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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Over 30 percent of both men and women in the Medicare population are estimated to be obese, and obesity is directly and indirectly associated with many chronic diseases. To address this problem, CMS recently announced that it will now cover screening and counseling for eligible beneficiaries who are obese, or are at risk for obesity. Face-to-face counseling sessions can last for up to 12 months if participants adhere to program guidelines and are successful in losing weight. More details in this issue.

Thirty-day readmission rates have become a publicly reported quality performance measure for congestive heart failure, acute myocardial infarction, and percutaneous coronary intervention (PCI.) However, little has been known regarding the factors associated with 30-day readmissions after PCI. Researchers from Saint Marys Hospital, which is part of Mayo Clinic, identified nearly 16,000 PCI hospitalizations (elective or for acute coronary syndromes) from January 1998 through June 2008 and found that, within 30 days after discharge, about 10 percent of patients were readmitted, and nearly 1 percent resulted in death within days after discharge.

The mHealth application market is expected to exceed $40 million annually by 2016. Much of that growth will be triggered by the ability of mobile handsets to easily connect to wearable devices that enable new functionality and accuracy. Researchers predict that home monitoring systems for aging users will be among the populations to reap the benefits of this trend.

Employer-sponsored health insurance premiums increased by 50 percent in the last eight years, and per-person deductibles doubled across the country. But this increase in costs didn't mean that health coverage increased as well; instead, people were generally asked to pay more for less, according to the Commonwealth Fund’s recent report on state trends in premiums and deductibles. If trends continue at this rate, the average premium for family coverage will rise 72 percent by 2020, to nearly $24,000, researchers say.

And lastly, what was the biggest challenge for your organization in 2011, and how have you addressed this challenge? Let us know, by participating in our Healthcare Trends for 2012 e-survey, which is open for just a few more days. You'll receive a free executive summary of the compiled results, and your responses will be kept strictly confidential. One respondent will win a training DVD of the 2012 Healthcare Trends and Forecasts webinar recorded on November 2, 2011.

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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This week's featured download: 2010 Benchmarks in Obesity and Weight Management

2010 Benchmarks in Obesity and Weight Management

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December 5, 2011
Vol. XIII, No. 45

Sponsored by:
The ICD-10 Compliance Challenge: Automating Trading Partner and Affiliate Readiness

This week's industry news:

  1. Medicare to Cover Screening and Counseling for Obesity
  2. 2011 Benchmarks in Population Health Management
  3. mHealth Applications Will Exceed $400 Million Annually by 2016
  4. Real ROI from Health Management
  5. Healthcare Business White Paper: 2010 Telehealth Benchmarks
  6. Getting Physician Buy-In for Bundled Payments
  7. New Chart: Top 5 Measures of Successful Incentives Programs
  8. Case Study in Bundled Payments
  9. Nearly 1 in 10 Patients Undergoing PCI Readmitted Within 30 Days
  10. Guide to Reducing Medicare Readmissions, Vol. II
  11. Employer Health Insurance Premiums Increased 50 Percent from 2003 to 2010
  12. Prescription for Profitability
  13. Mini Medical Homes Open Door to Disease-Based Patient-Centered Care
  14. HealthSounds Podcast: Reducing Avoidable ER Visits by Medicaid Patients Through Quality-Based Interventions
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This week's industry news

1.) Medicare to Cover Screening and Counseling for Obesity

Medicare will now provide screening and counseling for eligible beneficiaries who are obese, or are at risk for obesity. Benefits will cover cost of these preventive services by primary care providers in settings such as physicians’ offices.

Get the full story.

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2.) 2011 Benchmarks in Population Health Management: What's Working in Coaching, Weight Control and Tobacco Cessation

2011 Benchmarks in Population Health Management This book takes a comprehensive look at industry activity in health coaching as a whole, then drills down to condition-specific programs. The disease management data contained in this benchmarks report are derived from three separate surveys conducted in 2010 by the Healthcare Intelligence Network, to which a total of 425 organizations responded.

Learn more about this resource.

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3.) mHealth Applications Will Exceed $400 Million Annually by 2016

The mobile health (mHealth) application market will grow to over $400 million in 2016 — up from just $120 million in 2010, according to a new report from ABI Research.

Get the full story.

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4.) Real ROI from Health Management: Cost Savings through Coaching and Disease Management

Real ROI from Health Management This 50-page report provides strategies, models and advice for achieving ROI from health improvement initiatives from a number of thought leaders. Based on their experiences with health improvement programs focused on nutrition, exercise, tobacco, medication adherence and more, these experts detail the measures to look at when evaluating health coaching and population health programs and provide case studies of how they are using these measures to demonstrate a health management ROI.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2010 Telehealth Benchmarks

This white paper captures the nuts and bolts of telehealth services offered by 111 healthcare organizations who responded to HIN's September 2010 Telehealth and Telemedicine survey, including top technologies, targeted populations and prevalence of remote monitoring.

Download this complimentary white paper.

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6.) Getting Physician Buy-In for Bundled Payments

Physician buy-in was one key to Baptist Health System's success with CMS's Acute Care Episode (ACE) demonstration pilot, explains Michael Zucker, FACHE, senior vice president and chief development officer.

Get the full story.

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7.) New Chart: Top 5 Measures of Successful Incentives Programs

Measures of Successful Incentives Programs Healthcare companies have grown increasingly creative in their use of economic and benefits-based incentives to drive engagement and participation in health and wellness programs. We wanted to see how healthcare companies measure the success of their incentive programs.

Click here to view the chart.

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8.) Case Study in Bundled Payments: The Baptist Health System Experience

Case Study in Bundled Payments This 24-page report documents the care payment experience of Baptist Health System in the CMS ACE demonstration pilot. Data from the ACE demonstration helped to lay the groundwork for the CMS Bundled Payments initiative announced in August 2011.


Learn more about this resource.

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9.) Nearly 1 in 10 Patients Undergoing PCI Readmitted Within 30 Days

About one in 10 patients undergoing percutaneous coronary intervention (PCI) are readmitted within 30 days, a factor that has been associated with an increased risk of one-year mortality, according to a recent study in the Archives of Internal Medicine.

Get the full story.

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10.) Guide to Reducing Medicare Readmissions, Vol. II

Guide to Reducing Medicare Readmissions, Vol. II This guide examines innovative interventions to reduce preventable admissions, rehospitalizations and ER visits by high-utilizing Medicare beneficiaries. This guide looks at four multidisciplinary collaborative interventions aimed at key factors fueling readmissions in this population — and that support an accountable care vision.

Learn more about this resource.

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11.) Employer Health Insurance Premiums Increased 50 Percent from 2003 to 2010; Employees' Share Up 63 Percent

Employer-sponsored health insurance premiums increased by 50 percent from 2003 to 2010, and the annual amount that employees paid toward their insurance increased by 63 percent in that time frame, according to a new Commonwealth Fund report that examines state trends in health insurance costs.

Get the full story.

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12.) Prescription for Profitability: 50 Ideas to Stimulate Healthcare Savings

Prescription for Profitability This 35-page resource delivers cutting-edge advice on key programs funded for pilots, demos and incentives in healthcare reform — the patient-centered medical home, health coaching, care transitions, hospital readmissions, medication management and innovative payment models like the accountable care organization (ACO).

Learn more about this resource.

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13.) Mini Medical Homes Open Door to Disease-Based Patient-Centered Care

Call it Medical Homes 2.0: disease-specific ‘mini’ medical homes for high-risk, high cost patients with chronic diseases.

Read this blog post.

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14.) HealthSounds Podcast: Reducing Avoidable ER Visits by Medicaid Patients Through Quality-Based Interventions

Dr. Mina Chang An Ohio collaborative of Medicaid plans is using a rapid cycle quality improvement approach to reduce avoidable ER visits by its Medicaid beneficiaries. One of the five regions targeted by the collaborative is Toledo, Ohio — known for having the highest emergency department utilization in the nation. Mina Chang, Ph.D., of the Bureau of Health Services Research for the Ohio Department of Job & Family Services, outlines the framework of the collaborative. She explains its population-based and patient-centered approach and describes some of the priority populations targeted by the collaborative's interventions.

Listen to this podcast.

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