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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Obesity and diabetes continue to make headlines, and are the subjects of two of our stories this week. The first: the United States has among the highest rates of obesity and diabetes-related deaths than most nations, according to researchers contributing to a new Commonwealth Fund report. These, among other factors, account for the United Statesí spending more on healthcare than most nations, but getting just fair marks when it comes to quality. More on this, including the nation with the lowest per capita healthcare costs, in this issue.

Kaiser Permanente, HBO, and four major organizations are hoping to raise the countryís rating with a new public health campaign aimed at obesity, excess weight and their effects on the nationís health. Integral to the campaign is the launch of The Weight of the Nation, a four-part documentary series that will be available to all cable subscribers, not just HBO subscribers, on May 14th and 15th. There will also be an option to view the series with Spanish subtitles. Along with HBO, Kaiser is working with National Institutes of Health, the Institute of Medicine, the Michael & Susan Dell Foundation and the CDC on this month-long campaign.

A campaign of a different sort takes aim at underserved communities, with the governmentís continued effort to ensure their access to primary healthcare services. HHS has dedicated nearly $730 million to build, expand or improve community health centers. Currently, more than 8,500 service delivery sites around the country deliver care to more than 20 million patients regardless of their ability to pay.

And there are no likely measures on tap to rein in specialty drug spending, which is expected to soar over the next decade, according to a new study from the Center for Studying Health System Change (HSC). Unlike conventional prescription drugs, whose spending has been limited by patent expiration, generic substitution and other factors, health insurers and employers have few tools to control rapidly rising spending on specialty drugs, which are typically high-cost biologic medications used to treat complex medical conditions. Studies show that specialty drug spending has increased by 14 to 20 percent annually in recent years.

Are you a follower, director or guide? Check out our story on these three types of communication styles within motivational interviewing to find out.

And donít forget to participate in our second annual survey on ACOs. If you contribute by May 16th, you will get a FREE executive summary of the compiled results and year-over-year ACO trends.

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

Publisher:
Melanie Matthews, mmatthews@hin.com

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May 7, 2012
Vol. XIV, No. 17

Sponsored by:
Reducing Avoidable Medicaid ER Visits With a Community Partnership Approach

This week's industry news:

  1. U.S. Healthcare Spending Higher Than Most Nations, But Rates Poorly in Quality
  2. Applying Quality Management in Healthcare
  3. Kaiser Permanente, HBO Launch New Documentary Targeting Obesity
  4. 2011 Benchmarks in Population Health Management
  5. Healthcare Business White Paper: 2011 Benchmarks in Registry Use for Quality Improvement
  6. Specialty Drug Spending Costs Expected to Soar Over Next 10 Years
  7. New Chart: Top 5 Ways Case Managers Interact with Patients
  8. Managing Specialty Drugs Across the Medical and Pharmacy Benefits
  9. Motivational Interviewing Offers 3 Different Communication Styles
  10. Health Coaching for Behavior Change
  11. HHS Grants Nearly $730 Million to Improve Community Health Centers
  12. Diabetes Management in the Medical Home
  13. New HCAHPS Measure Would Evaluate Quality of Care Transitions
  14. HealthSounds Podcast: The Patient-Centered Medical Home — Lessons from a Statewide Rollout
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.

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This week's industry news

1.) U.S. Healthcare Spending Higher Than Most Nations, But Rates Poorly in Quality

Despite spending up to two-thirds more per person on healthcare than several other industrialized countries, the United States does not provide superior care, according to a new study from The Commonwealth Fund.

Get the full story.

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2.) Applying Quality Management in Healthcare: A Systems Approach, Third Edition

Applying Quality Management in Healthcare This edition features alternative assumptions to traditional quality management tools and techniques, a practice lab with which readers can exercise newly learned quality techniques, a guide to using the CMS and Joint Commission quality indicators to improve systems of care, additional case studies and exercises designed to individualize applications in the reader's own practice setting, and much more.

Learn more about this resource.

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3.) Kaiser Permanente, HBO Launch New Documentary Targeting Obesity

Kaiser Permanente, along with five major organizations including HBO, have launched a major public-health campaign during May aimed at obesity, excess weight and their effects on the nationís health.

Get the full story.

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4.) 2011 Benchmarks in Population Health Management: What's Working in Coaching, Weight Control and Tobacco Cessation

2011 Benchmarks in Population Health Management This essential resource takes a comprehensive look at industry activity in health coaching as a whole, then drills down to condition-specific programs. The disease management data contained in this benchmarks report are derived from three separate surveys conducted in 2010 by the Healthcare Intelligence Network, to which a total of 425 organizations responded.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2011 Benchmarks in Registry Use for Quality Improvement

Registries are a straightforward tool for creating realistic views of clinical practices, patient outcomes, safety and comparative effectiveness. Results from the Healthcare Intelligence Network August 2011 e-survey on Using Registries for Quality Improvement captures current and planned uses of registries by 105 healthcare organizations and registries' impact on healthcare quality, efficiency and cost.

Download this complimentary white paper.

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6.) Specialty Drug Spending Costs Expected to Soar Over Next 10 Years: Study

Specialty drug spending is expected to soar over the next decade, and ways to limit the spending are limited, according to a new study from the Center for Studying Health System Change (HSC).

Get the full story.

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7.) New Chart: Top 5 Ways Case Managers Interact with Patients

Top 5 Ways Case Managers Interact with Patients Post-reform redesign of clinical care delivery and supporting reimbursement models reflects the healthcare case manager's dual roles as care coordinator and utilization manager. Case manager work locations, job focus and caseloads are evolving in response to these shifts in the healthcare landscape. We wanted to see by which methods case managers interact with patients and members.

Click here to view the chart.

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8.) Managing Specialty Drugs Across the Medical and Pharmacy Benefits

Managing Specialty Drugs Across the Medical and Pharmacy Benefits This 54-page report contains details of strategies health plans are employing to effectively manage specialty drugs under the medical benefit using pharmacy benefit principles. You'll read about the outcomes being seen, and pitfalls to avoid, at companies like Blue Cross Blue Shield of Florida, RegenceRx, CVS Caremark and Express Scripts.

Learn more about this resource.

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9.) Motivational Interviewing Offers 3 Different Communication Styles

A skillful practitioner can shift flexibly among the three different communication styles: directing, following and guiding, as appropriate to the client and situation, explains Dr. Karen Lawson, program director for the health coaching track at the Center for Spirituality and Healing, University of Minnesota.

Get the full story.

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10.) Health Coaching for Behavior Change: Motivational Interviewing Methods and Practice

Health Coaching for Behavior Change In this 35-page report, a physician and a health psychologist from the field of integrative medicine affirm how training in motivational interviewing, self-management and even spirituality and healing can enrich the health coaching encounter.


Learn more about this resource.

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11.) HHS Grants Nearly $730 Million to Improve Community Health Centers

Two capital programs totaling nearly $730 million have been awarded for the expansion, construction and renovation of community health centers in the United States, the HHS reported.

Get the full story.

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12.) Diabetes Management in the Medical Home

Diabetes Management in the Medical Home During this 45-minute webinar, the COO of Hudson River HealthCare (HRHC), a network of 16 federally qualified community health centers throughout New York, shares the inside details on the centerís diabetes management program and the program's impact on its diabetic patients.

Learn more about this resource.

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13.) Organ Donation and 5 More Reasons Healthcare Should Follow Consumers to Social Media

Now that Facebook users can post their organ donor status as easily as photos of last nightís dinner, it might be time for healthcare to ďlikeĒ social media a little more.

Read this blog post.

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14.) HealthSounds Podcast: The Patient-Centered Medical Home — Lessons from a Statewide Rollout

Barbara Haasis Nurse educators provide essential support to physician practices in Florida Blue's rollout of a statewide patient-centered medical home, explains Barbara Haasis, RN, CCRN, senior clinical lead for Florida Blue's quality reward and recognition programs. They help practices meet key disease metrics within Florida Blue's performance scorecards, and can direct providers to both internal and external resources to help them resolve patient issues. Ms. Hassis also explains why providing after-hours access is a prerequisite for practices in the medical home program as well as the case manager's contribution to this program.

Listen to this podcast.

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