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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Familiarity does not breed contempt; instead, it leads to increased patient satisfaction scores, according to a new Vanderbilt study.

Realizing that nearly 90 percent of medical patients are unable to correctly name their treating physician following inpatient admission, researchers studied the effects of giving a randomized group of patients a simple biosketch card about their doctor. Patient satisfaction scores for the group receiving the card were 22 percent higher than those who did not receive the card. With Medicare reimbursements linked to HCAHPS patient satisfaction scores, this study has significant ramifications.

Some good news about the health insurance marketplaces: despite widespread difficulty accessing the online sites, public awareness has tripled since their October 1st launch, and a majority of those unable to access them will try again, according to a new Commonwealth Fund survey.

According to the survey brief, more than half (58 percent) of those who are potentially eligible for coverage but who have not yet enrolled say they are likely to try to enroll or find out about financial help by March 31, 2014, the end of the open enrollment period. Seventeen percent of Americans who are potentially eligible for coverage have visited new health insurance marketplaces to buy coverage, via mail, Internet, phone, or in person. And nearly a third of adults who visited the marketplaces ranked their experiences as good or excellent. The extensive tracking survey is expected to come out again in December.

The expected glut of newly insured Americans seeking healthcare under the ACA could result in anticipated shortage of primary care physicians (PCPs) over the next decade, according to a new RAND Corporation study.

Expanding the role of nurse practitioners and physician assistants could help eliminate this. By using new models of healthcare that depend more on non-physicians, such as patient-centered medical homes (PCMHs) and nurse-managed health centers, more than 50 percent of the expected shortage predicted to hit the United States over the next decade could be eliminated.

One way to keep Americans healthy: offer them incentives. And while offering NASCAR® tickets for completing a health risk assessment (HRA) might not be successful for everyone, they were the right incentive for one trucking company surveyed by Buck Consultants' National Clinical Practice, says principal Patricia Curran. Many companies offer employees incentives for wellness participation, but they need to look at their population and determine what would most motivate them. We detail more in this week’s featured book excerpt.

Need an incentive to finish our current online survey on Healthcare Trends in 2014? How about a training DVD of the 2014 Healthcare Trends and Forecasts webinar recorded on October 30, 2013? One lucky respondent to our survey will win it, so please tell us about the last 12 months and how your organization is preparing for 2014 by completing HIN's ninth annual survey by November 18, 2013.

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 Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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Telehealth in 2013 — Videoconferencing, Virtual Visits and Smartphones Power Population Health Management

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November 11, 2013
Vol. XV, No. 42

Institute for HealthCare Consumerism's IHC FORUM Sponsored by:

Institute for HealthCare Consumerism's IHC FORUM

The Institute for HealthCare Consumerism's IHC FORUM is the only national event focused 100 percent on innovative health and benefits management, bringing to life IHC’s collaborative online community and informative publications. Through workshops, general sessions and networking opportunities, attendees obtain insights from key policy makers, legal experts, thought leaders and peers. The IHC FORUM allows employers, brokers, consultants and health plan administrators to LEARN, CONNECT, SHARE to arrive at actionable, cost-saving strategies for their businesses.

Click here to visit the conference Web site.


This week's industry news:

  1. New Delivery Models Could Ease Predicted Physician Shortage
  2. Medical Home Neighborhoods
  3. Patient Satisfaction Increases When Patients Know Their Doctors
  4. Guide to Physician Engagement
  5. Healthcare Business White Paper: Care Transitions in 2013
  6. Public Awareness of Health Insurance Marketplaces Has Tripled Since October 1st Launch
  7. New Chart: Care Management Components for Dual Eligibles
  8. Health Insurance Exchanges
  9. Colorado Medicaid Accountable Care Effort Doubles Savings in One Year
  10. 2013 Healthcare Benchmarks: Dual Eligibles Care Coordination
  11. Carrot or Stick? Tips for Using Incentives in Population Health Management
  12. Profiting from Population Health Management
  13. HINfographic: 12 Trends on the ACO Frontier in 2014
  14. Managing Population Health with Integrated Registries and Effective Patient Touchpoints
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.

Missed the last issue? Read it here.

Join our Online Communities:

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Take our monthly e-survey:
Healthcare Trends for 2014

You'll be emailed a synopsis of the survey results.

Interested in all open surveys? Review them here.


This week's industry news

1.) New Delivery Models Could Ease Predicted Physician Shortage

Expanding the role of nurse practitioners and physician assistants could help eliminate the anticipated shortage of primary care physicians (PCPs) over the next decade, according to a new RAND Corporation study.

Get the full story.

>>Return to this week's industry news


2.) Medical Home Neighborhoods: Uplinking Specialists To Create Integrated Systems of Care

Managed Medicare and Medicaid Factbook: 2013 This webinar will examine the trend toward medical neighborhoods and effective strategies for building out the neighborhood. Terry McGeeney, MD, MBA, director of BDC Advisors, will share his expertise in developing these systems of care.


Learn more about this resource.

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3.) Patient Satisfaction Increases When Patients Know Their Doctors

Nearly one-fourth of patients reported increased patient satisfaction when they knew their physician, according to a Vanderbilt study in the Journal of Orthopaedic Trauma.

Get the full story.

>>Return to this week's industry news


4.) Guide to Physician Engagement

Guide to Physician Engagement This resource deconstructs the physician culture and suggests tactics for converting reluctant physicians into champions for healthcare improvement. Q&A chapter answers more than 40 questions on the engagement of physicians.


Learn more about this resource.

>>Return to this week's industry news


5.) Healthcare Business White Paper: Care Transitions in 2013 — Interventions Surge in Response to Payor Scrutiny; Home-Grown Approaches Trump Traditional Models

Care Transitions in 2013 In its third annual e-survey on Care Transition Management, the Healthcare Intelligence Network (HIN) captured efforts by 86 organizations to strive for Triple Aim goals of better care at improved cost during transitions of care. Conducted in April 2013, the survey measures existing and planned programs, targeted transitions and populations, transition team members and responsibilities, and much more. This HINtelligence Report provides data highlights on care transition program components, the most successful tools for care transition management, results and ROI; and much more.

Download this complimentary white paper.

>>Return to this week's industry news


6.) Public Awareness of Health Insurance Marketplaces Has Tripled Since October 1st Launch

Despite widespread difficulty accessing the online health insurance marketplaces, public awareness has tripled since their October 1st launch, and a majority of those unable to access them will try again, according to a new Commonwealth Fund survey.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Care Management Components for Dual Eligibles

New Chart: Care Management Components for Dual Eligibles According to nearly 81 percent of healthcare companies who responded to HIN's industry survey on care coordination of dual eligibles, patient education and case management are the top components of their care management program for dual eligibles. We wanted to see which other elements comprise such programs.

Click here to view the chart.

>>Return to this week's industry news


8.) Health Insurance Exchanges: Product Design, Promotion and Positioning

Health Insurance Exchanges This resource features insights from key industry consultants, state regulators and health insurers on the primary issues that will affect product designs for state health insurance exchanges.



Learn more about this resource.

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9.) Colorado Medicaid Accountable Care Effort Doubles Savings in One Year

Three years into an Accountable Care Collaborative (ACC) program, the Colorado Department of Health Care Policy and Financing achieved $44 million in gross savings or cost avoidance, officials report, more than double the amount of cost avoidance achieved by the program last fiscal year.

Get the full story.

>>Return to this week's industry news

10.) 2013 Healthcare Benchmarks: Dual Eligibles Care Coordination

Formula for CMS Five-Star Quality Population Health Management This resource examines emerging trends in duals care management, from the prevalence of existing programs to gains achieved in key quality metrics like patient satisfaction.



Learn more about this resource.

>>Return to this week's industry news


11.) Carrot or Stick? Tips for Using Incentives in Population Health Management

While not right for everyone, offering NASCAR® tickets for completing a health risk assessment was the right incentive for one trucking company surveyed by Buck Consultants' National Clinical Practice, says principal Patricia Curran. Many companies offer employees incentives for wellness participation, but they need to look at their population and determine what would most motivate them.

Get the full story.

>>Return to this week's industry news


12.) Profiting from Population Health Management: Applying Analytics in Accountable Care

Profiting from Population Health Management: Applying Analytics in Accountable Care This resource provides both a primer in PHM, identifying the challenges and opportunities of a robust population health management program, and an advanced case study in the use of analytics in PHM.



Learn more about this resource.

>>Return to this week's industry news


13.) HINfographic: 12 Trends on the ACO Frontier in 2014

The accountable care organization (ACO) movement shows no signs of slowing. In fact, looking ahead, there is a greater number of ACOs in the wings than one year ago. Forty-four percent of developing ACOs will be helmed by physician-hospital organizations, according to a new infographic from the Healthcare Intelligence Network. This HINfographic examines 12 emerging ACO trends at 138 healthcare organizations and delivers tactics from a top performing Pioneer ACO, Monarch HealthCare.

Read this blog post.

>>Return to this week's industry news


14.) Managing Population Health with Integrated Registries and Effective Patient Touchpoints

Jim Bellows A patient might expect a reminder about a missed colonoscopy during a primary care visit, but during a trip to the dermatologist? Providing health plan members with "consistent and ubiquitous reminders" via multiple touchpoints in their healthcare journey is one of Kaiser Permanente's key population health management strategies, reports Jim Bellows, PhD, senior director of evaluation and analytics for Kaiser Permanente.

Another is the vigorous use of registries — more than 50 in all, at last count — even for relatively rare diseases. Dr. Bellows defines the criteria for registry creation, expands on the choice and availability of patient touchpoints and explains the evolution of other Web-based PHM tools in use by Kaiser Permanente.

Listen to this podcast.

>>Return to this week's industry news


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