Healthcare Administration Leadership & Management Journal
March/April 2024
Vol. 2, No. 2 · 12 articles
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Physician Utilization Review: The Chasm of Potential Liability for Both Treating and Utilization Review Physicians
There has been a dramatic escalation in the use of utilization review programs in an effort to constrain the surge of rising healthcare costs. Utilization review serves to verify the “medical necessity” of hospital ad...
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From the Idea to the Business Plan: Evaluating the Opportunity
The business plan is the basic tool that entrepreneurs in the health sector need to transform their idea into an opportunity and make it happen. Evaluating the opportunity is the first step in the process.
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Effective Patient Scheduling
In the physician’s office, the schedule itself is the most powerful and influential aspect of the physician’s day — and it can control you or you can control it.
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Paradigm Shift: From the Medical Office to Retail Walk-In Clinics
This article discusses the concept of walk-in retail clinics and their benefits to both patients and providers.
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Medicare Reimbursement Rate Trends in Hospice and Palliative Care Medicine from 2013 to 2022
The patterns of declining Medicare reimbursement rates over time have been documented in various disciplines of healthcare, but little research has been done on geographic trends in Medicare reimbursement in the areas...
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Escaping the Tyranny of Academic Writing for the Narrative
Narrative medicine programs have become increasingly popular among physicians, aiming to teach doctors and other caregivers sensitive interviewing skills and the art of empathic listening and storytelling to improve p...
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The Financial Impact of Professional Discipline on Clinicians: A Case for Preventive Education
Regulatory organizations, such as medical licensing boards and private healthcare organizations, evaluate clinicians for lapses in professionalism involving ethics, record keeping, prescribing, and civic duties. Disci...
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Electronic Pre-Navigated Patient Intake in Complex Patients: A Zero Net Win-Win
Providing care for patients with pelvic health disorders can be challenging due to their multidisciplinary nature. We describe the successful launch of an electronic, responsive, skip logic–based pre-visit intake in a...
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Collaboration is Key: How to Streamline and Automate Healthcare Administration
Leaders across healthcare have made great progress in automating administrative tasks, but there are still significant opportunities to increase efficiency and alleviate the burden for providers and health plans.
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Is the Affordable Care Act Dead, Alive, or Somewhere in Between?
Is the ACA on life support or are we headed toward a reimbursement system that emphasizes quality instead of volume?
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Discovering Your Leadership Superpowers and Origin Story
Like all superheroes, healthcare administrators, leaders, and managers have superpowers and origin stories, even though many do not recognize them. This article explains why discovering and using origin stories is use...
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Coordination of Care to Meet the Quadruple Aim
As the adult population of the United States continues to get older, the number of patients with multiple chronic conditions is expected to increase drastically, providing a greater imperative for effective care coord...
