINGTON—Growth in U.S. health-care spending quickened slightly in 2015 and will continue to rise at a moderate pace over the next decade, but not at the fast clip seen in the 20-year period before the recession, federal actuaries said Wednesday.

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President Obama tells Congress to revisit idea of public healthcare plan

Government option would compete alongside private insurers in areas where competition is limited, Obama said July 11 in JAMA.

Congress should revisit creating a public healthcare plan, President Barack Obama wrote in the Journal of the American Medical Association.

The government option would compete alongside private insurers in areas of the country where competition is limited, Obama said July 11 in JAMA.

Democratic presidential candidate Bernie Sanders, who on Tuesday endorsed presumptive nominee Hillary Clinton, had proposed a federally-administered single payer plan.

Obama proposes a less revolutionary option, calling for a public plan in areas where there are few other options for coverage.
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HHS plans big Medicare reimbursement changes

Sets ambitious goals in push away from paying for volume

In what it’s calling a ‘historic’ announcement, the Department of Health and Human Services has set new goals to speed the U.S. healthcare system toward value-based care.

HHS Secretary Sylvia Mathews Burwell announced Monday that the agency wants to tie 30 percent of fee-for-service Medicare payments to quality or value through alternative payment models, such as accountable care organizations or bundled payments, by the end of 2016. It also aims to have 50 percent of payments affiliated with these models by the end of 2018.

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Physician Credentialing Checklist

Physician credentialing is the process of verifying and recognizing that a physician is qualified to practice medicine. Credentialing is usually done by a medical staff credentialing service for healthcare providers as well as insurance companies, and should occur many times over a physician’s career. Continuous credentialing protects the organization by ensuring the physician working for them is qualified for the position at all times.

Physician Credentialing Checklist
Step 1: Education and training…
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Why Medical Staff Credentialing is Essential for Success

Incompetent or non-compliant medical providers expose a grave set of risks to patients, employees, hospitals and care facilities. When physicians, nurses, and other hands-on medical personnel are not exposed to a continuous credentialing and background screening system, or are not reported by their peers, they can pose a risk to patient safety and staff. It can also impact the medical facility and its ability to operate and serve the community in some of the following ways:

-Negative impact to the medical provider’s reputation…

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New study: Healthcare workers negligent with IT security

Cybercrime is on the rise, especially in the healthcare industry. According to Cisco, patient data, stored in platforms such as EHRs and medical office software, is a particularly lucrative for cybercriminals, because it contains information about a victim’s identity, such as their social security number, address, insurance provider and so on. Criminals also scout out the data because, unlike bank account fraud, it can take an extensive amount of time before the crime of patient health data theft is uncovered, providing the perpetrator with plenty of time in which to commit their crime.

Common types of attack…

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