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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

The waiting is over — HHS last week released its eagerly anticipated rules governing accountable care organizations for Medicare beneficiaries. Besides the previously socialized goals of providing higher quality and better coordinated care, the rules state that future ACOs will be held accountable for the overall patient and caregiver experience. To reduce the potential for misleading Medicare beneficiaries and to maintain program integrity, participating ACOs must adhere to strict ACO marketing guidelines.

As industry stakeholders pore over the 429-page regulations, many ACOs are already up and running. This week's issue includes an overview of CMS's Shared Savings Program and eight tips for an effective ACO infrastructure that hold up well whether you plan to participate in the federal offering or explore the opportunities of a commercial ACO.

The philosophy and results associated with the patient-centered medical home align closely with those of ACOs. We invite you to take our fifth annual survey on the patient-centered medical home this month.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

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

HIN Associate Editor Jessica Papay
Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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This week's featured download: 2011 Benchmarks in Accountable Care Organizations

2011 Benchmarks in Accountable Care Organizations

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April 4, 2011
Vol. XIII, No. 13

Sponsored by:
Improving Transitions of Care Between Hospital and SNF: A Collaboration Supporting the Accountable Care Vision

This week's industry news:

  1. 8 Requirements for ACO Infrastructure
  2. Essential Guide to Accountable Care Organizations
  3. Top 100 U.S. Hospitals Award Winners Announced
  4. Guide to Reducing Readmissions
  5. Healthcare Business White Paper: 2010 Performance Benchmarks in Reducing Readmissions
  6. 8 Initiatives to Improve Nation’s Behavioral Health System
  7. New Table: 8 Roles of the ED Case Manager
  8. Three Pillars of Health Coaching
  9. Diet-Exercise Combination Best for Obese Elderly
  10. Obesity & Weight Management Benchmarks
  11. ACO Proposal Links Provider Payments to Care Coordination and Health Outcomes
  12. 2011 Benchmarks in Accountable Care Organizations
  13. HealthSounds Podcast: Analyzing CMS’s Medicare Shared Savings Final Rule
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.

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Take our monthly e-survey:
Fifth Annual Survey on Patient-Centered Medical Homes

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


This week's industry news

1.) 8 Requirements for ACO Infrastructure

John Harris, principal with the consulting firm of DGA Partners, describes the eight key areas that organizations must develop in an ACO infrastructure.

Get the full story.

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2.) Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model

Essential Guide to Accountable Care Organizations This resource answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits now of creating an ACO and complete the necessary groundwork before CMS's ACO operation date of January 2012.

Learn more about this resource.

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3.) Top 100 U.S. Hospitals Award Winners Announced

The top 100 U.S. hospitals have been named according to a Thomson Reuters study, which selected hospitals based on their overall organizational performance, including patient satisfaction.

Get the full story.

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4.) Guide to Reducing Readmissions

Guide to Reducing Readmissions This resource examines eight top tactics that healthcare organizations are using to reduce readmissions, according to responses to the Healthcare Intelligence Network 2010 survey on Reducing Readmissions. Learn how early adopters are utilizing these tactics to empower patients and improve the quality of healthcare delivery.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2010 Performance Benchmarks in Reducing Readmissions

This white paper summarizes the top strategies, program components, staffing requirements, targeted conditions and populations and results from readmission reduction efforts by 90 healthcare organizations in response to the Healthcare Intelligence Network’s second annual Reducing Readmissions e-survey conducted in December 2010.

Download this complimentary white paper.

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6.) 8 Initiatives to Improve Nation’s Behavioral Health System

To reduce the impact of substance abuse and mental illness on America’s communities, SAMHSA has outlined eight strategic initiatives to improve the nation’s behavioral healthcare system over the next few years.

Get the full story.

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7.) New Table: 8 Roles of the ED Case Manager

8 Roles of the ED Case Manager A quarter of respondents to our 2011 Healthcare Case Management survey embed a case manager in their hospital emergency department. We wanted to examine the roles case managers play in the emergency department.


Click here to view the chart.

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8.) Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology

Three Pillars of Health Coaching This resource provides the fundamentals of three essential tools — Patient Activation Measure™, motivational interviewing and positive psychology — that health coaches can use to elicit behavior change, move clients along the path to self-management and have a positive impact on health outcomes and utilization.

Learn more about this resource.

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9.) Diet-Exercise Combination Best for Obese Elderly

For obese seniors, dieting and exercise together are more effective at improving physical performance and reducing frailty than either alone, according to research by Washington University School of Medicine in St. Louis.

Get the full story.

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10.) Obesity & Weight Management Benchmarks and Case Studies

Obesity & Weight Management Benchmarks This resource provides actionable information on current obesity and weight management programs for adults, children and adolescents from more than 300 organizations. Whether your organization will focus on obesity and weight management in the near future or retool an existing program, it will benefit from a review of metrics and measurements to evaluate and plan your program and compare performance and utilization data.

Learn more about this resource.

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11.) ACO Proposal Links Provider Payments to Care Coordination and Health Outcomes

New rules to help doctors, hospitals and other healthcare providers better coordinate care for Medicare patients through accountable care organizations (ACOs), were proposed last week by HHS.

Get the full story.

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12.) 2011 Benchmarks in Accountable Care Organizations: Metrics from Early ACO Adopters

2011 Benchmarks in Accountable Care Organizations This 40-page resource delivers actionable data from 228 healthcare companies that responded to HIN's February 2011 ACO readiness assessment. The result? A comprehensive snapshot of ACO awareness, participation, administration, targeted populations, payment models and much more from healthcare companies already immersed in the ACO architecture.

Learn more about this resource.

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13.) HealthSounds Podcast: Analyzing CMS’s Medicare Shared Savings Final Rule: Implementation Advice for ACOs

Greg Mertz To avoid missing other opportunities inherent in the ACO model, payors and providers shouldn't get hung up waiting for CMS's rule for Medicare accountable care organizations, advises Greg Mertz, senior project director with the Healthcare Strategy Group. In this podcast, Mertz has advice for both providers and payors on how to maximize participation in an ACO.

Listen to this podcast.

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