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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

What with the economy, upcoming presidential elections, and several of our news stories this week, it's no wonder Americans’ blood pressure is up. But it’s no excuse either, given that nearly one in three American adults has high blood pressure, and more than half don’t have it under control. It’s a major risk factor for heart disease and stroke, and the first and fourth leading causes of death in the United States, leading to nearly 1,000 deaths a day, and costing the United States almost $131 billion annually, CDC officials say.

To counter these alarming statistics, CDC has joined forces with pharmacists and is launching a care team initiative to help patients control their blood pressure. Customers at drugstores around the nation will receive informational materials, including wallet cards to track medication use and educational videos.

More news to raise blood pressure: nearly one third of America's healthcare spending in 2009 — roughly $750 billion — was wasted on unnecessary services, excessive administrative costs, and fraud, among other problems, according to a report from the Institute of Medicine (IOM). Such inefficiencies are hindering progress and threatening the nation's economic stability and global competitiveness, says the IOM. But there are ways to repair the system, as suggested in one report recommendation: mobile technologies and EHRs can help professionals to capture and share health data better. Others are detailed in our story.

And still more news to keep that pressure up: the United States performs worse than France, Germany, and the United Kingdom on potentially preventable death rates, according to a Commonwealth Fundsupported study published in Health Affairs. Between 1999 and 2006 to 2007, the overall potentially preventable death rate among men ages 0 to 74 dropped by only 18.5 percent in the United States, while the rate declined by nearly 37 percent in the United Kingdom. For women, the rate fell by 17.5 percent in the United States but by nearly 32 percent in the United Kingdom.

But there is some news to slow Americans’ pulse: results from a multi-year accountable care collaborative program between Aetna and NovaHealth, an IPA, show significant improvements in quality of care and lowered healthcare costs, Aetna reports.

And perhaps the best news for many of us: the kids have gone back to school…

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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September 10, 2012
Vol. XIV, No. 33

Sponsored by:
Integrated Health Coaching — The Next Generation in Health Behavior Change Management


This week's industry news:

  1. Pharmacists Join CDC Team to Fight Rising Blood Pressure
  2. Guide to Health Risk Assessment and Stratification
  3. Transformation of Health System Needed to Improve Care, Reduce Costs
  4. 46 Healthcare Metrics to Boost Profitability
  5. Healthcare Business White Paper: PCMHs in 2012
  6. 7 Objectives for Healthcare Consumer Engagement
  7. New Chart: What's a Case Manager's Average Monthly Caseload?
  8. New Models in the Patient-Centered Medical Home
  9. Multi-Year Aetna, NovaHealth Collaboration Improves Inpatient Days, Readmissions by 50 Percent
  10. Roadmap to the ACO Rule
  11. U.S. Performs Worst on Potentially Preventable Death Rates Compared to France, Germany, and U.K.
  12. 2012 Healthcare Benchmarks: Reducing Avoidable ER Visits
  13. Physician Endorsement Helps ‘Sell’ Medical Home Model to Patients
  14. New Video Documents ACO Activity
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This week's industry news

1.) Pharmacists Join CDC Team to Fight Rising Blood Pressure

Nearly one in three American adults has high blood pressure, and more than half don’t have it under control, according to a new report from the CDC.

Get the full story.

>>Return to this week's industry news


2.) Guide to Health Risk Assessment and Stratification

Guide to Health Risk Assessment and Stratification In this resource, 12 industry thought leaders describe the processes of health risk assessment (HRA) and stratification as well as applications and benefits of health assessment in the workplace and various healthcare settings.



Learn more about this resource.

>>Return to this week's industry news


3.) Transformation of Health System Needed to Improve Care, Reduce Costs

Nearly one third of America’s healthcare spending in 2009 — roughly $750 billion — was wasted on unnecessary services, excessive administrative costs, and fraud, among other problems, according to a report from the Institute of Medicine (IOM).

Get the full story.

>>Return to this week's industry news


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: PCMHs in 2012 — Patient Satisfaction Rises with PCMH Adoption

PCMHs in 2012 According to the sixth annual HINtelligence Report on PCMHs, the rise in medical home starts over the last six years can be linked to a steady climb in patient satisfaction. This HINtelligence Report provides data highlights on medical home adoption, staffing, technologies, reimbursement and ROI, as well as a look back at medical home metrics from 2006 to present.

Download this complimentary white paper.

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6.) 7 Objectives for Healthcare Consumer Engagement

The engagement team for Horizon Blue Cross Blue Shield of New Jersey is charged not only with identifying tools to engage patients in the latest models of care, such as the patient-centered medical home (PCMH) and the accountable care organization (ACO), but also to encourage behavior change.

Get the full story.

>>Return to this week's industry news


7.) New Chart: What's a Case Manager's Average Monthly Caseload?

What's a Case Manager's Average Monthly Caseload? Post-reform redesign of clinical care delivery and reimbursement underscore the healthcare case manager's dual roles as care coordinator and utilization manager. Case manager work locations, job focus and caseloads are evolving in response to these shifts in the healthcare landscape. We wanted to see the average monthly caseload for a case manager.

Click here to view the chart.

>>Return to this week's industry news


8.) New Models in the Patient-Centered Medical Home: Incentives, Infrastructure and IT to Support Accountable Care

New Models in the Patient-Centered Medical Home This resource examines the building blocks of population health management that drive improvements in healthcare quality and efficiency in ACOs — while positioning healthcare organizations for core measure improvement and increased reimbursement.



Learn more about this resource.

>>Return to this week's industry news


9.) Multi-Year Aetna, NovaHealth Collaboration Improves Inpatient Days, Readmissions by 50 Percent

Results from a multi-year accountable care collaborative program between Aetna and NovaHealth, an IPA, show significant improvements in quality of care and lowered healthcare costs, Aetna reports.

Get the full story.

>>Return to this week's industry news

10.) Roadmap to the ACO Rule: 25 Key Considerations from CMS’s Proposal for Accountable Care Organizations

Roadmap to the ACO Rule This resource extracts 25 common sense factors to consider while weighing participation in an accountable care organization (ACO) — whether as a healthcare provider or private payor.



Learn more about this resource.

>>Return to this week's industry news


11.) U.S. Performs Worst on Potentially Preventable Death Rates Compared to France, Germany, and U.K.

The United States performs worse than France, Germany, and the United Kingdom on potentially preventable death rates, according to a Commonwealth Fund–supported study published in Health Affairs.

Get the full story.

>>Return to this week's industry news


12.) 2012 Healthcare Benchmarks: Reducing Avoidable ER Visits

2012 Healthcare Benchmarks: Reducing Avoidable ER Visits This resource delivers actionable information from 134 healthcare organizations on their efforts to reduce inappropriate ED visits.





Learn more about this resource.

>>Return to this week's industry news


13.) Physician Endorsement Helps ‘Sell’ Medical Home Model to Patients

Nothing will engage patients and health plan members in the medical home model more than a ringing testimonial from the individual's own physician, advises Horizon Blue Cross Blue Shield of New Jersey.

Read this blog post.

>>Return to this week's industry news


14.) New Video Documents ACO Activity: Accountable Care Doubles in Last Year

ACO Growth Documented in New Video This second annual analysis by the Healthcare Intelligence Network (HIN) delves into ACO administration, size, and the model's impact on healthcare utilization and care delivery. Narrated by HIN COO and Executive VP Melanie Matthews, with predictions from healthcare consultant Steven T. Valentine, president of The Camden Group, on ACO impact in the year to come.

Watch this video.

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