Dear Healthcare Intelligence Network Client,

Where there is chronic illness, there is most likely depression. And despite the stigma attached to behavioral health problems and treatment's impact on PMPM costs, health plans are making it their business to connect affected members and patients with appropriate care. That's one of the messages that came through loud and clear at last week's Health Management Congress. Whether in a statewide wellness program for 45,000 employees and spouses or virtual medical homes for the Medicaid-Medicare beneficiaries in a Portland, Ore. plan, a strong link to mental health resources is increasingly part of the care plan. The plans readily acknowledge — and the data indicates — that this connection will drive up pharma and utilization costs for this population. But they also expect that these patients will be more likely to follow doctors' orders for their physical issues, avoiding costly hospitalizations. And as one attendee noted, "what the health plan data doesn't show us is the employee that can now go back to work and be productive."

For highlights from the 2008 Health Management Congress and more detail on the programs mentioned above, please visit the HIN blog. And just three days remain to take our e-survey on the impact of rising energy costs on healthcare organizations. All respondents will receive a complimentary e-summary of the results, and the respondent who submits the most effective energy conservation/cost-saving strategy will receive a $50 gas card.

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

Please pass this along to any of your colleagues or, better yet, have them sign up to receive their own copy at http://www.hin.com/freenews2.html where you can also learn about our other news services.


Healthcare Business Weekly Update
Volume X, No. 18
July 28, 2008

Sponsored by: Emergency Department Diversion Through Behavioral Health Linkages

During Emergency Department Diversion Through Behavioral Health Linkages, a 90-minute webinar on July 30th, you’ll hear from two healthcare organizations who have implemented programs to divert ED visits related to behavioral health issues to appropriate venues of care.

For more information, please visit:http://store.hin.com/product.asp?itemid=3825


Table of Contents
  1. Managed Care Faces Financial Challenges in 2008
  2. Managing Cancer Care: Strategies to Improve Outcomes and Lower Costs
  3. Top 10 Ways to Disenchant Providers and 10 Strategies to Win Them Back
  4. Health Coaching in Primary Care: Persuading Physicians to Prescribe Behavior Change and Self-Efficacy
  5. Featured Healthcare Podcast: Avatars Give Voice to Suicide Survivors, Prevention Counselors
  6. Mental Health Services Should Be More Accessible in Primary Care Settings
  7. Tracking Mental Health Outcomes: A Therapist's Guide to Measuring Client Progress, Analyzing Data and Improving Your Practice
  8. Adding Long-term Care Benefit to Medicare Can Ensure Affordability for Families
  9. Discharge Planning Primer: Community Collaborations to Decrease Hospital Readmissions Risk
  10. Pushing Translational Research from Bench to Bedside
  11. Health Grants Funding Alert
  12. Featured Healthcare Business White Paper: The Medical Home — Disruptive Innovation for a New Primary Care Model


1. Managed Care Faces Financial Challenges in 2008

Financial constraints are the biggest challenge facing managed care in 2008, concluded a survey by the Executive Report on Managed Care. Nearly 39 percent of surveyed managed care leaders responded that rising costs would pose a serious threat to the managed care industry this year. Companies are feeling strained by rising costs of medical equipment and prescription drugs coupled with reduced reimbursement rates from insurers and the federal government.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC072808.html



2. Managing Cancer Care: Strategies to Improve Outcomes and Lower Costs

Get a FREE copy of Managing Cancer Care: Strategies to Improve Outcomes and Lower Costs. This 145-page report details management strategies and pricing methodologies that health plans have been instituting to rein in oncology costs, as well as the federal government’s role in reimbursement. Click here or visit http://www.aishealth.com/Products/freereports_HIN.html to get your report today.



3. Top 10 Ways to Disenchant Providers and 10 Strategies to Win Them Back

Dr. Richard Botelho, a professor of family medicine at the University of Rochester Medical Center, offers advice to health plans that seek to engage physicians in an integrated health coaching program.

There’s a confluence of influences that are bringing health coaching to the forefront, but I’d like to provide a macro-level and then a micro-level perspective, because the macro-level perspective is going to drive this more than anything else. According to statistician and educator Dr. William Edwards Deming, 85 percent of improvements rest with the organization and 15 percent with the individual. People need to consider the macro-level influences. There are 10 mistakes that healthcare plans or DM vendors can commit.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement072808.html



4. Health Coaching in Primary Care: Persuading Physicians to Prescribe Behavior Change and Self-Efficacy

In this special report, three health coaching thought leaders detail their models for incorporating health coaching into the primary care paradigm.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3826



TALK TO THE HIN COMMUNITY: Share your reaction to a story or a strategy that's working at your organization. Send an email to editor@hin.com or post a comment to the HIN blog at:
http://blog.hin.com/

5. Featured Healthcare Podcast: Avatars Give Voice to Suicide Survivors, Prevention Counselors

When it comes to suicide, more often than not, the media focuses too much on the tragedy of the situation and sends the message that it cannot be prevented. But according to Dr. John Draper, director of the National Suicide Prevention Lifeline, there is a silent majority of suicide survivors who have another message — suicide isn't inevitable, and it can be prevented. Dr. Draper and Amanda Lehner, technology communications coordinator for the National Suicide Prevention Lifeline, discuss their latest endeavor, LifelineGallery.org, and how this social network hopes to connect with patients with its use of story-telling avatars.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#62



6. Mental Health Services Should Be More Accessible in Primary Care Settings

A new report released by three agencies of the U.S. Department of Health and Human Services proposes strategies to overcome barriers associated with the reimbursement of mental health services provided in primary care settings. Key actions recommended focus on a variety of stakeholders, including PCPs, state Medicaid officials, and others billing for mental health services in the public sector, working together to promote a greater understanding of mental health reimbursement policy.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health072808.html



7. Tracking Mental Health Outcomes: A Therapist's Guide to Measuring Client Progress, Analyzing Data and Improving Your Practice

This report provides step-by-step guidance on choosing the best outcomes, tracking methods and instruments for your practice. You’ll see how to integrate them into everyday clinical procedures and use the data they supply to improve the quality of care you provide as well as fully comply with insurance company and regulatory agency requirements.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3624



8. Adding Long-term Care Benefit to Medicare Can Ensure Affordability for Families

Adequate financing for long-term care, improving the quality of long-term care services and developing an adequate, skilled workforce are some of the urgent challenges facing long-term care in the future, say four of five respondents to the latest Commonwealth Fund/Modern Healthcare Healthcare Opinion Leaders Survey.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care072808.html


There are other free email newsletters available from HIN!

Healthcare Daily Data Bytes put at your fingertips each day a "Data Byte" from the healthcare industry — facts, figures, statistics and percentages on healthcare spending, costs, utilization and performance. You can also register for free access to Healthcare Daily Data Byte archives.

HealthSounds Podcasts delivers a free weekly audio interview with a healthcare innovator to your e-mailbox. Listen to thought leaders answer key questions about the most pressing issues and trends in healthcare — impact of retail clinics, implications of Web 2.0 for healthcare, medical home models and much more.

To sign up for our free email newsletters, please visit
http://www.hin.com/freenews2.html


9. Discharge Planning Primer: Community Collaborations to Decrease Hospital Readmissions Risk

This special report profiles two aptly named discharge management efforts that access and maximize partner resources for their populations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3785



10. Pushing Translational Research from Bench to Bedside

A consortium led by the National Center for Research Resources (NCRR) awarded 14 institutions $533 million over five years to speed up research progression from the laboratories to the pharmacies. Clinical and Translational Science Award (CTSA) is working to fully engage the medical community to improve on and reduce the time it takes for new medical discoveries to move from the petri dishes to patients’ bedsides, said NCRR.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation072808.html



11. Health Grants Funding Alert

Health Grants Funding Alert is the nation's only information service that combines accurate reporting of grant news from federal health agencies, the major charitable foundations and corporations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2613



12. Featured 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.

To download this complimentary white paper, please visit:
http://www.hin.com/library/registermdh.html


Contact HIN:

Editor: Patricia Donovan, pdonovan@hin.com;
Associate Editor: Jessica Papay, jpapay@hin.com;
Sales & Marketing Coordinator: Deirdre McGuinness, dmcguinness@hin.com;
Publisher: Melanie Matthews, mmatthews@hin.com

For more information on the products and services available through
the Healthcare Intelligence Network, contact us at (888) HIN-3530
(446-3530), (732) 528-HIN8, (528-4468), fax (732) 292-3073 or email
us at info@hin.com

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All contents of this message Copyright 2008