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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

A new healthcare cost initiative will give researchers and policymakers access to de-identified data from plans operated by Aetna, Humana, Kaiser Permanente and United Healthcare, as well as some government data from Medicare Fee-for-Service and Medicare Advantage activity. The Health Care Cost Initiative (HCCI) is designed to offer new insights into healthcare costs, utilization, and intensity. It’s a timely move, given research that predicts U.S. health spending could rise from an estimated $2.5 trillion to $4.6 trillion by the end of the decade.

CMS will create a new database too — a system of records containing the health information of Medicare beneficiaries who receive treatment with providers participating in an ACO. The database will also contain personally identifiable information (PII) about certain individuals participating in the ACOs, including healthcare sole proprietors, providers, key leaders and managers of ACOs and contact persons. It will be used to support policy activities and reimbursement for its programs to bundle payments and share savings, say CMS officials.

More savings could be achieved by enrolling dual eligibles into managed care plans, says a new study by Kenneth Thorpe of Emory University. The study predicts savings of up to $125 billion for the federal government and $34 billion for states over ten years. Dual eligibles account for more than one-third of Medicare and Medicaid spending, even though they make up only a small percentage of the total enrollment in these programs. Research further shows that federal spending on dual eligibles will total nearly $3.7 trillion over the next decade.

And B4 we go, do u text? If so, you’re not alone : ) Approximately 2.2 trillion text messages were sent in the United States in 2011, and while teenagers were particularly dexterous, 80 percent of low-income households on Medicaid reported texting regularly. Research suggests that the use of mobile phone text messaging can be effective in improving health behaviors and health outcomes. The HHS is proposing seven new recommendations to support health text messaging and mobile health (mHealth) technologies.

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 26, 2011
Vol. XIII, No. 35

Sponsored by:
Healthcare Trends in 2012: A Strategic Industry Forecast

This week's industry news:

  1. HHS Proposes Seven Text4Health Recommendations
  2. 2011 Performance Benchmarks in Telehealth & Telemedicine
  3. CMS to Create Medicare Database of ACO Claims
  4. Assessing ACO Business Opportunities in the Medicare and Commercial Markets
  5. Healthcare Business White Paper: The Medical Home Disruptive Innovation for a New Primary Care Model
  6. Care Quality, Communication Focal Points of Patient Satisfaction Surveys
  7. New Chart: Top 5 Ways to Measure Tobacco Cessation ROI
  8. 2011 Benchmarks in Patient Satisfaction Strategies
  9. Enrolling Dual Eligibles in Managed Care Plans Could Save Up to $125 Billion
  10. Managed Medicare and Medicaid Factbook: 2010
  11. New Healthcare Cost Institute to Offer Access to U.S. Payor Data
  12. Health Insurance Exchanges
  13. 7 Quality of Care Investments That Earned Marshfield Clinic $15.83 Million in Shared Savings
  14. HealthSounds Video: How to Reduce Hospital Readmissions
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This week's industry news

1.) HHS Proposes Seven Text4Health Recommendations

HHS is proposing 7 new recommendations to support health text messaging and mobile health (mHealth) technologies.

Get the full story.

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2.) 2011 Performance Benchmarks in Telehealth & Telemedicine

2011 This guide is packed with actionable new information from 111 healthcare organizations on their utilization of telehealth & telemedicine. This 60-page resource documents trends and metrics on current and planned telehealth and telemedicine initiatives and includes a year-over-year comparison of telehealth trends from 2009 to 2010.

Learn more about this resource.

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3.) CMS to Create Medicare Database of ACO Claims

CMS will create a system of records containing the health information of Medicare beneficiaries who receive treatment with providers participating in an ACO.

Get the full story.

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4.) Assessing ACO Business Opportunities in the Medicare and Commercial Markets

Assessing ACO Business Opportunities During this 45-minute webinar, the senior project director with the Healthcare Strategy Group provided a critical analysis of CMS's final rule on Medicare Shared Savings and how it will impact commercial ACOs.

Learn more about this resource.

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5.) Healthcare Business White Paper: The Medical Home Disruptive Innovation for a New Primary Care Model

This white paper examines medical home models, their savings potential, and the implications for policymakers and key industry stakeholders. This paper also offers compelling arguments in favor of medical home adoption.

Download this complimentary white paper.

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6.) Care Quality, Communication Focal Points of Patient Satisfaction Surveys

New market research on Improving Patient Experience and Satisfaction has identified the key components of patient satisfaction surveys as well as the pervasiveness of these surveys in the industry. Determined to improve patient satisfaction ratings, healthcare organizations are generating satisfaction surveys to identify areas for improvement.

Get the full story.

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7.) New Chart: Top 5 Ways to Measure Tobacco Cessation ROI

Measuring Tobacco Cessation ROI CDC data indicates that cigarette-smoking related healthcare expenditures in 2008 in the United States totaled nearly $96 million, and that the employer bears a cost of $3,391 per smoking employee per year, including $1,760 in lost productivity and $1,623 in excess medical expenditures. We wanted to see how organizations are measuring ROI for their tobacco cessation programs.

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 35-page resource presents new market research on industry efforts to enhance the patient experience and levels of satisfaction with their care. This analysis, based on the responses of 146 organizations to the Healthcare Intelligence Network’s survey on Improving Patient Satisfaction and the Patient Experience, presents the all-new data in more than 45 easy-to-follow graphs and tables.

Learn more about this resource.

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9.) Enrolling Dual Eligibles in Managed Care Plans Could Save Up to $125 Billion: Study

Enrolling dual eligibles into managed care plans could save up to $125 billion for the federal government and $34 billion for states over ten years, according to a new study.

Get the full story.

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10.) Managed Medicare and Medicaid Factbook: 2010

Managed Medicare and Medicaid Factbook This valuable resource features practical information on a range of specialized areas, including:enrollment trends, regional offerings and market share, state initiatives in Medicaid, prescription drug benefits and mergers and acquisitions. This easy-to-access resource of the managed Medicare and Medicaid data is all you'll need to develop sound strategies for your future plans.

Learn more about this resource.

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11.) New Healthcare Cost Institute to Offer Access to U.S. Payor Data

A new healthcare cost initiative will give researchers and policymakers access to a comprehensive collection of health plan and government payor data, offering new insights into healthcare costs, utilization, and intensity.

Get the full story.

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12.) Health Insurance Exchanges: Strategies and Stakeholders

Health Insurance Exchanges This resource provides timely insights on how exchanges may operate, what the products will look like, which health insurers will participate and who will enroll. Order today, and stay up to date on the rapidly changing landscape of health insurance exchanges.

Learn more about this resource.

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13.) 7 Quality of Care Investments That Earned Marshfield Clinic $15.83 Million in Shared Savings

Marshfield Clinic, one of 10 participants in the CMS Physician Group Practice Demonstration, invested in seven key areas to improve quality of care delivered to patients. Marshfield Clinic was one of four participants to generate significant savings under the terms of the demonstration that resulted in a $15.83 million performance payment.

Read this blog post.

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14.) HealthSounds Video: How to Reduce Hospital Readmissions

Reduce Hospital Readmissions Need ideas to reduce hospital readmissions, especially among Medicare patients? Watch this video with strategies to curb rehospitalizations, based on HIN's second annual survey on Reducing Hospital Readmissions. This video features analysis by HIN VP Melanie Matthews and advice from Mary Cooley, manager of case and disease management at Priority Health. This video is part of the HIN Healthcare Benchmarks video series.

Watch the video.

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