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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

In just two years, the number of ACOs has swelled across the country, according to a new report from Oliver Wyman. A total of 25 to 31 million U.S. patients currently receive their care through ACOs, and an estimated 45 percent of the population live in regions served by at least one ACO. Researchers weren’t surprised by some of the ACO-intensive areas, namely urban areas like Los Angeles and Boston. But other ACO-rich areas were surprising, findings that support researchers’ claims that ACOs are poised to offer a competitive threat to traditional FFS medicine.

Increasing patient numbers, especially among the uninsured and Medicaid-eligible, has always been a problem for public hospitals, according to a study from the Center for Studying Health System Change (HSC), and will continue to be a problem in light of ongoing health reform. How to continue to service low-income patients without sacrificing care quality? Expanding primary care access and attracting privately insured patients are two of six strategies public hospitals are taking; other strategies are detailed in this issue.

Rising healthcare costs could be contained by an estimated $200 to $600 billion in savings over the next 10 years if care provider payments are reformed, according to a report from UnitedHealth Group's Center for Health Reform & Modernization. Around half of these savings might apply to Medicare and Medicaid, but even under optimistic assumptions about net savings and speed of adoption, health spending would continue to grow faster than incomes. Researchers maintain that payment reform is not the only answer, and needs to be pursued with other alternatives.

One potential solution for the sadly soaring numbers of cancer patients: oncology-specific EMRs that chart evidence-based treatment plans, according to a clinicians at The Mount Sinai Hospital. These EMRs enable drugs to be prescribed and health records to be exchanged electronically. Quality-related clinical data can also be captured for analysis. A panel convened specifically to study the EMRs’ effectiveness found that nearly 80 percent of people using them felt they increased their day-to-day efficiency and improved the quality of patient care.

And lastly, one aspect of healthcare that needs to be increased: the use of health coaching as a critical tool in population health management. Studies are showing that health coaches help to boost self-management of disease and reduce risk and associated cost across the health continuum. What do you think? Take HIN's fourth annual Health Coaching survey; results will demonstrate how healthcare organizations use health coaching as well as the financial and clinical outcomes that result. Complete the survey by December 21, 2012 and receive a free executive summary of the compiled results. 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 Papay
Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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December 10, 2012
Vol. XIV, No. 45

Sponsored by:
Healthcare Trends & Forecasts in 2013 — Performance Expectations for the Healthcare Industry


This week's industry news:

  1. 25 to 31 Million Americans Receive Care Through ACOs: Study
  2. New Models in the Patient-Centered Medical Home
  3. Public Hospitals Adopt 6 Strategies to Respond to Growing Capacity and Financial Pressures
  4. Prescription for Profitability
  5. Healthcare Business White Paper: Healthcare Trends in 2013
  6. Report: Healthcare Payment Reform Could Save U.S. up to $600 Billion in Coming Decade
  7. New Chart: Top 5 Health Technologies Used in Medical Homes
  8. Guide to Physician Performance-Based Reimbursement
  9. Oncology-Specific EMRs Improve Patient Care and Safety
  10. Keys to EMR / EHR Success, Second Edition
  11. 6 Success Factors in Reducing Readmissions
  12. 46 Healthcare Metrics to Boost Profitability
  13. Infographic: Online Healthcare Consumers
  14. Improving Population Health Management Through Effective, Efficient Data Analytics
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This week's industry news

1.) 25 to 31 Million Americans Receive Care Through ACOs: Study

Almost 10 percent of U.S. patients receive their healthcare from an ACO, and almost half live in areas served by at least one ACO, according to a new study from Oliver Wyman.

Get the full story.

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2.) New Models in the Patient-Centered Medical Home: Incentives, Infrastructure and IT to Support Accountable Care

New Models in the Patient-Centered Medical Home This 57-page special report offers snapshots of thriving medical home initiatives and their particular area of focus. Details on the following are also provided: organizational motivation for pursuing medical home recognition; the challenges of physician engagement; and reengineered staffing and workflows that are transforming care coordination.

Learn more about this resource.

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3.) Public Hospitals Adopt 6 Strategies to Respond to Growing Capacity and Financial Pressures

Expanding primary care access, attracting privately insured patients and ensuring financial payments are some of the strategies public hospitals have used to accommodate the growing number of uninsured and Medicaid patients, according to a study from the Center for Studying Health System Change (HSC).

Get the full story.

>>Return to this week's industry news


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

Prescription for Profitability This 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 ACO.


Learn more about this resource.

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5.) Healthcare Business White Paper: Healthcare Trends in 2013 — Industry Shows More Faith in Healthcare Reform

Healthcare Trends in 2013 Despite perennial financial constraints, a majority of respondents to HIN's ninth annual Healthcare Trends survey gave 2012 a financial thumbs-up. This HINtelligence Report provides data highlights on the top business areas affected by economic conditions in 2012, the most impactive care delivery systems, successful programs launched in 2012, business mistakes and lessons learned as well ACA impacts for the coming year.

Download this complimentary white paper.

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6.) Report: Healthcare Payment Reform Could Save U.S. up to $600 Billion in Coming Decade

Americans could save between $200 and $600 billion cumulatively over the next 10 years if care provider payment incentives are reformed, including moving away from the traditional FFS model, according to a new working paper by UnitedHealth Group’s Center for Health Reform & Modernization.

Get the full story.

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7.) New Chart: Top 5 Health Technologies Used in Medical Homes

New Chart: Top 5 Health Technologies Used in Medical Homes The patient-centered medical home (PCMH) model has been called a stepping stone to accountable care. The most recent market data from the Healthcare Intelligence Network found that electronic health records (EHRs) remained the top health IT used from 2009 (74 percent) to 2012 (90 percent). We wanted to see which other health technologies are used in medical homes.

Click here to view the chart.

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8.) 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.

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9.) Oncology-Specific EMRs Improve Patient Care and Safety

Using oncology-specific EMRs to chart evidence-based treatment plans has improved patient care and quality, according to a clincians at The Mount Sinai Hospital.

Get the full story.

>>Return to this week's industry news

10.) Keys to EMR / EHR Success, Second Edition

Keys to EMR / EHR Success, Second Edition This resource provides a proven path medical practices can follow with ease, and the confidence they’re making the right decisions about features, vendors, integration with the practice management system, and other critical factors.



Learn more about this resource.

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11.) 6 Success Factors in Reducing Readmissions

By risk-stratifying patients at high risk for hospitalizations and re-hospitalizations into a coordinated, multi-disciplinarian program, HealthCare Partners Medical Group of California has greatly reduced hospital readmissions for its patients, explains Dr. Stuart Levine, the organization’s corporate medical director. Here he identifies their top keys for success.

Get the full story.

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12.) 46 Healthcare Metrics to Boost Profitability: Charting 2012 Trends

46 Healthcare Metrics to Boost Profitability This resource delivers charts and tables on 46 actionable metrics carefully curated from 2011 market research data by the Healthcare Intelligence Network.




Learn more about this resource.

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13.) Infographic: Online Healthcare Consumers

By 2014, forecasts indicate that mobile internet consumption will exceed traditional computer consumption. How will this impact online health information? Geocentric explores this topic in a new infographic that examines mobile health searches and the type of sites that healthcare consumers visit.

Read this blog post.

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14.) Improving Population Health Management Through Effective, Efficient Data Analytics

Improving Population Health Management Through Effective, Efficient Data Analytics Enhanced reporting and efficiency, significant reductions in readmissions in congestive heart failure patients and added leverage at contract negotiation are just a few advantages Bon Secours is deriving from its EHR-based data collection tools, explains Robert Fortini, vice president and chief clinical officer at Bon Secours. Fortini talks about the health system's shift from home-grown methodologies to the sophisticated IT knowledge base powering its population health management program, resulting in data that has a "compelling" effect at contract time.

Listen to this podcast.

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