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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Emerging insurance models in international markets is one of seven macro trends driving health industry investment predicted by William Shea, partner in Cognizant Business Consulting, during our seventh annual healthcare forecast.

"Given the profitability pressures that most payors are under in the United States, they see increased opportunity to drive shareholder value by looking at other markets where there may be an emerging commercial health insurance orientation evolving," explains Shea. "A move into international markets increases the value of commercial health insurance assets in the United States."

Although healthcare in France is a public sector function, the French recently awarded a four-year contract to a U.S. company for diabetes management. This week's issue takes a look at this disease management contract, which may be extended to include cardiac and respiratory disease.

The agreement states that the patient's physician remains at the center of their patients' interactions with program staff, in a model not unlike the American patient-centered medical home. There's still time to add your experience with the medical home model to those of more than 50 healthcare companies by taking our fifth annual medical home survey.

A votre santé!

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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May 2, 2011
Vol. XIII, No. 17

Sponsored by:
Reducing Readmissions Through Multi-Disciplinary Post-Discharge Support

This week's industry news:

  1. France Awards Healthways Contract to Manage Diabetes
  2. Healthcare Trends & Forecasts in 2011
  3. Payoffs of Presenting Meaningful Data to Physicians
  4. MORE Medical Home Reimbursement Models
  5. Healthcare Business White Paper: 2010 Benchmarks in Medication Adherence
  6. Most Severely Depressed Adolescents Don't Receive Treatment
  7. New Chart: Top Tools to Rank Readmission Risk
  8. Major Depression and Bipolar Disorder-Evaluation and Management Guideline
  9. Nursing Home Costs Double Those of Assisted Living Facilities
  10. Improving Hospital-SNF Transitions of Care
  11. Feds Propose Guidelines for Marketing Food to Children
  12. Coalitions and Partnerships in Community Health
  13. HealthSounds Podcast: 4 Ways to Identify Patients at High Risk for Readmission
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

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This week's industry news

1.) France Awards Healthways Contract to Manage Diabetes Nationwide

The national health insurance fund for French salaried workers has contracted with US company Healthways to improve health and well being for all French citizens with diabetes, in France and French territories overseas.

Get the full story.

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2.) Healthcare Trends & Forecasts in 2011: Performance Expectations for the Healthcare Industry

2011 Healthcare 

Trends This seventh annual healthcare industry forecast proposes a healthcare reform strategy checklist, putting the smart money on models of consolidation and clinical integration that will not only increase throughput and market share for healthcare payors and providers but also reduce unnecessary utilization and cost.

Learn more about this resource.

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3.) Payoffs of Presenting Meaningful Data to Physicians

Raising physicians' awareness of healthcare costs can also awaken their competitive nature, explains a family physician, hospitalist and healthcare consultant from Grand Junction, Colorado — the gold standard for healthcare reform.

Get the full story.

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4.) MORE Medical Home Reimbursement Models: ROI from Risk Adjustment, Shared Savings and Multi-Payor Partnerships

MORE Medical Home 

Reimbursement Models This 45-page resource describes how the identification of high-risk patients, meaningful distribution of healthcare data and collaborations with like-minded organizations are increasing medical home profitability for three healthcare organizations.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2010 Benchmarks in Medication Adherence

This white paper from the Healthcare Intelligence Network captures the efforts of 107 healthcare companies to improve medication adherence in their populations, from targeted populations and conditions of medication adherence programs to the components of a successful medication adherence program, as reflected by their responses to the 2010 Medication Adherence e-survey.

Download this complimentary white paper.

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6.) Adolescents Suffering from Major Depressive Episodes Don't Receive Treatment

Nearly two-thirds of America’s 2 million adolescents suffering from major depressive episodes in the past year did not receive treatment, according to a new SAMHSA report.

Get the full story.

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7.) New Chart: Top Tools to Rank Readmission Risk

What's the 

ROI from Case Management? As private payors follow CMS's reimbursement and reporting leads, healthcare organizations are taking bold steps to reduce avoidable readmissions among their most vulnerable and high-utilization populations. We wanted to see how healthcare organizations identify individuals most at-risk for returning to the hospital.


Click here to view the chart.

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8.) Major Depression and Bipolar Disorder-Evaluation and Management Guideline

Annual update of clinical guidelines for the evaluation and management of these two common disorders with extensive references and resources.

Learn more about this resource.

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9.) Nursing Home Costs Double Those of Assisted Living Facilities

A yearlong stay in an assisted living facility could cost less than half of a comparable stay in a nursing home, according to a new cost of care study by John Hancock Financial.

Get the full story.

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10.) Improving Transitions of Care Between Hospital and SNF: A Collaboration Supporting the Accountable Care Vision

Improving Transitions of Care 

Between Hospital and SNF By identifying three key areas to improve care transitions between the hospital discharge and a skilled nursing facility (SNF) admission, Summa Health System developed a collaborative model of care for this next level of care among a network of privately owned, competing SNFs.

Learn more about this resource.

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11.) Feds Propose Guidelines for Marketing Food to Children

To combat childhood obesity, a federal interagency committee has proposed voluntary advertising and nutritional guidelines for the marketing of food to children.

Get the full story.

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12.) Coalitions and Partnerships in Community Health

Coalitions and Partnerships in Community 

Health Step-by-step guide for building durable coalitions to improve community and public health. This important resource provides an in-depth, analytical, and practical approach to building, sustaining, and nurturing these complex organizations.

Learn more about this resource.

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13.) HealthSounds Podcast: 4 Ways to Identify Patients at High Risk for Readmission

Stuart Levine To achieve the lowest rates of readmissions in its history, HealthCare Partners Medical Group of California first identifies patients at high risk for readmission. HealthCare Partners corporate medical director Dr. Stuart Levine describes HCP's four key strategies to risk-rank patients and suggests proactive measures to limit the number of individuals who are rehospitalized.

Listen to this podcast.

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