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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Retail medical clinics continue to grow in popularity, particularly among those 65 and up seeking preventive services, a new report from the RAND Corporation shows. Nearly half of visits between 2007 and 2009 occurred on weekends, when physician offices are typically closed. But despite their rising popularity, they still account for a small proportion of outpatient medical care overall.

The elderly are targets of a new initiative from the HHS, which has partnered with five pharmacies to help educate customers about their Medicare benefits. The pharmacies will provide educational materials to beneficiaries about available preventive services and savings on prescription drug spending in the “donut hole” coverage gap, among other things.

Efforts to decrease hospital readmission rates remain stagnant, as the national average readmission rate continues to hover slightly above 19 percent, according to a recent news report from Kaiser Health News. More than 2,000 hospitals, some of them nationally recognized, could lose an estimated $280 million in Medicare funds over the next year as the government starts paying healthcare providers based on the quality of care they provide.

And don’t forget to participate in on our Health and Wellness Incentives Survey. A review of 36 peer-reviewed studies of wellness programs in large firms found that average employer medical costs fell $3.27 for every dollar spent on wellness programs, and costs for days that employees were absent fell an average of $2.73. Please share the details of your incentives program by completing our fourth annual survey by August 31 and you'll receive a free executive summary of the compiled results.

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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August 20, 2012
Vol. XIV, No. 31

ACO Activity Assessment Sponsored by:
New Infographic — ACO Activity Assessment


This week's industry news:

  1. HHS Partners with Pharmacies to Educate Medicare Beneficiaries on New Health Benefits
  2. 38 Disease Management Metrics
  3. Majority of Healthcare Professionals Interested in Mobile EHR Solution
  4. Health IT in Care Management
  5. Healthcare Business White Paper: 2012 Trends in Embedded Case Management
  6. Nearly 6 Million Visit Retail Medical Clinics in 2009; Older Patients and Preventive Services on Rise
  7. New Chart: Which 5 Changes Can Improve Patient Satisfaction?
  8. 2011 Benchmarks in Patient Satisfaction Strategies
  9. Medicare To Penalize More Than 2,000 Hospitals For Excess Readmissions
  10. Guide to Reducing Medicare Readmissions, Vol. II
  11. 10 Attributes of Embedded Nurse Navigators
  12. Essentials of Embedded Case Management
  13. Q&A: How Clinical Integration Creates Framework for Value-Based Payment Contract
  14. 2012 Medical Home Starts Linked to Surge in Patient Satisfaction
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This week's industry news

1.) HHS Partners with Pharmacies to Educate Medicare Beneficiaries on New Health Benefits

HHS has partnered with five pharmacies to help educate customers about their Medicare benefits, the HHS has announced.

Get the full story.

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2.) 38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable Care

38 Disease Management Metrics This resource dives deep into several years of market research to document the role and outcomes of disease management in 11 key areas, as well as the high-focus diseases and health conditions of such initiatives as obesity and weight management, diabetes management, and healthcare case management.


Learn more about this resource.

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3.) Majority of Healthcare Professionals Interested in Mobile EHR Solution

While the majority of healthcare professionals are interested in using mobile devices to connect to EHRs and to e-prescribe, only 6 percent are doing so, according to a new study from Vitera Healthcare Solutions, a Tampa-based Healthcare IT provider.

Get the full story.

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4.) Health IT in Care Management to Improve Health and Effect Behavior Change

Health IT in Care Management This resource presents Dr. Randall Williams, chief executive officer, Pharos Innovations, as he describes the prerequisites for using technologies to engage patients in chronic disease improvement programs, setting the scene for care management and behavior change.


Learn more about this resource.

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5.) Healthcare Business White Paper: 2012 Trends in Embedded Case Management

2012 Trends in Embedded Case Management Despite challenges ranging from physician and practice buy-in to recruitment and retention, the number of healthcare companies embedding or co-locating case managers in care sites continues to rise. This executive summary examines the survey responses of 153 healthcare companies who embed case managers, providing a high-level look at work locations, program components, and the greatest challenges and benefits of this case management strategy.

Download this complimentary white paper.

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6.) Nearly 6 Million Visit Retail Medical Clinics in 2009; Older Patients and Preventive Services on Rise

Nearly 6 million people visited retail medical clinics in 2009, an increase of more than 40 percent since 2007, according to a new study from the RAND Corporation.

Get the full story.

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7.) New Chart: Which 5 Changes Can Improve Patient Satisfaction?

Which 5 Areas are Healthcare Companies Changing to Improve Patient Satisfaction? Patient satisfaction with the healthcare experience is influencing quality ratings and value-based reimbursement levels for hospitals, physicians and other providers. We wanted to see in which areas healthcare companies made changes to improve patient or member satisfaction.

Click here to view the chart.

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8.) 2011 Benchmarks in Patient Satisfaction Strategies: Improving the Healthcare Consumer Experience

2011 Benchmarks in Patient Satisfaction Strategies This resource presents all-new data in more than 45 easy-to-follow graphs and tables on patient satisfaction strategies; the research also drills down to provide sector-specific efforts in patient satisfaction improvement from hospitals and other healthcare providers.


Learn more about this resource.

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9.) Medicare To Penalize More Than 2,000 Hospitals For Excess Readmissions

More than 2,000 hospitals will be penalized by the government starting in October because of excess readmissions, according to a new report from Kaiser Health News.

Get the full story.

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10.) Guide to Reducing Medicare Readmissions, Vol. II

Guide to Reducing Medicare Readmissions, Vol. II This resource examines innovative interventions to reduce preventable admissions, rehospitalizations and ER visits by high-utilizing Medicare beneficiaries. This guide looks at four multidisciplinary collaborative interventions aimed at key factors fueling readmissions in this population — and that support an accountable care vision.

Learn more about this resource.

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11.) 10 Attributes of Embedded Nurse Navigators

Thinking critically, being creative and possessing good interpersonal skills were some of the attributes Bon Secours Health System looked for when recruiting nurse navigators in 2010. Nurse navigators are key to case management, explains Irene Zolotorofe, Bon Secours’ administrative director of clinical operations, but they were a fairly new concept back then, so she and those involved in recruiting and training them for a co-located case management initiative had to start from scratch.

Get the full story.

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12.) Essentials of Embedded Case Management: Training, Case Loads and Technology for Practice-Based Care Coordinators

Essentials of Embedded Case Management This resource documents the experiences of Aetna and Bon Secours in the recruitment, education, workload management and IT support of practice-based case managers.



Learn more about this resource.

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13.) Q&A: How Clinical Integration Creates Framework for Value-Based Payment Contract

Advocate Physician Partners is proud of its infrastructure of success in shared savings, built on a foundation of clinical integration.

Read this blog post.

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14.) 2012 Medical Home Starts Linked to Surge in Patient Satisfaction

2012 Medical Home Starts Linked to Surge in Patient Satisfaction In a week when both Blue Cross Blue Shield of Michigan and CDPHP have considerably amped up their medical home game, a new video from the Healthcare Intelligence Network (HIN) documents a rise in patient satisfaction resulting from the construction of more medical homes.

Watch this video.

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