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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Offering yoga and meditation classes to caregivers of seriously ill patients just prior to starting clinical meetings on palliative care issues is one detail that sets Mount Sinai Hospital's palliative care program apart from others. Together with Denver Hospice and Optio Health Services in Colorado, and UnityPoint Health Palliative Care Program in Iowa and Illinois, these three palliative care programs received the 2013 Circle of Life Award®, along with five others that were awarded Citations of Honor from the American Hospital Association (AHA).

Other programs involve a community-wide program to embrace the growing Hispanic community, and regular outpatient and home visits to ensure proper care transitions, and help avoid unnecessary emergency room visits and readmission to the hospital. All of the programs set out to reexamine the roles palliative care plays in healthcare by creating and championing end-of-life care for patients and caregivers throughout the healthcare system.

Providers need to reexamine certain diabetes monitoring practices that solely target acute individuals, and instead take a population health management approach to improving diabetes care, according to a Phytel study published in the American Journal of Managed Care.

Researchers found that despite national attention, uncontrolled diabetes was growing, and those patients at real risk were those that waited to seek care until their condition was exacerbated to an acute phase. A broader population-based approach was required to catch at-risk patients. Researchers recommend that provider organizations take two important steps to improve their ability to help their patients better manage their diabetes, including reaching out to their entire population between office visits so patients waiting too long to get retested are motivated to have the testing done earlier.

Economists need to reexamine their data linking the employment rate with healthcare coverage. Despite economic reports showing that the recession is over, the percentage of workers with health benefits still remains low, according to a new report by the nonpartisan Employee Benefit Research Institute (EBRI).

Links between the employment rate and health insurance coverage have been documented over the years. Since most workers in the United States get their health coverage through their jobs, a rise or drop in the unemployment rate usually means a corresponding rise or drop in the uninsured rate as well, the report states.

But these facts aren't holding up against trends that show that nearly half of the population does not have coverage.

We'd like you to examine and respond to our current e-survey on the population health management of dual eligibles. These nine million Americans eligible for both Medicare and Medicaid present unique challenges. Public and private payors are now tailoring care coordination strategies for Medicare-Medicaid beneficiaries that are both geared to their medical, social and functional needs and cost-efficient. Describe your organization's approach to care coordination of dual eligibles by July 31, 2013 and you will receive a free summary of survey results once it is compiled.

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 Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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July 29, 2013
Vol. XV, No. 28

Sponsored by:
Managing Population Health with Integrated Registries and Effective Patient Touchpoints


This week's industry news:

  1. AHA Recognizes 8 Hospitals for Innovative Palliative Care Programs
  2. Case Management for Advanced Illness
  3. Workplace Health Coverage Falls, Despite Economic Recovery
  4. Healthcare Trends & Forecasts in 2013
  5. Healthcare Business White Paper: Mobile Health in 2013
  6. Researchers Favor Population Health Management Approach for Monitoring Diabetes
  7. New Table: 6 Competencies of a Primary Clinical Health Coach
  8. 2012 Healthcare Benchmarks: Diabetes Management
  9. New CMS Mobile Apps Boost Financial Transparency Between Physicians and Healthcare Users
  10. 2013 Healthcare Benchmarks: Mobile Health
  11. 4 Key Features of the Pioneer ACO Model
  12. Profile of a Pioneer ACO
  13. HINfographic: The 4 Ws of Home Visits
  14. Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements
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:
Care Coordination of Dual Eligibles in 2013

You'll be emailed a synopsis of the survey results.

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This week's industry news

1.) AHA Recognizes 8 Hospitals for Innovative Palliative Care Programs

Offering yoga and meditation to caregivers before the start of clinical meetings were among innovations in palliative care recognized by the American Hospital Association.

Get the full story.

>>Return to this week's industry news


2.) Case Management for Advanced Illness: Best Practices in End-of-Life Care

Case Management for Advanced Illness: Best Practices in End-of-Life Care This resource examines Aetna's Compassionate Care program, a case management approach for this population. The payor's initiative breaks down barriers commonly encountered in this highly sensitive stage of the health continuum while positively impacting both healthcare utilization and spend.


Learn more about this resource.

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3.) Workplace Health Coverage Falls, Despite Economic Recovery

Despite economic data showing that the recession is over, the percentage of workers with health benefits still remains low, according to a new report by the nonpartisan Employee Benefit Research Institute (EBRI).

Get the full story.

>>Return to this week's industry news


4.) Healthcare Trends & Forecasts in 2013: Performance Expectations for the Healthcare Industry

Healthcare Trends & Forecasts in 2013 This resource provides sector-specific guidance for the next 12 months from three key thought leaders, and is supplemented with data from HIN's ninth annual HIN Healthcare Trends and Forecasts survey, in which more than 150 responding healthcare organizations identified the top issues facing them, predicted the impact of 2013 ACA mandates on business, and shared the best and worst business decisions of 2012 and the lessons learned from both.


Learn more about this resource.

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5.) Healthcare Business White Paper: Mobile Health in 2013 — Diabetes, Heart Disease Top Targets for Technologies

Mobile Health in 2013 The use of mobile health (mHealth) technologies has transformed the exchange of healthcare data, with mobile apps monitoring everything from blood sugar to medication adherence, and text-based reminders urging smokers not to give into that craving. In its first mHealth e-survey conducted in March 2013, the Healthcare Intelligence Network (HIN) captured current trends in emerging mHealth technologies. Nearly 150 healthcare organizations describe the technologies they use, the conditions and populations they target, and the challenges and successes they've encountered along the way.

Download this complimentary white paper.

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6.) Researchers Favor Population Health Management Approach for Monitoring Diabetes

Providers need to reexamine certain diabetes monitoring practices that solely target acute individuals, and instead take a population health management approach to improving diabetes care, according to a Phytel study published in the American Journal of Managed Care.

Get the full story.

>>Return to this week's industry news


7.) New Table: 6 Competencies of a Primary Clinical Health Coach

New Table: 6 Competencies of a Primary Clinical Health Coach Within value-based reimbursement, health coaches can play a critical role in managing the health of chronic care patients. Through the use of patient registries and the necessary skill sets, health coaches can drive population health management processes for the improved outcomes needed to succeed in a value-based system. We wanted to share the six competencies of a primary clinical health coach identified by the Iowa Chronic Care Consortium.

Click here to view the table.

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8.) 2012 Healthcare Benchmarks: Diabetes Management

2012 Healthcare Benchmarks: Diabetes Management This resource provides actionable data on current diabetes management programs and their impact on population health outcomes and healthcare spend, and is designed to meet business and planning needs of primary care providers, physician organizations, health plans, disease management organization and others by providing critical benchmarks that show how the industry is working to more effectively engage patients in the self-management of their diabetes.

Learn more about this resource.

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9.) New CMS Mobile Apps Boost Financial Transparency Between Physicians and Healthcare Users

Two free mobile apps designed to increase financial transparency among physicians and healthcare users are now available from CMS, officials have stated.

Get the full story.

>>Return to this week's industry news

10.) 2013 Healthcare Benchmarks: Mobile Health

2013 Healthcare Benchmarks: Mobile Health This resource delivers a snapshot of mobile health (mHealth) trends, including current and planned mHealth initiatives, types and purpose of mHealth interventions, targeted populations and health conditions, and challenges, impact and results from mHealth efforts.


Learn more about this resource.

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11.) 4 Key Features of the Pioneer ACO Model

One of the key features of the Pioneer program, and one that differentiates it from the Medicare Shared Savings Program, is that it is accountable for all Medicare A and B benefits, says Emily Brower, executive director of accountable care programs at Atrius Health, one of 23 remaining participants in the CMS Pioneer ACO program.

Get the full story.

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12.) Profile of a Pioneer ACO: Atrius Health’s Lessons in Risk Management and Accountable Care

Profile of a Pioneer ACO This resource provides first-year advice from Atrius Health's accountable care organization, one of 23 remaining participants in the CMS Pioneer ACO program that is testing alternative payment and program design models for accountable care organizations.


Learn more about this resource.

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13.) HINfographic: The 4 Ws of Home Visits

Visiting medically complex patients at home can shed light on health-related issues that might go undetected during an office visit, reducing the likelihood of unplanned admissions or emergency department visits by these patients. This HINfographic on home visits provides actionable data detailing who conducts the home visits, what happens during the visit, when the visits occur, why they are important and more.

Read this blog post.

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14.) Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements

Greg Mertz Travis Ansel Physician-hospital organizations have been around before, but it's the emphasis on quality that sets today's PHO apart from the 80's version. In PHO 2.0, where healthcare value is favored over volume, clinical integration of participating physicians is a prerequisite, agree Greg Mertz, director of Healthcare Strategy Group, and Travis Ansel, its manager of strategic services. In this interview, they talk about the essential first steps of PHO creation and the perennial challenges of physician engagement and clinical leadership in this emerging collaborative model.

Listen to this podcast.

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