HIN logo
From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

The United States spends more money on healthcare than other developed countries, and yet their outcomes are worse, according to a new study from Johns Hopkins.

But political infighting is preventing the country from achieving ways to deliver care more effectively and efficiently.

The study, published in JAMA, attempts to dispel several common misconceptions informing the current healthcare debate. Among them: that the aging of the population and the large numbers of tests and treatments being prescribed have been primarily responsible for escalating healthcare costs. Researchers assert that the prices of drugs, medical devices and hospital costs have driven up the costs of healthcare in this country over the last decade, and that it’s not the elderly that are ratcheting up healthcare costs, but those under 65 with chronic conditions.

What is needed to fix the system? An investment in primary care doctors, and a unified government, among other things.

Policymakers can start coming together on the latest news from the White House: insurers can extend current insurance plans that would otherwise be canceled into 2014, and Americans whose plans have been canceled can choose to re-enroll in the same kind of plan.

In the past few weeks, some Americans have been notified by their health insurance companies that plans they bought on the old individual insurance market were being cancelled, often because these plans no longer met the ACA's requirement to cover basic benefits like prescription drugs or doctors’ visits. These people now have an additional year of coverage.

Some news that no one can debate: 106,185 Americans selected health plans in the first reporting period of open enrollment (October 1st through November 2nd ); 975,407 customers made it through the process but have not yet selected a plan; and an additional 396,261 customers were determined eligible for Medicaid or the Children’s Health Insurance Program (CHIP). These results, from an issue brief from HHS, show that the level of interest is strong, and that enrollment should grow substantially throughout the next five months.

In other news: diabetic patients treated in the ED who were enrolled in a program sending daily automatic text messages improved their level of control over their diabetes and their medication adherence, according to a study from the Keck School of Medicine at the University of Southern California in Los Angeles.

The text messaging program, called TExT-MED, is low cost and widely available for those patients who have no other source of medical care. Details inside.

Today is the last day to take our Healthcare Trends in 2014 survey. From an early surge in Medicare accountable care collaborations to the rocky introduction of ACA-mandated health insurance exchanges during a government shutdown, healthcare in 2013 has been nothing short of unpredictable. Please tell us about the last 12 months and how your organization is preparing for 2014 and you'll receive a free executive summary of the compiled results, and your responses will be kept strictly confidential.

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

>>Return to top

HIN podcasts
HIN blog
HIN videos
New HIN products

Contact HIN:
www.hin.com
(888) 446-3530
(732) 449-4468
Fax: (732) 449-4463
Email: info@hin.com

This week's featured download:

Health Risk Assessments in 2013 — Population Health Tool Probes for Medical Conditions, Lifestyle Risk Factors

Featured download










For advertising and sponsorship opportunities in the Healthcare Business Weekly Update, please e-mail sales@hin.com or call 888-446-3530

>>Return to top

November 18, 2013
Vol. XV, No. 43

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. United States Has Higher Medical Costs, Worse Outcomes Than Other Developed Countries
  2. Healthcare Trends & Forecasts in 2014
  3. The Doctor Will Text You Now: Post-ER Follow-Up That Works
  4. 2013 Healthcare Benchmarks: Mobile Health
  5. Healthcare Business White Paper: Home Visits in 2013
  6. BCBSM-Munson Contract Embraces Value-Based Reimbursement Approach
  7. New Chart: Reimbursement Models Used by ACOs
  8. 2012 Benchmarks in Patient Registry Use for Accountable Care
  9. New CMS Data Sharing Tool Provides Remote Access to Medicare Data
  10. Guide to Physician Performance-Based Reimbursement
  11. 7 Ways for Case Managers to Engage Members Telephonically
  12. Telephonic Case Management Protocols to Engage Vulnerable Populations
  13. Infographic: Most Expensive Healthcare Technology
  14. Medical Home Neighborhoods
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:

Twitter Facebook LinkedIn YouTube Pinterest


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.) United States Has Higher Medical Costs, Worse Outcomes Than Other Developed Countries

The prices of drugs, medical devices and hospital costs have driven up the costs of healthcare in this country over the last decade — prices that doctors, patients and insurers rarely know until the money has been spent, according to a new study from Johns Hopkins.

Get the full story.

>>Return to this week's industry news


2.) Healthcare Trends & Forecasts in 2014: A Strategic Planning Session

Healthcare Trends & Forecasts in 2014 This webinar explores Steven Valentine, president, The Camden Group, and Catherine Sreckovich, managing director, healthcare, Navigant, views on how to provide a roadmap to the key issues, challenges and opportunities for healthcare providers and payors in 2014.

Learn more about this resource.

>>Return to this week's industry news


3.) The Doctor Will Text You Now: Post-ER Follow-Up That Works

Diabetic patients treated in the emergency department who were enrolled in a program sending daily automatic text messages improved their level of control over their diabetes and their medication adherence, according to a study from the Keck School of Medicine at the University of Southern California in Los Angeles.

Get the full story.

>>Return to this week's industry news


4.) 2013 Healthcare Benchmarks: Mobile Health

2013 Healthcare Benchmarks: Mobile Health This resource delivers a snapshot of mobile health (mHealth) trends, including current and planned mHealth initiatives, types and purpose of mHealth interventions, targeted populations and health conditions, and challenges, impact and results from mHealth efforts.


Learn more about this resource.

>>Return to this week's industry news


5.) Healthcare Business White Paper: Home Visits in 2013 — House Calls Foster Medication Adherence, Patient Satisfaction

Home Visits in 2013 As a result of home visit programs, patient satisfaction increased for 87 percent of organizations and medication adherence has increased for 81 percent, according to new metrics from the Healthcare Intelligence Network. Almost 80 percent of respondents to HIN’s Home Visits e-survey conducted in August 2013 visit some percentage of their patients or health plan members in their homes. Download this HINtelligence report for more data on home visits as reported by 155 healthcare companies, including home visit program components, results and ROI, specific responses from hospital/health systems, and successful home visit work flows, processes and tools as told by respondents in their own words.

Download this complimentary white paper.

>>Return to this week's industry news


6.) BCBSM-Munson Contract Embraces Value-Based Reimbursement Approach

Munson Healthcare and Blue Cross Blue Shield of Michigan (BCBSM) are launching a new value-based hospital reimbursement agreement in northern Michigan designed to improve patient care and medical outcomes while also enhancing efficiency and holding down the cost of care.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Reimbursement Models Used by ACOs

New Chart: Reimbursement Models Used by ACOs As the number of public and private accountable care organizations nears 500, participants are fine-tuning the ACO model. In the few years since the ACO model entered healthcare's consciousness, administration has shifted from hospital-led to physician-only leadership to PHO-helmed ACOs. We wanted to see which reimbursement models are being used by ACOs.

Click here to view the chart.

>>Return to this week's industry news


8.) 2012 Benchmarks in Patient Registry Use for Accountable Care

2012 Benchmarks in Patient Registry Use for Accountable Care This resource provides actionable data from more than 100 healthcare companies on their current and planned use of registries and the impact of registry use on healthcare quality, efficiency and cost, and demystifies registry use and provides best practices for implementation from Crystal Run Healthcare, a 200-physician practice in Orange County, N.Y., and other healthcare organizations.

Learn more about this resource.

>>Return to this week's industry news


9.) New CMS Data Sharing Tool Provides Remote Access to Medicare Data

Designed to make the healthcare system more transparent and accountable, CMS's new Virtual Research Data Center (VRDC) promises secure, timely access to data at a lower cost, according to CMS.

Get the full story.

>>Return to this week's industry news

10.) Guide to Physician Performance-Based Reimbursement: Payoffs from Incentives, Data Sharing and Clinical Integration

Guide to Physician Performance-Based Reimbursement This resource explores newly minted reimbursement formulas at two health plans and two independent practice associations (IPAs), providing payor and provider perspectives on the formula development process; clinical, quality and efficiency measures in use; physician incentive payments and program outcomes.

Learn more about this resource.

>>Return to this week's industry news


11.) 7 Ways for Case Managers to Engage Members Telephonically

Telephonic outreach by healthcare case managers helps to bridge the care divide, supporting and improving the health of vulnerable and high-risk populations, says Jay Hale, LPC, CEAP, director of quality improvement and clinical operations at Carolina Behavioral Health Alliance (CBHA). But it isn’t always easy, given the lack of face-to-face contact. Here he explains how to keep members engaged.

Get the full story.

>>Return to this week's industry news


12.) Telephonic Case Management Protocols to Engage Vulnerable Populations

Telephonic Case Management Protocols to Engage Vulnerable Populations This resource describes a suite of tools to facilitate identification, interaction, surveys, follow-up action, resource matching, and member engagement and outreach for a behavioral health population that is also a template for case management and care coordination of any organization’s hard-to-reach or vulnerable members.

Learn more about this resource.

>>Return to this week's industry news


13.) Infographic: Most Expensive Healthcare Technology

Overcharges, waste, bureaucracy and ineffective treatments are among the causes for excessive healthcare spending in the United States, according to MIT Technology Review. Five percent of patients consume half of all healthcare spending, and most have serious, chronic diseases. This infographic outlines the rising expenditures, and identifies the most costly technology and more patients who consume most healthcare spending.

Read this blog post.

>>Return to this week's industry news


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

Terry McGeeney If payment inequities can be addressed, communication and technology tools in place in large physician multispecialty groups make them ideal candidates for a medical neighborhood, suggests Terry McGeeney, MD, MBA, director of BDC Advisors. Dr. McGeeney, who spent 13 years of his practice career in a large multispecialty group, has also seen some FQHCs and managed Medicaid programs that do a good job of linking community and social supports required in medical neighborhoods.

As for engaging patients in this emerging integrated care delivery system, try explaining the medical neighborhood’s value proposition for them, he suggests. Patients already get why the integrated approach is good for physicians and insurance companies but need to hear why they should buy in to team care, patient portals and other aspects of centralized care coordination.

Listen to this podcast.

>>Return to this week's industry news


Thank you for your readership! Please urge your colleagues to subscribe by forwarding this email or visiting http://www.hin.com/freenews2.html or by calling (888) 446-3530 or visiting the HIN Web site.

While we encourage you to forward this email to your colleagues, these articles may not be redistributed in any other publication, reproduced for publication in any form, distributed on an intranet or network or by e-mail distribution or distributed for commercial purposes without the expressed written permission of the Healthcare Intelligence Network.


Copyright 1997-2013 Healthcare Intelligence Network. All rights reserved.
Healthcare Intelligence Network
Gateway to Healthcare Business Information on the Internet
800 State Highway 71, Suite 2, Sea Girt, N.J. 08750