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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Open wide and say…

Ommm?

That's what doctors might be saying to their patients given the results of a new Canadian study that shows the health benefits of Transcendental Meditation (TM.) The study, which used people who consistently incurred the highest healthcare costs, found that the group that practiced the age-old technique for five years decreased their healthcare costs by nearly one third, or 28 percent, while the non-practicing group showed no significant decrease in healthcare payments. Chronic stress is the number one factor contributing to high medical expenses, and TM is known to play a significant part in reducing stress.

It turns out meditation could be just what the doctor ordered for the 81 million Americans who were uninsured or underinsured in 2010, a number that has increased by 80 percent since 2003. Despite having insurance, these people suffer from financial stress due to higher than usual premiums and limited access. And lower income families aren’t the only victims; in 2010, one out of six middle class families earning between $40,000 and $60,000 a year were underinsured. The PPACA could provide relief, according to the study, not only for the underinsured, but for the uninsured.

Illustrating the impact that diabetes is having on not only the U.S. healthcare system, but on a global scale, the International Diabetes Foundation (IDF) released the following findings: 366 million people are suffering from diabetes worldwide; 4.6 million people died from the disease in 2011; and healthcare spending on diabetes reached $ 465 billion. The IDF delivered the grim news a week ahead of the UN Summit on Non-Communicable Diseases (NCDs), which will be the second of its kind to focus on a global disease issue. It will target the four most prominent NCDs: cancers, cardiovascular diseases, chronic respiratory diseases and diabetes, and aim toward agreeing on a global strategy to address them. The first UN Summit related to health was the HIV/AIDS meeting in 2001, which led to the creation of the Global Fund to fight AIDS, tuberculosis and malaria.

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 19, 2011
Vol. XIII, No. 34

Sponsored by:
The Role of Embedded Case Managers in Clinical Transformation

This week's industry news:

  1. Number of Underinsured and Uninsured Adults Increased 80 Percent Between 2003 and 2010
  2. 2011 Healthcare Benchmarks Yearbook
  3. Diabetes Epidemic Continues to Worsen Worldwide
  4. 27 Interventions to Reduce Avoidable ER Use
  5. Healthcare Business White Paper: 2011 Benchmarks in Registry Use for Quality Improvement
  6. Meditation Can Reduce Healthcare Costs
  7. New Chart: Top 5 Populations Targeted by Case Management
  8. Evaluating Health and Wellness Incentive Programs for Behavior Change
  9. Two-thirds of Medicaid Beneficiaries Enrolled in Managed Care Programs
  10. Health Reform 2011
  11. Four Strategies for More Cost-Effective Care in the Medical Home
  12. MORE Medical Home Reimbursement Models
  13. New Video Tracks Evolution of Embedded Case Managers
  14. HealthSounds Podcast: Improving Medication Adherence Benchmarks
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.

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Medication Adherence in 2011

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This week's industry news

1.) Number of Underinsured and Uninsured Adults Increased 80 Percent Between 2003 and 2010

81 million U.S. adults — or nearly half of the population — were either underinsured or uninsured in 2010, according to a new Commonwealth Fund study published in the September issue of Health Affairs.

Get the full story.

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2.) 2011 Healthcare Benchmarks Yearbook: Metrics, Measurements and Innovations

2011 HIN's second annual compilation of performance benchmarks in key areas of healthcare activity and growth — delivers all-new actionable data compiled in 2010 on nine trend-bending PPACA initiatives. This 480-page resource contains more than 400 graphs and tables documenting adoption, activity and ROI in nine key healthcare areas, frequently drilling down to the perspectives of hospitals, health plans and employers.

Learn more about this resource.

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3.) Diabetes Epidemic Continues to Worsen Worldwide

One person is dying from diabetes every seven seconds.

That was the message delivered by the International Diabetes Federation (IDF) at the Lisbon meeting of the European Association for the Study of Diabetes (EASD).

Get the full story.

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4.) 27 Interventions to Reduce Avoidable ER Use

27 Interventions to Reduce Avoidable ER Use This 45-page resource details provider- and patient-focused interventions that target the high numbers of avoidable visits, high and ultra-high utilizers and the sub-populations noted for frequent ER use. Five interventions target these sub-populations: asthma patients, those recently discharged from the hospital, non-network patients, nursing home and assisted living residents and dual-eligibles (Medicare and Medicaid).

Learn more about this resource.

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5.) Healthcare Business White Paper: 2011 Benchmarks in Registry Use for Quality Improvement

Registries are a straightforward tool for creating realistic views of clinical practices, patient outcomes, safety and comparative effectiveness. Results from the Healthcare Intelligence Network August 2011 e-survey on Using Registries for Quality Improvement captures current and planned uses of registries by 105 healthcare organizations and registries' impact on healthcare quality, efficiency and cost.

Download this complimentary white paper.

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6.) Meditation Can Reduce Healthcare Costs

A new Canadian study showing that sustained transcendental meditation (TM) practice can reduce stress and ultimately reduce healthcare costs holds promise for Medicare spending in the United States.

Get the full story.

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7.) New Chart: Top 5 Populations Targeted by Case Management

Top 5 Populations Targeted by Case Management Targeted case management interventions across the health continuum are resulting in more efficient and appropriate care delivery and utilization of healthcare resources. We wanted to see which populations are targeted most frequently by case management.

Click here to view the chart.

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8.) Evaluating Health and Wellness Incentive Programs for Behavior Change

Evaluating Health and Wellness Incentive Programs for Behavior Change During this webinar, the director of member engagement at Premera shared his organization's techniques and strategies to increase engagement in and results from health and wellness programs. Premera Blue Cross is constantly evaluating how changes to incentives for member participation and engagement in health and wellness programs impact behavior change.

Learn more about this resource.

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9.) Two-thirds of Medicaid Beneficiaries Enrolled in Managed Care Programs

Most Medicaid beneficiaries nationally are enrolled in some form of managed care, according to a 50-state survey by the Kaiser Commission on Medicaid and the Uninsured and Health Management Associates.

Get the full story.

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10.) Health Reform 2011: Impact on Health Plans, Hospitals, Providers and Purchasers

Health Reform 2011 This comprehensive report outlines the likely impact of health reform on coverage, benefit designs, medical costs, providers and pharmacy benefits. Special sections also address the impact on employers, the transformation of the Medicare and Medicaid programs and the radical changes to fraud, abuse and compliance initiatives.

Learn more about this resource.

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11.) Four Strategies for More Cost-Effective Care in the Medical Home

Having an adequate physician supply, and developing a RHIO network are some of the strategies that have gone a long way toward achieving cost-effectiveness in the medical home, explains David West, MD, a family physician, hospitalist and healthcare consultant in Grand Junction, Colo.

Get the full story.

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12.) MORE Medical Home Reimbursement Models: ROI from Risk Adjustment, Shared Savings and Multi-Payor Partnerships

MORE Medical Home Reimbursement Models The newest strategies for generating revenue from the patient-centered medical home (PCMH) are documented in this 45-page resource, where you can learn how the identification of high-risk patients, meaningful distribution of healthcare data and collaborations with like-minded organizations are increasing medical home profitability for three healthcare organizations.

Learn more about this resource.

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13.) New Video Tracks Evolution of Embedded Case Managers

They’re called case managers, nurse navigators, or something else, and they’re showing up in primary care practices, hospital emergency rooms, and even long-term care facilities. We’ve watched with interest the emerging trend of the colocated healthcare case manager and created a video that presents the latest industry benchmarks on this population health management strategy as well as a look at how Geisinger Health System, Bon Secours Health System and others are colocating case managers at points of care.

Read this blog post.

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14.) HealthSounds Podcast: Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions

Janice Pringle Training community pharmacists in the art of motivational interviewing can boost medication adherence levels in the patients who visit them, according to Janice Pringle, Ph.D, director of the program evaluation research unit at the University of Pittsburgh School of Medicine. In a unique intervention, the university is collaborating with Highmark Blue Cross Blue Shield and Rite-Aid pharmacies to deploy the training to 120 participating pharmacies to reduce medication non-adherence, a problem associated with an estimated $290 billion in avoidable medical spending every year, according to a recent New England Healthcare Institute estimate.

Dr. Pringle describes the three primary reasons for medication non-adherence driving the intervention, the benefits of training the pharmacists in motivational interviewing and the pharmacy's role in the project.

Listen to this podcast.

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