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B:10.875” T:10.625” FEATURED ADVERTISERS ------------------------ ------------------------ ------------------------ $375,000,000 $86,000,000 $173,000,000 Senior Secured Credit Facilities Senior Secured Credit Facilities Senior Secured Credit Facilities Joint Lead Arranger and Joint Lead Arranger and Joint Lead Arranger Joint Bookrunner Syndication Agent Administrative Agent July 2012 May 2012 May 2012 Florida Gulf-to-Bay ANESTHESIOLOGY ------------------------ ------------------------ ------------------------ $39,000,000 $37,500,000 $135,000,000 Senior Secured Credit Facilities Senior Secured Credit Facilities Senior Secured Credit Facilities Sole Lead Arranger Joint Lead Arranger and Syndication Agent Co-Lead Arranger Administrative Agent April 2012 April 2012 February 2012 B:14.125” T:13.875” ------------------------ ------------------------ ------------------------ $50,000,000 $55,000,000 $65,800,000 Senior Secured Credit Facilities Senior Secured Credit Facilities Senior Secured Credit Facilities Joint Lead Arranger Sole Lead Arranger Joint Lead Arranger, Joint Bookrunner and Administrative Agent Administrative Agent Administrative Agent December 2011 November 2011 June 2011 Financial expertise when and where you need it. At Regions, we understand that the healthcare industry has a unique set of financial needs. Our relationship managers have the specialized industry expertise and the commitment to help your company achieve its financial goals. Our bankers provide a single point of contact, streamlining each and every transaction, whether it’s arranging flexible financing solutions, comprehensive cash management or access to capital markets. Find out what other healthcare companies already know: Banking with Regions means banking with more financial control. Brooks Hubbard | Head of Healthcare Banking | 615.770.4242 regions.com/healthcare Lending | Insurance* | Treasury Management © 2012 Regions Bank. Deposit accounts subject to the terms and conditions of the Regions Deposit Agreement. All financing subject to credit approval. *Investment and insurance products are not FDIC-insured, not deposits, not guaranteed by Regions Bank or its affiliates, not insured by any federal government agency, and may go down in value. Insurance products are sold through Regions Insurance, Inc., an affiliate of Regions Bank. FILE NAME: ATA12017_CHANGEISGOOD_PRINTAD_HFN_10.625X13.875_V1.INDD ELEMENT: PRINT COM-1161 HealthcareFinance.indd 1 8/13/12 10:52 AM JOB DETAILS SPECS FONTS CLIENT NAME: Aetna COLLATERAL: None None JOB NAME: Change Is Good MEDIA UNIT: Healthcare Finance News JOB #: ATA12017 COLORS: None DATE: 8-15-2012 5:32 PM LIVE: 9.625" x 12.875" ROUND: 2 TRIM/FLAT SIZE: 10.625" x 13.875" NOTES InDesign CS6 8.0 10.875" x 14.125" APPLICATION: BLEED: None OUTPUT AT: 100% FOLDED SIZE: None 1 STUDIO ARTIST: FX8 GUTTER: None Page # FILE BUILT AT 100% SIZE MECHANICAL Cyan, Magenta, Yellow, Black Creative Dir.____Date____ Art Dir.____Date____ Copywriter____Date____ Proof Rdr____Date____ Print Producer____Date____ Date____ Project Manager____Date____ Quality Assurance____Date____ By accepting this electronic data, you acknowledge that it is your responsibility to use any copyrighted font software it may contain for which you are appropriately licensed. SEEING THE DIFFERENCE IS ONE THING. UNDERSTANDING IT IS ANOTHER. One pill makes sure you sleep. The other makes sure you don’t. How do we know? We’re not doctors. But we are dedicated to understanding every inch of the healthcare business. How else could we truly grasp the balance between patients and profit at the heart of every practice? This curiosity has led to ideas that help practices streamline revenue cycles, reduce administrative costs and improve liquidity. In other words, we can help deliver the perfect prescription for a healthy practice. Including yours. Learn more at 53.com/BusinessIdeas We’re Fifth Third Bank. The curious bank. Deposit and credit products provided through Fifth Third Bank. Member FDIC. Equal Housing Lender. © Fifth Third Bank 2012. MedeAnalytics-HCFN-PAIad-0812.indd 1 8/9/12 4:02 PM QFRC11120000_SeeingDiff_4C_HealthcareFinance(9.625x12.875).indd 1 8/15/12 4:36 PM SEPTEMBER Use of generics Healthcare venture 2012 saved $1T in capitalists show INDUSTRY NEWS 3 10 years new restraint I TextMassachusetts passes bill to INDUSTRY NEWS 3 SOLUTIONS & SERVICES 32 I Textcontrol cost of healthcare I TextGenerics save $1T in 10 years I Medicare gets political COMMENTARY 00 COMMENTARY 10 I Text I TextFDA scandal may damage agency I TextSaving money through contracts I Real estate can grow profi ts HOSPITALS & IDNs 00 HOSPITALS & IDNs 13 I Text I TextGoing green to lower costs I TextDSH cuts rattle urban hospitals I Energy costs big bucks COMMUNITY CARE 00 COMMUNITY CARE 26 I Text I TextGetting ready to Go Direct I TextPilot program rewards physician groups for controlling spending PAYERS 00 PAYERS 28 I Text I TextAurora signs two new partners I TextIntegrating behavioral and primary care ISOLUTIONS Shifting acquisition & SERVICES targets 00 SOLUTIONSI Text & SERVICES 32 Valuing customer I Text I I TextDevice industry faces threats I mHealth builds relationships TRENDS 00 I VC investors show restraint service in healthcare I learn about developing a culture that PRODUCTText TECHNOLOGY 34 Disney Institute inspires would support everyone working at IPRODUCT Staffi ng tools TECHNOLOGY rein in costs 00 a culture that supports the hospital and everyone using hos- pital services. Arkansas Children’s I Text staff and patients JOB SPOT 35 was ahead of a trend recently taking By Stephanie Bouchard, Managing Editor IJOB Nurse SPOT burnout linked to HAIs 00 hold in the healthcare industry: valu- UST OVER A decade ago, ing customer service. TRENDSI Text 36 members of Arkansas Chil- “We didn’t adopt Disney,” said dren’s Hospital’s manage- David Berry, senior vice president I Capital fi nds post-acute venues J ment decided to go to Disney and chief operating officer at the PHOTO BY KELLEY COOPER World. It wasn’t a fun-and-games trip, hospital. “What we have is not an Following in Disney’s footsteps, Arkansas Children’s Hospital designed its although fun was had. They went to DISNEY SEE PAGE 4 facilities to offer staff and visitors places for relaxing and fun. www.HealthcareFinanceNews.com MedTech Media/Vol. 7 No. 7 ICD-10 interval Smart CFOs stay focused By René Letourneau, Editor HEN THE CENTERS for Medi- care & Medicaid announced a one-year delay for ICD-10 COURTESY SHUTTERSTOCK W implementation in Febru- ary 2012 – pushing the date back to Oct. 1, 2014 – some industry groups cheered, others Anti-fraud efforts united jeered. What did CFOs do? The smart ones HHS announces unprecedented public-private partnership to fight fraud kept their focus and pushed forward with their implementation plans and schedules. By Chris Anderson, Senior Editor “This new partnership will allow those on the The trouble is there may not be enough WASHINGTON – In late July the U.S. Department front lines of industry anti-fraud efforts to share smart ones. of Health and Human Services announced an their insights more easily with investigators, “We’re seeing a lot of (CFOs) put their unprecedented partnership between the federal prosecutors, policymakers and other stakehold- head in the sand,” said Mike Koehler, a government, state offi cials, private health insurer ers,” said Attorney General Eric Holder at a July director in the risk practice of solutions organizations and a number of other anti-fraud 26 press announcement of the new partnership. ICD-10 SEE PAGE 34 groups focused on preventing healthcare fraud. FRAUD SEE PAGE 31 The effort, which is still in its formative stages, SOLUTIONS SERIES furthers the administration’s emphasis on snuffi ng out healthcare fraud in what it promises will be Special a coordinated effort that will share information and best practices. The focus will be on markets pull-out that are known hot spots for healthcare fraud in section order to detect and stop scams that cut across PAGE 17 both public and private payers. Despite the delay, ICD-10 looms on the horizon. Health organizations would be wise to recalibrate their compass, but more or less stay on course. SEEING THE DIFFERENCE IS ONE THING. UNDERSTANDING IT IS ANOTHER. One pill makes sure you sleep. The other makes sure you don’t. How do we know? We’re not doctors. But we are dedicated to understanding every inch of the healthcare business. How else could we truly grasp the balance between patients and profit at the heart of every practice? This curiosity has led to ideas that help practices streamline revenue cycles, reduce administrative costs and improve liquidity. In other words, we can help deliver the perfect prescription for a healthy practice. Including yours. Learn more at 53.com/BusinessIdeas We’re Fifth Third Bank. The curious bank. Deposit and credit products provided through Fifth Third Bank. Member FDIC. Equal Housing Lender. © Fifth Third Bank 2012. QFRC11120000_SeeingDiff_4C_HealthcareFinance(9.625x12.875).indd 1 8/15/12 4:36 PM September 2012 Healthcare Finance News www.healthcarefinancenews.com INDUSTRY NEWS 3 Public Policy | Capital | Financial Markets | Pricing Industry news ONLINE Massachusetts passes ON THE RECORD By Chris Anderson, Senior Editor FEATURED SLIDESHOW health cost control bill Medicare 20 must-follow The bill may save the state ICD-10 tweeters more than $200B caught in It can be difficult to navigate through By Martha Bebinger, Contributing Writer all the information Twitter puts out every