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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Can we talk?

That might be all that’s needed to improve medication adherence, according to a new study from the University of California, San Francisco, and the Kaiser Permanente Division of Research. It’s a novel idea, and a worthy new year’s resolution, given that email and social media have all but rendered the art of conversation obsolete.

Researchers found that patients who were taking medications to lower their blood sugar, blood pressure or cholesterol and rated their doctors as good communicators were more likely to be medication adherent. Communication didn’t have to be limited to medication; instead, patients’ adherence was improved if they felt their physician established a trusting relationship with them and prioritized the quality of their communication.

A simple conversation could also help reduce hospital readmissions by 22 percent, according to a new study from Cigna. Researchers found that telephonic outreach by health plan case managers within 24 hours of hospital discharge helped to reduce future readmissions. Critical to the intervention was the timing and prioritizing of the calls, and the risk severity of the patients. The patients in this particular study were suffering from gastrointestinal, heart, and lower respiratory problems, and hospitalized for three days or more. Researchers would like to conduct this intervention on other high-risk patients to see just how widespread this program could be.

Knee sufferers’ laments have also been heard, and a bundled payment program specific to the treatment of knee replacement surgery is now available through a collaboration between Florida Blue and Mayo Clinic.

The program is designed to offset the costs of this surgery, which is considered to be the most common joint replacement procedure in the United States, and is performed on more than 600,000 patients annually, according to the AHRQ. Similar to many surgical procedures, knee replacement involves many individual medical procedures and processes. When done separately, the costs add up quickly. This bundled program compresses the costs into one amount, including the costs of anesthesia services; injections or drugs administered during the surgical procedure, including antibiotics; radiology/imaging services, and discharge planning and nursing care; among other services.

We also provide an insightful conversation with HealthFitness’ Dr. Dennis Richling and Kelly Merriman on providing the right health coach at the right time to the right individual. The integrative heath coaching organization implements this by utilizing three different types of heath coaches trained to interact with a range of patients along the health continuum. We expand on this in an upcoming book.

And if you’d like to talk, please voice your opinion on the subject of medication adherence in our new survey, Improving Medication Adherence in 2013. We'll be examining this trend and others in this third annual survey, which starts today.

A happy, healthy, successful new year to all.

Your colleague in the business of healthcare,
Cheryl Miller
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to cmiller@hin.com.

HIN Associate Editor Jessica Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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January 7, 2013
Vol. XV, No. 1

Sponsored by:
Physician Hospital Organizations — Developing a Collaborative Structure for Shared Savings Agreements


This week's industry news:

  1. Post-Hospital Telephonic Outreach Reduces Readmissions by 22 Percent for High Risk Patients
  2. Avoiding the Readmissions Penalty Zone
  3. Aetna, Cardinal Health Collaborate on Evidence-Based Cancer Care in Michigan
  4. Futurescan 2013
  5. Healthcare Business White Paper: 2012 Trends in Embedded Case Management
  6. Knee Replacement Bundled Payment Program Available from Florida Blue, Mayo Clinic
  7. New Chart: Top 5 Tools to Promote Population Health Management
  8. Case Study in Bundled Payments
  9. Communication Key to Medication Adherence
  10. 2011 Benchmarks in Improving Medication Adherence
  11. Three Levels of Health Coaches Provide Individualized Engagement
  12. Integrated Health Coaching
  13. Infographic: Rising Use of Social and Mobile in Healthcare
  14. Healthcare Trends & Forecasts in 2013
Please pass this along to any of your colleagues or, better yet, have them sign up to receive their own copy and learn about our other news services.

Missed the last issue? Read it here.

Join our Online Communities:

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Take our monthly e-survey:
Improving Medication Adherence in 2013

You'll be emailed a synopsis of the survey results.

Interested in all open surveys? Review them here.


This week's industry news

1.) Post-Hospital Telephonic Outreach Reduces Readmissions by 22 Percent for High Risk Patients

Telephonic outreach by health plan case managers within 24 hours of hospital discharge reduced future readmissions by 22 percent, according to a study from Cigna, which was published in the American Journal of Managed Care.

Get the full story.

>>Return to this week's industry news


2.) Avoiding the Readmissions Penalty Zone: Population Health Management for High-Risk Populations

Avoiding the Readmissions Penalty Zone This resource delivers winning process improvements and interventions that can help organizations make measurable progress toward reducing readmissions in high-risk populations, including a look at a health system-SNF network that has curbed rehospitalizations and length of stay for participants.


Learn more about this resource.

>>Return to this week's industry news


3.) Aetna, Cardinal Health Collaborate on Evidence-Based Cancer Care in Michigan

An evidence-based program designed to improve cancer care in Michigan has been announced by Aetna and Cardinal Health Specialty Solutions.

Get the full story.

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4.) Futurescan 2013: Healthcare Trends and Implications 2013-2018

Futurescan 2013 This resource highlights eight key trends affecting the nation’s healthcare organizations. The expert insight in these pages is supported by data from a survey of 625 healthcare leaders across the country.



Learn more about this resource.

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5.) Healthcare Business White Paper: 2012 Trends in Embedded Case Management — Putting a Face on Care Coordination

2012 Trends in Embedded Case Management Despite challenges ranging from physician and practice buy-in to recruitment and retention, the number of healthcare companies embedding or co-locating case managers in care sites continues to rise. This executive summary examines the responses of companies who embed case managers, providing a high-level look at work locations, program components, and the greatest challenges and benefits of this case management strategy.

Download this complimentary white paper.

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6.) Knee Replacement Bundled Payment Program Available from Florida Blue, Mayo Clinic

A bundled payment program specific to the treatment of knee replacement surgery is now available through a collaboration between Florida Blue and Mayo Clinic.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Top 5 Tools to Promote Population Health Management

New Chart: Top 5 Tools to Promote Population Health Management Healthcare's value-based purchasing increasingly favors a population-centric approach to health management, identifying risk across the care continuum. To control costs, healthcare organizations and employers are turning to population health management (PHM), defined as the 'management of integration and outcome measurements of any program affecting the health and productivity of a specific population or group.' We wanted to see which tools are being used to promote consumer participation in PHM programs.

Click here to view the chart.

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8.) Case Study in Bundled Payments: The Baptist Health System Experience

Case Study in Bundled Payments This 24-page report documents the care payment experience of Baptist Health System in the CMS ACE demonstration pilot, which aligned payment for services delivered across episodes of care or “bundled” care. ACE focused on the cardiac and orthopedic diagnosis-related group (DRGs), two of the public payor’s most frequent and largest cost disease areas.

Learn more about this resource.

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9.) Communication Key to Medication Adherence

Communication matters — especially when it comes to taking prescribed medications. That’s the key takeaway from a new study from the University of California, San Francisco (UCSF), and the Kaiser Permanente Division of Research — that patients who consider their doctors to be ineffective communicators are three times more likely to be medication non-adherent.

Get the full story.

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10.) 2011 Benchmarks in Improving Medication Adherence

2011 Benchmarks in Improving Medication Adherence This resource provides actionable information from 162 healthcare organizations on their efforts to improve medication adherence and compliance in their populations. Documented in the impact of these efforts on adherence levels, medication costs, ER visits, hospital and nursing home admissions, risk of death and other areas of concern.

Learn more about this resource.

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11.) Three Levels of Health Coaches Provide Individualized Engagement

HealthFitness’ integrated health coaching approach aligns individuals with the right coaching service at the right time. Key to their philosophy, explains Dr. Dennis Richling, M.D., chief medical and wellness officer at HealthFitness, is the utilization of three types of professional coaches, ranging from advanced practice coaches to RNs trained in behavior change techniques.

Get the full story.

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12.) Integrated Health Coaching: Reducing Risk and Empowering Change across the Health Continuum

Integrated Health Coaching This resource describes how HealthFitness aligns individuals with the right coaching service at the right time, leveraging individuals’ intrinsic motivation to address underlying lifestyle issues that may impede health status and drive up healthcare spend.



Learn more about this resource.

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13.) Infographic: Rising Use of Social and Mobile in Healthcare

People like to research their own health — they have been since the Internet, social media and mobile technology made this easy. And now they are starting to share opinions with others, ask for advice, and search for information on the go.

Read this blog post.

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14.) Healthcare Trends & Forecasts in 2013: A Strategic Planning Session

Healthcare Trends & Forecasts in 2013: A Strategic Planning Session Healthcare Trends & Forecasts in 2013: A Strategic Planning Session Healthcare Trends & Forecasts in 2013: A Strategic Planning Session A presidential election, more post-ACA milestones and a remodeling of healthcare funding and delivery will no doubt make for an exciting year ahead in healthcare. In this preview of their October 17, 2012 strategic planning session for healthcare executives, Dennis Eder and Hank Osowski, managing directors of Strategic Health Group, and Steven Valentine, president of the Camden Group, predict the direction of physician reimbursement, trends in ACO administration, the technology to embrace in the year to come, and the industry's response to a softened demand for service.

Listen to this podcast.

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