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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Women of all ages and backgrounds will benefit if eight new free preventive health services are added to the Patient Protection and Affordable Care Act (PPACA) of 2010. Birth control, gestational diabetes screening, DNA testing for cervical cancer and domestic violence counseling are among the recommendations in a new report from the Institute of Medicine (IOM).

Low health literacy results in more frequent hospitalizations and a higher risk of death, according to a recent study from RTI International-University of North Carolina. The study found that seventy-seven million English-speaking adults in the United States are unable to understand and use basic health information. Limited health literacy rates are higher among seniors, minorities, lower-income Americans and those with less than a high school education.

In merger news this past week, Express Scripts and Medco agreed to a $29 billion merger deal. Healthcare consumers and the nation's drug stores will be watching the impact of the merger closely.

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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July 25, 2011
Vol. XIII, No. 27

Sponsored by:
Embedded Case Management in the Primary Care Practice: Program Design and Results

This week's industry news:

  1. Medco and Express Scripts to Merge in $29 Billion Deal
  2. 2010 Benchmarks in Improving Medication Adherence
  3. IOM Recommends 8 Free Preventive Women's Health Services
  4. Case Studies from Diabetes Medical Home Pilots
  5. Healthcare Business White Paper: Medical Home Disruptive Innovation for New Primary Care Model
  6. More Healthcare Companies Offering Nutrition Counseling in Weight Management Programs
  7. New Chart: Who's Eligible for Smoking Cessation Programs?
  8. 2011 Performance Benchmarks in Obesity and Weight Management
  9. Low Health Literacy Linked to More Frequent Hospitalizations, Risk of Death
  10. Hospital Discharge Improvement Guide
  11. New Health Plans Will Increase Insurance Options for Consumers, Businesses
  12. Health Insurance Exchanges
  13. HealthSounds Podcast: Embedded Case Managers Contribute to Increased Medication Compliance
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.) Medco and Express Scripts to Merge in $29 Billion Deal

Medco Health Solutions and Express Scripts, Inc. have entered into a definitive merger agreement valued at $29.1 billion. The National Community Pharmacists Association (NCPA) and the National Association of Chain Drug Stores (NACDS) are opposed to the deal, concerned it will pose a threat to patient care and pharmacy access.

Get the full story.

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2.) 2010 Benchmarks in Improving Medication Adherence

2010 This resource provides actionable information from 107 healthcare organizations on their efforts to improve medication adherence and compliance in their populations and the impact that medication therapy management programs are having 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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3.) IOM Recommends 8 Free Preventive Women's Health Services

Gestational diabetes screening for pregnant women, birth control for women of reproductive age, and DNA testing for cervical cancer are among the preventive services being recommended for women in a new report from the Institute of Medicine (IOM).

Get the full story.

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4.) Case Studies from Diabetes Medical Home Pilots: Key Processes, Tools, Metrics and Outcomes

Case Studies from Diabetes Medical Home Pilots This resource offers a detailed look at two physician-health plan partnerships in diabetes disease management — a care coordination pilot for New Jersey state employees with diabetes and a hands-on case manager-driven initiative for Medicaid beneficiaries with diabetes in North Carolina.

Learn more about this resource.

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5.) Healthcare Business White Paper: The Medical Home Disruptive Innovation for a New Primary Care Model

This white paper examines medical home models, their savings potential, and the implications for policymakers and key industry stakeholders. This paper also offers compelling arguments in favor of medical home adoption.

Download this complimentary white paper.

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6.) More Healthcare Companies Offering Nutrition Counseling in Weight Management Programs

There’s no way to get around it: to lose weight, you need to know what you’re eating, count calories, and exercise. Healthcare companies are hoping to capitalize on this by offering their employees financial and benefit-based incentives aimed at managing weight and preventing obesity.

Get the full story.

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7.) New Chart: Who's Eligible for Smoking Cessation Programs?

Smoking Cessation Programs Cigarette smoking continues to be the leading cause of preventable morbidity and mortality in the United States, reports the U.S. Department of Health and Human Services. We wanted to see who was eligible for participation in smoking cessation and prevention programs.

Click here to view the chart.

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8.) 2011 Performance Benchmarks in Obesity and Weight Management

2011 Benchmarks in Obesity and Weight Management This resource takes a comprehensive look at efforts in the healthcare industry to manage obesity and weight, based on recent market research by the Healthcare Intelligence Network. Healthcare reform is also rewarding prevention-focused programs, and this 25-page resource captures the efforts of more than 130 organizations in the prevention and reduction of obesity and related conditions and costs in their populations.

Learn more about this resource.

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9.) Low Health Literacy Linked to More Frequent Hospitalizations, Risk of Death

Older Americans with limited health literacy have poorer health and higher risk of death, according to researchers at RTI International-University of North Carolina Evidence-based Practice Center.

Get the full story.

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10.) Hospital Discharge Improvement Guide: How to Close Six Key Care Gaps and Reduce Readmissions

Hospital Discharge Improvement Guide Increasing scrutiny by CMS of hospital readmission rates is prompting healthcare organizations to reevaluate each stage of the care continuum. From the three key questions to ask the patient at discharge to learning how to red-flag patients at high risk for readmission, this valuable resource provides the practical and comprehensive processes healthcare organizations need to improve the efficiency and success of their hospital discharge planning process.

Learn more about this resource.

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11.) New Health Plans Will Increase Insurance Options for Consumers, Businesses

Consumers may soon be able to go to the affordable insurance exchange in their state and sign up for a new type of health plan called CO-OPs, or Consumer Oriented and Operated Plans.

Get the full story.

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12.) Health Insurance Exchanges: Strategies and Stakeholders

Health Insurance Exchanges More than any other provision of the reform law, state health insurance exchanges will forever change the way individuals and small businesses purchase health insurance by making coverage more of a retail commodity. And while there are huge risks, the potential rewards are unprecedented. In this resource, you’ll read about the hurdles states are facing in developing models and establishing exchanges.

Learn more about this resource.

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13.) HealthSounds Podcast: Embedded Case Managers Contribute to Increased Medication Compliance

>Embedded Case Management in the Primary Care Practice Workflow rehearsals of key practice protocols ensure that the entire care team — including the embedded case manager — is prepared in advance, notes Robert Fortini, vice president and chief clinical officer at Bon Secours Health System. Fortini describes two workflows "rehearsed" by Bon Secours care teams, details the embedded case manager's contribution to medication compliance in the practice, and explains key steps that precede the case manager hiring process.

Listen to this podcast.

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