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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

States are tightening their belts in anticipation of a continuing weak economy and increased spending for Medicaid. As we report here, loss in federal stimulus money could result in a nearly 30 percent increase in spending for Medicaid. Some of the cost-cutting strategies they’re planning include increasing co-payments for beneficiaries and expanding managed care programs, according to a recent Kaiser Family Foundation report.

Despite the economic turmoil, hospitalists are earning more than ever. Salaries for this specialized physician grew by more than 8 percent from 2010 to 2011. This finding was corroborated during our recent trends webinar, when Steven Valentine predicted that hospitalists would play a key role in healthcare in the coming year. They aren’t the only ones primed to have a major impact on the industry; you can find out more by listening to the Trends 2012 on-demand replay.

Do you want to have an impact on the industry in the coming year? Then submit those letters of intent for CMS’s new Innovation Advisors program by November 15. CMS seeks healthcare professionals to test and refine new models of healthcare delivery for Medicare, Medicaid and CHIP beneficiaries. Program officials hope to deepen skills that will drive improvements to patient care and reduce costs.

And so far, Medicaid and CHIP programs are doing something right; according to CMS’s recent customer satisfaction survey, 7 in 10 respondents said they were highly satisfied with the programs, with access to care and quality accounting for the high scores. Nearly three fourths of the respondents said they’d enrolled in the programs for “peace of mind.”

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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November 14, 2011
Vol. XIII, No. 42

Sponsored by:
Demonstrating the Value of the Embedded Case Manager for the Medicare Population

This week's industry news:

  1. International Survey Finds Chronically Ill Fare Better in Medical Homes
  2. MORE Medical Home Reimbursement Models
  3. Expanding Care for Dual Eligibles 1 of 6 Ways States Compensating for Federal Stimulus Cuts
  4. Coordinating Care Transitions for the Elderly and Dually Eligible
  5. Healthcare Business White Paper: Medication Adherence in 2011
  6. Hospitalists See 8 Percent Pay Increase in 2011
  7. New Chart: Who's Responsible for Improving Patient Satisfaction?
  8. Hospitalists
  9. CMS Survey Shows 7 in 10 Highly Satisfied with Medicaid and CHIP Programs
  10. Guide to Physician Engagement
  11. In Group Health Comprehensive Primary Care, Virtual Medicine Connects Patients, Providers
  12. Principles of a Patient-Centered Practice
  13. War on Prescription Drug Abuse: Michael Jackson’s Doctor Found Guilty of Involuntary Manslaughter
  14. HealthSounds Podcast: Fifth Annual Medical Home Benchmarks
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This week's industry news

1.) International Survey Finds Chronically Ill Fare Better in Medical Homes

Chronically and seriously ill adults who received care from a medical home were less likely to report medical errors, test duplication, and other care coordination failures, according to a new Commonwealth Fund international survey of patients' experiences in the U.S. and 10 other high-income countries.

Get the full story.

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

MORE Medical Home Reimbursement Models In this 45-page resource, 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 — including one that has been touted as "the gold standard for healthcare reform."

Learn more about this resource.

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3.) Expanding Care for Dual Eligibles 1 of 6 Ways States Compensating for Federal Stimulus Cuts

New co-payments for beneficiaries and expanded care management for dual eligibles and other populations are some of the ways states are compensating for a loss in federal stimulus money and a continuing weak economy, according to the Kaiser Family Foundation’s (KFF) Commission on Medicaid and the Uninsured.

Get the full story.

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4.) Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions

Coordinating Care Transitions for the Elderly and Dually Eligible Closing care transition gaps for the elderly and the dually eligible is the focus of this 65-page report, in which respected thought leaders share their unique approaches to care transition management, which have positively impacted cost and engaged patients.

Learn more about this resource.

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5.) Healthcare Business White Paper: Medication Adherence in 2011 — More Help from Community Pharmacists

In the second annual Medication Adherence e-survey, conducted in September 2011, the Healthcare Intelligence Network deepened its research of programs, tools and strategies in use to improve medication adherence levels. Read this executive summary of responses from 162 healthcare companies.

Download this complimentary white paper.

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6.) Hospitalists See 8 Percent Pay Increase in 2011

Despite a slow economy and uncertainty about the future of healthcare reimbursements, hospitalists' salaries continued to climb, according to the fourth annual Today's Hospitalist Compensation and Career Survey.

Get the full story.

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7.) New Chart: Who's Responsible for Improving Patient Satisfaction?

Who's Responsible for Improving Patient Satisfaction? Patient satisfaction with the healthcare experience is influencing quality ratings and value-based reimbursement levels. We wanted to see who has primary responsibility for efforts to improve patient satisfaction.

Click here to view the chart.

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8.) Hospitalists

Hospitalists This 45 page report includes policies and procedures to develop a practical and physician-friendly hospitalists program — designed to improve and streamline patient care from the ER through discharge and transitional care period.

Learn more about this resource.

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9.) CMS Survey Shows 7 in 10 Highly Satisfied with Medicaid and CHIP Programs

Parents of children with Medicaid and Children’s Health Insurance Program (CHIP) coverage are very satisfied with their access to doctors and the quality of healthcare, according to a recent survey from the CMS.

Get the full story.

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10.) Guide to Physician Engagement

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


Learn more about this resource.

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11.) In Group Health Comprehensive Primary Care, Virtual Medicine Connects Patients, Providers

The CMS fact sheet on its Comprehensive Primary Care Initiative touts Group Health Cooperative of Puget Sound's innovative primary care approach that reduced emergent and urgent care visits by 29 percent and hospital admissions by 6 percent. Virtual medicine is a key underpinning of the Group Health approach, explains Michael Erikson, MSW, the cooperative's vice president of primary care services.

Get the full story.

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12.) Principles of a Patient-Centered Practice: Medical Home Guidelines for Staffing, Recognition and Evidence-Based Care

Principles of a Patient-Centered Practice This 70-page resource is a roadmap for organizations seeking to attain the seven hallmarks of patient-centered care: a personal physician, a physician-directed practice, a whole person approach, coordinated and integrated care, quality and safety, enhanced access and a payment structure that reflects the contributions of the PCMH.

Learn more about this resource.

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13.) War on Prescription Drug Abuse: Michael Jackson’s Doctor Found Guilty of Involuntary Manslaughter

We recently reported that more than 40 people die every day from overdoses involving narcotic pain relievers, a number that has more than tripled in the past decade, according to the CDC.

Read this blog post.

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14.) HealthSounds Podcast: Fifth Annual Medical Home Benchmarks — PCMH Stepping Stone to ACO

Melanie Matthews HIN's fifth annual survey on the patient-centered medical home (PCMH) recorded the highest PCMH adoption levels to date, reports Melanie Matthews in this benchmarks podcast. A substantial number of medical homes expect to participate in an accountable care organization (ACO); Ms. Matthews also shares key metrics from the 2011 survey, including time required for medical home conversion and the PCMH effect on medication adherence and patient satisfaction.

The survey also identified an impressive jump in the embedding of case managers in medical homes. Dr. Bruce Nash, senior VP of medical affairs and CMO for CDPHP, where embedded case managers are at the heart of CDPHP's clinical transformation, describes what sets his program apart from other medical home pilots.

Listen to this podcast.

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