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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Think you have a lot to manage? Consider that during a 90-day time frame studied by researchers, 10 percent of patients with cardiovascular disease (CVD) taking either ACE inhibitors or ARBs filled prescriptions for 23 or more medications in 11 or more drug classes, had prescriptions written by four or more prescribers, filled these prescriptions at two pharmacies and made 11 or more visits to those pharmacies.

At the end of the study, researchers had some ideas to improve medication management and adherence by these patients, which we share with you in this week's issue.

Patients with CVD, heart disease, pneumonia and stroke are frequently readmitted to the hospital, and so are the most popular targets for programs to reduce hospital readmissions, according to new market research by the Healthcare Intelligence Network. A summary of results from our second annual Reducing Readmissions survey is available for download this week.

Interestingly, this survey also revealed that chief responsibility for reducing readmissions has shifted from a registered nurse to a healthcare case manager. This month, we take a second annual look at case management efforts and results. Take this month's survey on healthcare case management by January 31 and receive a complimentary summary of results.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to pdonovan@hin.com.

HIN Associate Editor Jessica Papay
Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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This week's featured download: 2010 Benchmarks in Medication Adherence Programs

2010 Benchmarks in Medication Adherence Programs

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January 17, 2011
Vol. XIII, No. 3

Sponsored by:
Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges

This week's industry news:

  1. 3 Ways to Help Chronically Ill Better Manage Medication
  2. Improving Medication Adherence Through the Medical Home Model
  3. 3 High-Risk Factors That Lead to Readmission
  4. Guide to Health Risk Assessment and Stratification
  5. Healthcare Business White Paper: Reducing Readmissions
  6. Evidence Lacking for Widespread Use of Costly Antipsychotic Drugs
  7. New Chart: Health Incentives Eligibility
  8. Model Medical Homes
  9. Nursing Home Closures Concentrated in Poorest Areas
  10. Retooling Care Transitions
  11. Recession Contributed to Increased Health Spending Share of GDP
  12. Healthcare Trends & Forecasts in 2011
  13. HealthSounds Podcast: Advantages of a Physician-Run ACO
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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Take the monthly e-survey:
Healthcare Case Management in 2011

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


This week's industry news

1.) 3 Ways to Help Chronically Ill Better Manage Medication

A new study suggests three ways that the healthcare system can help patients with chronic illness simplify, synchronize, centralize and organize their medication management.

Get the full story.

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2.) Improving Medication Adherence Through the Medical Home Model

Improving Medication Adherence How can the medical home raise medication adherence and compliance levels, and what are the potential financial gains to be realized? This resource answers these questions by prescribing effective tactics and disease-specific success stories for in-house management of medication therapy — from the use of technology to drafting a virtual or co-located pharmacist to the medical home team.

Learn more about this resource.

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3.) 3 High-Risk Factors That Lead to Readmission

It's easier to find risk in the elderly than it is in other populations because of the exponential rise in medical costs, explains Marcia Wade, MD, FCCP, MMM, Aetna Medicare's senior medical director.

Get the full story.

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4.) Guide to Health Risk Assessment and Stratification

Guide to Health Risk Assessment and Stratification This 140-page guide describes the processes of health risk assessment (HRA) and stratification as well as applications and benefits of health assessment in the workplace and other healthcare settings. It examines the HRA's impact on cost, utilization and patient health status and answers more than 60 questions on HRAs.

Learn more about this resource.

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5.) Healthcare Business White Paper: Reducing Readmissions

This white paper summarizes the top strategies, program components, staffing requirements, targeted conditions and populations and results from readmission reduction efforts by 90 healthcare organizations in response to the Healthcare Intelligence Network’s second annual Reducing Readmissions e-survey conducted in December 2010.

Download this complimentary white paper.

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6.) Evidence Lacking for Widespread Use of Costly Antipsychotic Drugs

Many prescriptions for the top-selling class of drugs, known as atypical antipsychotic medications, lack strong evidence that the drugs will actually help, according to a study by the Stanford University School of Medicine and University of Chicago.

Get the full story.

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7.) New Chart: Health Incentives Eligibility

Health Incentives Eligibility

Financial and benefits-based incentives are used to promote participation in health and wellness programs. We wanted to see which individuals are eligible for incentives.

Click here to view the chart.

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8.) Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care

Model Medical Homes This landmark publication documents the healthcare industry's adoption of the patient-centered medical home (PCMH) model of care, and highlights programs working to integrate mental health into the medical home model. This exclusive 65-page report contains case studies on medical home adoption by Geisinger Health Plan, MetCare, Reardon Consulting, the HealthQuilt Quality Health Record and Hagen Wall Consulting.

Learn more about this resource.

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9.) Nursing Home Closures Concentrated in Poorest Areas

While wealthier people have chosen alternatives to urban nursing homes, the urban poor still depend on them for long-term care. A new study led by researchers at Brown University finds that option is nevertheless slipping away.

Get the full story.

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10.) Retooling Care Transitions to Reduce Hospitalizations in Medicare Patients

Retooling Care Transitions This 40-page resource is essential for any healthcare organizations wishing to evaluate their care transition efforts against best practices in the industry. It delivers current trends in care transition programs as well as advice and guidance from industry thought leaders on key elements of care transition programs — from enhancements to the hospital discharge process to medication reconciliation ideas to better utilization of home visits during care transitions.

Learn more about this resource.

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11.) Recession Contributed to Increased Health Spending Share of GDP

Healthcare spending in the U.S. grew 4 percent in 2009 to $2.5 trillion, or $8,086 per person, the slowest rate of growth in the 50-year history of the National Health Expenditure Accounts (NHEA), due in great part to the economic recession.

Get the full story.

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12.) Healthcare Trends & Forecasts in 2011: Performance Expectations for the Healthcare Industry

Healthcare Trends & Forecasts 2011 Feeling the squeeze from softening service demands, growing competition, reimbursement cuts and increased regulatory oversight, the healthcare industry is ripe for financial relief. In this 35-page resource, two key thought leaders look ahead to healthcare reform 2.0 — implementation and rollout and craft a healthcare reform strategy checklist, putting the smart money on models of consolidation and clinical integration that will not only increase throughput and market share but also reduce unnecessary utilization and cost.

Learn more about this resource.

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13.) HealthSounds Podcast: Advantages of a Physician-Run ACO

Advantages of a Physician-Run ACO Even though the specifics of Medicare's Shared Savings Program have yet to be defined, physician organizations can still position themselves to achieve cost savings through an independent accountable care organization (ACO), notes Jeffrey R. Ruggiero, Esq., a partner in the law firm of Arnold & Porter LLP, who is advising the Queens County Medical Society on the launch of one of New York State's largest physician ACOs. Ruggiero describes the advantages of a physician-run ACO as well as some of the regulatory, compliance and operational factors to consider prior to ACO launch.

Listen to this podcast.

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