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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

The locals are still buzzing about last week's gold medal taken by the U.S. women's soccer team, led by team captain and Manasquan resident Christie Rampone. The team's win over Japan tempered somewhat the disappointment of losing to the same team in the 2011 World Cup. Friday's game was a career high and the last for Rampone, who hopes the victory will inspire a new generation of female soccer players and revive interest in a national women's soccer league. Congratulations to Christie and all of the U.S. athletes.

For physicians, billing and insurance-related tasks can sometimes take on Olympian proportions. That's why a proposed HHS rule on electronic payments will save time and cut red tape for doctors, who on average spend three weeks a year managing claims and payments, when they'd rather focus on coordination of care for their patients.

Patient-centeredness is the intent of BCBS of Michigan's (BCBSM) recent designation of another thousand physician practices — 3,017 physicians — to its patient-centered medical home (PCMH) program, making it the largest in the nation for the fourth consecutive year. Research by BCBSM has found that patients in designated medical home practices require fewer hospital admissions and ER visits than patients in non-designated practices.

These patients also report higher levels of satisfaction, too, according to a new white paper on Medical Homes in 2012. Results from our sixth annual survey on this topic tie this surge in medical home starts to a rise in patient satisfaction, a critical quality metric for healthcare providers. Download a copy 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 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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August 13, 2012
Vol. XIV, No. 30

Sponsored by:
Patient Engagement in the Patient Centered-Medical Home: A Continuum Approach

This week's industry news:

  1. BCBS of Michigan Adds Record Number of Practices to Nationís Largest PCMH Program
  2. 2012 Healthcare Benchmarks: The Patient-Centered Medical Home
  3. New HHS Rule to Cut Red Tape for Doctors and Hospitals, Saving Up to $9 Billion
  4. 46 Healthcare Metrics to Boost Profitability
  5. Healthcare Business White Paper: Patient-Centered Medical Homes in 2012
  6. 6 Healthcare Leaders Describe Risks, Opportunities of ACO Models
  7. New Table: Florida Blue Uses Guiding Principles to Transition into a PCMH
  8. 2012 Healthcare Benchmarks: Accountable Care Organizations
  9. A CDEís 5-Step Approach to Diabetes Education
  10. Patient-Centered Diabetes Management
  11. SAMHSA Grants to Expand Access to Substance Abuse Treatment Providers via HIT
  12. Guide to Patient-Centered Case Management, Revised Edition
  13. 6 Effective ACO Tools and Procedures
  14. Healthcare Performance Benchmarks: Diabetes Management
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This week's industry news

1.) BCBS of Michigan Adds Record Number of Practices to Nationís Largest PCMH Program

Blue Cross Blue Shield of Michigan (BCBSM) has designated a record number of Michigan physician practices across the state as patient-centered medical homes (PCMHs) — a 28 percent increase over the number of PCMH practices designated in 2011.

Get the full story.

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2.) 2012 Healthcare Benchmarks: The Patient-Centered Medical Home

2012 Healthcare Benchmarks: The Patient-Centered Medical Home This resource, now in its sixth year, is designed to meet business and planning needs of physician practices, clinics, health plans, managed care organizations, hospitals and others by providing critical benchmarks in medical home implementation and results.


Learn more about this resource.

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3.) New HHS Rule to Cut Red Tape for Doctors and Hospitals, Saving Up to $9 Billion

A new HHS rule seeks to save time and cut red tape for doctors, hospitals and health plans by adopting operating rules for making healthcare claim payments electronically and describing adjustments to claim payments.

Get the full story.

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4.) 46 Healthcare Metrics to Boost Profitability: Charting 2012 Trends

46 Healthcare Metrics to Boost Profitability This resource is a graphic compendium of performance benchmarks in key areas of healthcare activity and growth, and makes it easy for the healthcare C-suite to stay current, distilling the latest trends into a series of easy-to-digest charts and tables.


Learn more about this resource.

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5.) Healthcare Business White Paper: Patient-Centered Medical Homes in 2012

Patient-Centered Medical Homes in 2012 The continuous coordinated patient care at the heart of the patient-centered medical home (PCMH) has been shown to lower costs while improving healthcare outcomes. And now, according to the sixth annual HINtelligence Report, the rise in medical home starts over the last six years can also be linked to a steady climb in patient satisfaction.

Download this complimentary white paper.

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6.) 6 Healthcare Leaders Describe Risks, Opportunities of ACO Models

Although many healthcare organizations already benefit from membership in an accountable care organization (ACO), others remain skeptical of ACOs as well as other aspects of the Affordable Care Act (ACA), according to a series of interviews published in Mayo Clinic Proceedings.

Get the full story.

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7.) New Table: Florida Blue Uses Guiding Principles to Transition into a PCMH

Florida Blue Uses Guiding Principles to Transition into a PCMH A primary care focused pay-for-performance program at Florida Blue has been transitioned into a statewide patient-centered medical home (PCMH) initiative. We wanted to learn the steps that Florida Blue took to make this transition.

Click here to view the table.

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8.) 2012 Healthcare Benchmarks: Accountable Care Organizations

2012 Healthcare Benchmarks: Accountable Care Organizations This resource documents the numerous ways in which accountable care is transforming healthcare delivery, population health management, reimbursement for care and, most importantly to this yearís survey respondents, the patient experience.


Learn more about this resource.

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9.) A CDEís 5-Step Approach to Diabetes Education

Engaging diabetic patients in conversation and helping them to establish monitoring, nutrition and exercise goals are the first steps in an education program, explains Janet Wendle, an RN and certified diabetes educator (CDE) who is also system director of the Main Line Health Diabetes Management program.

Get the full story.

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10.) Patient-Centered Diabetes Management: Driving Outcomes with Education and Behavior Change

Patient-Centered Diabetes Management This resource takes an in-depth look at three patient-centered programs for diabetes management that are improving clinical outcomes and bending the cost curve for program participants.



Learn more about this resource.

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11.) SAMHSA Grants to Expand Access to Substance Abuse Treatment Providers via HIT

SAMHSA has awarded more than $4 million in new grants for health information technology (HIT) to extend access to substance abuse treatment providers to underserved populations.

Get the full story.

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12.) Guide to Patient-Centered Case Management, Revised Edition

Guide to Patient-Centered Case Management, Revised Edition This resource presents best practices in identifying, stratifying and monitoring individuals for case management and documents the returns generated by targeted case management interventions in place at Geisinger Health System, Aetna Medicare, Priority Health and other organizations.

Learn more about this resource.

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13.) 6 Effective ACO Tools and Procedures

To measure quality and efficiency, accountable care organizations (ACOs) must use the latest healthcare technology and the best tools and programs. The most effective tools can be used to monitor and increase patient satisfaction and overall program performance.

Read this blog post.

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14.) Healthcare Performance Benchmarks: Diabetes Management

Melanie Matthews The use of a disease-specific approach to improve health outcomes and self-management for patients with diabetes is utilized by 77 percent of organizations, according to HIN's 2011 survey on diabetes management programs. In this podcast, Melanie Matthews shares key metrics from the survey, including the role of the case manager, the use of incentives, the staff member responsible for diabetes management and the greatest challenge associated with the control of diabetes.

Also, Kathy Brieger, Hudson River HealthCare chief operating officer, describes HRHC's four-pronged approach to weight management for the 3,400 adult patients it serves.

Listen to this podcast.

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