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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Late last week Geisinger Health System, Dartmouth-Hitchcock and eight other healthcare heavy hitters rejected CMS's proposal for accountable care organizations on the grounds that it would prove too costly for many providers to implement. One pricy example: reporting on 65 quality measures specified in the ACO rule. It will be interesting to see how this feedback influences CMS, which has given the industry until June 6 to comment on the rule.

In the meantime, two Texas health systems are going ahead with plans to collaborate in a multi-provider ACO. This week's issue provides the details.

Today is the last day to respond to our fifth annual Patient-Centered Medical Home Survey. Join the more than 100 organizations that have already described their medical home's health IT tools, patient education, team members, metrics, ROI and more. Besides receiving a free e-summary of the survey results, you'll also be eligible to win a copy of our newest medical home resource, "Guide to Physician Performance-Based Reimbursement," excerpted in this week's issue.

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 Editors:
Jessica Papay, jpapay@hin.com

Cheryl Miller,
cmiller@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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Medical Homes in 2010 — Awareness, Adoption, Tools and Outcomes

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May 16, 2011
Vol. XIII, No. 19

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

This week's industry news:

  1. Two Texas Health Systems To Explore ACO Options
  2. Essential Guide to Accountable Care Organizations
  3. Aetna Payment Estimator Tool for Doctors Boosts Patient Satisfaction, Cash Flow
  4. Improving Patient Collections in an Unhealthy Economy
  5. Healthcare Business White Paper: 2011 Healthcare Trends
  6. Consumer Platform for Health IT Redefines Patient's Role
  7. New Chart: Top 5 Challenges of ACO Creation
  8. 2010 Medical Home Performance Benchmarks
  9. Incenting Physicians to Improve the Patient Experience
  10. Guide to Physician Performance-Based Reimbursement
  11. HHS Initiatives to Help States Lower Costs, Improve Care for Dual-Eligibles
  12. Retooling Care Transitions
  13. HealthSounds Podcast: Risk-ranking Patients to Reduce Readmission Rates
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.) Two Texas Health Systems To Explore ACO Options

Two Texas-based health organizations have agreed to collaborate on the possible formation of a multi-provider accountable care organization (ACO).

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 60-page 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. This resource delivers a detailed analysis of CMS's Medicare ACO Shared Savings Program as well the short- and long-term financial opportunities afforded by ACOs and an inside look at two existing ACOs and the lessons learned from their development and launch.

Learn more about this resource.

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3.) Aetna Payment Estimator Tool for Doctors Boosts Patient Satisfaction, Cash Flow

A recent survey of Aetna's Payment Estimator tool users shows that 65 percent of medical offices using it reported a reduction in bad debt.

Get the full story.

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4.) Improving Patient Collections in an Unhealthy Economy: Technologies and Processes to Speed Payments

Improving Patient Collections in an Unhealthy Economy During this webinar, industry experts from Beacon Partners provided practical strategies, techniques and tools to improve patient collections without alienating patients.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2011 Healthcare Trends

This white paper summarizes results of the Healthcare Intelligence Network’s sixth annual Healthcare Trends for the Year Ahead e-survey conducted in October 2010, which reveals how 73 healthcare organizations perceived the business environment in 2010, are preparing for 2011 and anticipate implementation of the Patient Protection and Affordable Care Act (PPACA).

Download this complimentary white paper.

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6.) Consumer Platform for Health IT Redefines Patient's Role

Twenty-seven leading health, aging, consumer and labor groups have signed onto a new consumer platform that proposes new roles for consumers in healthcare governance and delivery.

Get the full story.

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7.) New Chart: Top 5 Challenges of ACO Creation

Top 5 Challenges of ACO Creation Accountable care organizations (ACOs) create integrated delivery systems that encourage teams of physicians, hospitals and other providers to collaboratively coordinate care for ACO members. We wanted to see the biggest challenges organizations face in creating an ACO.



Click here to view the chart.

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8.) 2010 Medical Home Performance Benchmarks: Adoption, Utilization and Results

2010 Medical Home Performance Benchmarks This exclusive 65-page report analyzes the responses of 156 healthcare organizations to HIN's fourth annual Industry Survey on the Patient-Centered Medical Home Model. It updates metrics and measures on current and planned PCMH initiatives — including the emerging trend of the embedded case manager — as well as lessons learned and results from living PCMHs.

Learn more about this resource.

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9.) Incenting Physicians to Improve the Patient Experience

Practices that exceed patient satisfaction metrics will be rewarded at bonus time, explains Bruce Nash, MD, MBA, senior VP of medical affairs and CMO for Capital District Physicians’ Health Plan Inc. (CDPHP).

Get the full story.

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10.) Guide to Physician Performance-Based Reimbursement: Payoffs from Incentives, Data Sharing and Clinical Integration

Guide to Physician Performance-Based Reimbursement This resource explores newly minted reimbursement formulas at two health plans and two independent practice associations (IPAs), providing payor and provider perspectives on the formula development process; clinical, quality and efficiency measures; physician incentives and payments; and program outcomes. This 60-page special report also examines the collection and sharing of physician performance data by these four organizations.

Learn more about this resource.

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11.) HHS Initiatives to Help States Lower Costs, Improve Care for Dual-Eligibles

HHS has announced a series of initiatives to work with states to save money and better coordinate care for dual-eligibles — the 9 million Americans enrolled in both Medicare and Medicaid.

Get the full story.

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12.) Retooling Care Transitions to Reduce Hospitalizations in Medicare Patients

Retooling Care Transitions This is an essential resource for healthcare organizations wishing to evaluate their care transition efforts against best practices in the industry. This 40-page resource delivers current trends in care transition programs as well as advice and guidance from industry thought leaders on key elements of care transition programs — from enhancements to the hospital discharge process to medication reconciliation ideas to better utilization of home visits during care transitions.

Learn more about this resource.

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13.) HealthSounds Podcast: Risk-ranking Patients to Reduce Readmission Rates

Dr. 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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