Healthcare Buyer's Connection, Vol. VI, No. 8, 5/4/2007


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Healthcare Intelligence Network
Healthcare Buyer's Connection
Volume VI, No. 8
May 4, 2007
Table of Contents
  1. Company Profiles
    • The AHA Guide
    • Plexis Healthcare Systems
    • Lehrer McGovern Bovis
    • O.E. Meyer Co.
  2. Measuring Population Health Risks Using Inpatient Diagnoses and Outpatient Pharmacy Data
  3. Managed Care Executives: Medicare Part D Prescription Drug Coverage Gap Expected To Impact More Members In 2007
  4. A Guide to the Medicare Drug Benefit
  5. Recommended Reading: Health Plan Benefit Design: Innovative Strategies for Medicare, Commercial and Consumer-Directed Products


Sponsored by: Strategies to Increase Primary Care Access, Use and Coordination

Ensuring adequate access to primary care plays a pivotal role in reducing unnecessary emergency room visits, but with primary care shortages and the growing number of uninsured, healthcare organizations are challenged to ensure patient and member accessibility to primary care. Strategies to Increase Primary Care Access, Use and Coordination, a May 16, 2007 audio conference, will examine innovative strategies that increase primary care access, including a case study on implementing the Chronic Care Model in a provider setting to increase primary care efficiency and effectiveness.

For more information or to register, please visit:
http://store.hin.com/product.asp?itemid=3693



1.) The AHA Guide

The AHA Guide is the definitive directory of U.S. hospitals and health care systems. Each AHA Guide hospital profile features approval codes, different facilities and services offered including detail on transplants, cardiac, psychiatric and technology services, key hospital contacts include CEO, CFO, CIO, COO, CMO and CHR.

For more information please visit:
http://www.hin.com/buyers_connection_publications.html



Plexis Healthcare Systems

Plexis Healthcare Systems- Developer of PLEXIS Claims Manager and PLEXIS Medical Manager; designed to meet the claims processing and case management needs of organizations managing healthcare contracts. Plexis streamlines the administrative processes associated with claims through the use of the latest technology including EDI and real-time (WEB-Based) remote access to the database.

For more information please visit:
http://www.hin.com/buyers_connection_technology.html



Would you like to see your company here?

When you purchase a listing in the Healthcare Intelligence Network Buyer's Connection, you get your company's 250-word profile on the Buyer's Connection web page with company logo and a hot-link, you also will be featured here in our twice monthly Buyers' Connection newsletter!

For more information, or to include your company's profile in the Buyer's Connection, please call (888) 446-3530.



Lehrer McGovern Bovis

Construction and construction management services for healthcare, hospital and senior living facilities.

For more information please visit:
http://www.hin.com/buyers_connection_consultants.html



O.E. Meyer Co.

Providers of medical equipment and oxygen in patients homes throughout North Central Ohio. We are JCAHO accredited and specialize in clinical respiratory services.

For more information please visit:
http://www.hin.com/buyers_connection_medical_products.html



2.) Measuring Population Health Risks Using Inpatient Diagnoses and Outpatient Pharmacy Data

Used for hospital reimbursement and case management, inpatient encounter claims are now widely available and are generally of high quality and routinely subject to screening and validation. Although risk models that use both inpatient and outpatient diagnoses to predict cost have much better predictive power than those limited to inpatient data only, many health care organizations do not have complete or consistent data on diagnoses from outpatient encounters.

Learn more in this white paper available for download at:
http://www.hin.com/library/registermph.html



3.) Managed Care Executives: Medicare Part D Prescription Drug Coverage Gap Expected To Impact More Members In 2007

Managed care executives anticipate that the prescription drug coverage gap for Medicare Part D will impact more members in 2007 than it did in 2006, according to early analyses from Verispan.

To read this story in its entirety click here:
http://www.hin.com/bcstory.html



4.) A Guide to the Medicare Drug Benefit

With its guidelines on Prescription Drug Plans (PDPs), Medicare Advantage (MA) drug plans, formularies and much more, Part D is clearly the biggest change in Medicare since the program began 40 years ago. To help you track and understand the things that are “working” — or not working — during initial Part D implementation, and assess the business implications for your organization, you need A Guide to the Medicare Drug Benefit, a well-researched, easy-to-read book that weaves together thousands of pages of CMS regulations, preambles, statutory language, and CMS guidance. A regularly updated looseleaf — coupled with reliable Web and e-mail services — is the perfect way to keep track of the flood of new regs and guidance as they are issued … along with the clarifications, explanations, and further changes that are sure to follow in these and other areas: voluntary Prescription Drug Benefit Program (Part D); Medicare Advantage Plans (Part C); PDP and Medicare Advantage regions; Medicare formulary guidelines; E-prescribing standards; and retiree prescription drug coverage.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3044



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Answers will be posted to the Healthcare Intelligence Network web site at:
http://www.hin.com/consult.html

Bookmark our site to get the advice you need in meeting the challenges of today's healthcare industry! If you are interested in becoming a participating consultant, please send an email to info@hin.com


5.) Recommended Reading: Health Plan Benefit Design: Innovative Strategies for Medicare, Commercial and Consumer-Directed Products

Health Plan Benefit Design: Innovative Strategies for Medicare, Commercial and Consumer-Directed Products offers a look at the myriad ways health insurers are building, testing and marketing these new benefit designs. This report, from the editors of Managed Care Week, examines the major themes in health insurance benefit design: a shift in benefit choices toward the consumer; a deep reliance on information technology to power the products; and a focus on delivering more quality, satisfaction and cost information to the patient.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3238


P.S. Please forward this news announcement to your colleagues who might find it useful.
Contact HIN:

For more information on the products and services available through the Healthcare Intelligence Network, contact us at (888) HIN-3530 (446-3530), (732) 528-HIN8, (528-4468), fax (732) 292-3073 or email us at info@hin.com.


All contents of this message Copyright 2007