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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Good or bad, the "Jersey Shore" has been getting a lot of press lately, thanks to a hugely popular reality show filmed a few miles south of our office. A new report issued last week offers a reality check on the health of residents at the Jersey shore and nationwide. The County Health Rankings, a collaboration of The Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, ranks the overall health of every county in all 50 states after examining its health behaviors, clinical care, social and economic factors and the physical environment.

Interactive maps allow you to drill down to each county, which is ranked within the state on how healthy people are and how long they live. The maps provide an eye-opening look at key factors that affect health, such as smoking, obesity, binge drinking, access to primary care providers, rates of high school graduation, rates of violent crime, air pollution levels, liquor store density, unemployment rates and number of children living in poverty.

Our home base of Monmouth County fares pretty well, receiving an overall rating of 6 out of 21 New Jersey counties. However, there's room for improvement: we have the highest saturation of binge drinkers in the state (a risk factor for at least 10 adverse health conditions), offer only average access to primary care and could boost the numbers of Medicare enrollees receiving diabetic screenings.

Incentives often help to kick-start a health and wellness effort. There's still a few days left to take this month's survey on health and wellness incentives. Your incentive: take the survey by February 28 and receive an e-summary of the results. We've heard from more than 80 organizations so far.

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: Constructing a Medical Home — Foundation in Education Needed

Constructing a Medical Home — Foundation in Education Needed

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For advertising and sponsorship opportunities in the Healthcare Business Weekly Update, contact our Sales & Marketing Coordinator: Deirdre McGuinness, dmcguinness@hin.com

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February 22, 2010
Vol. XII, No. 7

Sponsored by:
Embedded Case Managers — Navigating Care Transitions, Gaps in Care and Patient Compliance

This week's industry news:

  1. CMS Demo Lays Foundation for Dartmouth-Hitchcock Medical Home
  2. Medical Home Reimbursement ABCs
  3. Minorities Less Likely to Use High-Volume Hospitals, Surgeons
  4. Hospitals in a Medical Home
  5. Healthcare Business White Paper: Benchmarks in Healthcare Case Management
  6. Cigarette Tax Increases Would Reduce Smoking, Raise Billions for Cash-Strapped States
  7. Health Coaching Benchmarks, 2010 Edition
  8. Proposed California State Cuts Could Harm Elderly Care
  9. Elderly Health Services Letter
  10. HHS Report Highlights Health Insurance Premium Increases in U.S.
  11. Healthcare Trends & Forecasts in 2010
  12. HealthSounds Podcast: Medical Home Open House Highlights Part 1
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.

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This week's industry news

1.) CMS Demo Lays Foundation for Dartmouth-Hitchcock Medical Home

Dr. Barbara Walters, D.O., M.B.A., senior medical director at Dartmouth-Hitchcock Medical Center, details how participation in CMSís physician group practice demo contributed to the construction of Dartmouthís medical home and reimbursement model.

Although it wasnít our original intention, participation in the CMS physician group practice (PGP) demo retrospectively allowed us to build the medical home, although we didnít know at the time that we were doing that. Building the clinical model first was a key to the measure of our success in being able to contract with both commercial plans and Medicaid in our area. This project also became the model for reimbursement and for our contracting.

Get the full story.

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2.) Medical Home Reimbursement ABCs: Funding Care Delivery through ACOs, Bundled Payments and Concrete Contracts

Medical Home Reimbursement ABCs This resource provides a primer on emerging reimbursement models that are getting payors' and providers' attention while delivering cost savings. This 50-page report profiles three healthcare organizations that are redefining healthcare reimbursement with their pilots of new payment models and contracting strategies.

Learn more about this resource.

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3.) Minorities Less Likely to Use High-Volume Hospitals, Surgeons

African-Americans are much less likely to receive surgical treatment at hospitals and from physicians who perform high volumes of specialized procedures, according to a new study led by the Yale School of Public Health. The researchers examined tens of thousands of patients and found that African-Americans were "significantly" less likely than their white peers to be operated on for many potentially life-threatening conditions at hospitals and by surgeons who performed the highest number of procedures for various cancers, cardiovascular diseases and hip replacement.

Get the full story.

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4.) Hospitals in a Medical Home: Partners in Enhancing Access, Health Status and Cost Avoidance

Hospitals in a Medical Home In this resource, the director of a medical home network demonstrates how hospitals can partner with medical homes to deliver patient-centered care to uninsured and low-income patients while reaping the financial benefits associated with decreased utilization and duplication of services.

Learn more about this resource.

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5.) Healthcare Business White Paper: Benchmarks in Healthcare Case Management

Healthcare case managers are playing a larger role in the coordination of all phases of patient cares. This HIN white paper examines the expanding focus, responsibilities and impact of case management in healthcare, from populations benefiting from case management to metrics on case loads, ROI and performance measurement through responses provided by 187 healthcare organizations.

Download this complimentary white paper.

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6.) Cigarette Tax Increases Would Reduce Smoking, Raise Billions for Cash-Strapped States

By increasing cigarette taxes by $1 per pack, the states could raise more than $9 billion in new annual revenue to help close severe budget shortfalls, while also reducing smoking and saving lives, according to a new report by a coalition of public health organizations. A national poll released along with the report finds that 67 percent of voters support a $1 tobacco tax increase.

Get the full story.

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7.) Health Coaching Benchmarks, 2010 Edition: Operations and Performance Data for Optimal Program ROI and Participant Health Status

Health Coaching Benchmarks, 2010 Edition This all-new resource is packed with actionable new data on health coaching activity, with the latest metrics on the prevalence of health coaching, favored delivery methods, targeted populations and lifestyle conditions, preferred behavior change models, coaching case loads and much more based on feedback from 187 healthcare organizations.

Learn more about this resource.

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8.) Proposed California State Cuts Could Harm Elderly Care

Governor Schwarzenegger has recommended to cut more than $950 million from Californiaís In-Home Supportive Services (IHSS) program, a move that could eliminate services for 87 percent of IHSS recipients in California — approximately 427,000 senior citizens and others with disabilities. And all recipients could lose services if the state does not receive additional federal funding requested by the governorís office. The IHSS program is just one of several safety-net programs targeted for cuts under the governorís proposal.

Get the full story.

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9.) Elderly Health Services Letter

Elderly Health Services Letter An essential tool for senior services professionals, this resource stays on top of the most current challenges facing senior services professionals, including financing and funding senior services, marketing, positioning senior services for managed care, getting administrative support, forging partnerships to participate in the continuum of care, developing new programs and services, advancing health promotion and wellness initiatives, and measuring outcomes and performance. Each month, you'll get the latest management intelligence regarding financing strategies, marketing success stories, solutions to staffing and management challenges, funding opportunities and legislative alerts.

Learn more about this resource.

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10.) HHS Report Highlights Health Insurance Premium Increases in U.S.

A new HHS report, Insurance Companies Prosper, Families Suffer: Our Broken Health Insurance System, highlights health insurance premium increases in states across the country and comes shortly after Anthem Blue Cross announced plans to raise rates on its California customers by as much as 39 percent, even after its parent company took in a profit of $2.7 billion in the previous quarter.

Get the full story.

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11.) Healthcare Trends & Forecasts in 2010: Performance Expectations for the Healthcare Industry

Healthcare Trends & Forecasts in 2010 In HIN's annual industry forecast, two analysts predict the 2010 climate for physicians, hospitals and health plans, proposing strategies to close care and business gaps, likely areas for new products, and ways to rethink payment and benefit design to support changing healthcare delivery systems.

Learn more about this resource.

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12.) HealthSounds Podcast: Medical Home Open House Highlights Part 1 — Focus on Care Continuity, Quality and Access

Medical Home Open House Highlights Part 1 The opening sessions of the Medical Home Open House webinar series delivered tips for improving care continuity, quality and access for patients assigned to a medical home.

Listen to this podcast.

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