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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Faced with nearly irreconcilable differences after a seven-hour healthcare summit last Thursday, there's renewed talk of Democrats employing a little-used parliamentary tool known as budget reconciliation to pass their version of healthcare reform. Budget reconciliation allows legislation tied to the budgeting process to be passed with a simple majority rather than a 60-vote majority needed to block filibusters.

While the debate simmers, a new analysis by the Kaiser Family Foundation indicates that state Medicaid rolls are bursting with new enrollees. The analysis, a featured story this week, found that nearly 3.3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June. Every state experienced an increase in Medicaid enrollment, and in 32 states enrollment grew at least twice as fast as the year before. The swelled Medicaid ranks come at a time when 29 states are considering mid-year cuts to Medicaid budgets, and federal monies from the American Recovery and Reinvestment Act of 2009 will shortly expire.

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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March 1, 2010
Vol. XII, No. 8

Sponsored by: Health Integrated

Healthcare reform is the topic of a robust debate. At its core is the use of primary care to improve health while decreasing cost. Health Integrated hosts the PCMH Community Blog which discusses key issues of primary care including implementation, outcomes and much more involved in running a successful PCMH. Please join the discussion.

This week's industry news:

  1. Kaiser Analysis Finds Record Medicaid Enrollment Growth in 2009
  2. Medical Home Case Studies
  3. Readmissions Benchmarks: Targeted Conditions and Identification Methods
  4. Benchmarks in Reducing Hospital Readmissions
  5. Healthcare Business White Paper: Benchmarks for Assessing Effectiveness, Trust, Outcomes and Perceptions of Cost
  6. Outpatient Care for Severely Mentally Ill Reduces Crime
  7. Clinical Case Formulations
  8. Untreated Poor Vision in Elderly Linked to Dementia
  9. Medicare Disease Management
  10. More than $1.1 Million in Grants Available for Community-Based Drug Prevention Coalitions
  11. Prevention is Primary: Strategies for Community Well Being
  12. HealthSounds Podcast: Enhancing Care and Communication Through Health IT
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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This week's industry news

1.) Kaiser Analysis Finds Record Medicaid Enrollment Growth in 2009

With the country mired in a deep recession, nearly 3.3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June, according to a new analysis by the Kaiser Family Foundationís Commission on Medicaid and the Uninsured (KCMU). It was the biggest ever one-year increase in terms of absolute numbers, and boosted the June monthly Medicaid enrollment by 7.5 percent to 46.9 million people.

Get the full story.

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2.) Medical Home Case Studies: Profiles in the Patient-Centered Approach

Medical Home Case Studies This 100-page special report provides different experiences on the adoption, organization, delivery, funding and outcomes of the medical home model. This resource profiles the efforts of 11 healthcare organizations as they explore the benefits, opportunities and challenges of the patient-centered medical home model from the viewpoints of payor, hospital, physician, nurse practitioner, case manager and C-suite executive. Supplemented with key graphs and data, these case studies provide details on disease-specific medical home approaches, care management transition teams, medical homes for high-risk patients and much more.

Learn more about this resource.

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3.) Readmissions Benchmarks: Targeted Conditions and Identification Methods

Findings published in an April 2009 issue of the New England Journal of Medicine formalized what healthcare organizations have observed for a long time: that Medicare readmissions are frequent and costly. Given this data, it's not surprising that more than 40 percent of respondents to the Healthcare Intelligence Network Reducing Hospital Readmissions survey are focusing much of the work to reduce readmissions on their Medicare population. However, organizations who have successfully reduced avoidable hospitalizations among the elderly say it's not unusual for these pilot efforts to trickle down to all patients with high-risk factors, especially when the pilot programs get positive results.

Get the full story.

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4.) Benchmarks in Reducing Hospital Readmissions

Benchmarks in Reducing Hospital Readmissions As many payors begin to tie reimbursement to hospital readmission data, this 50-page resource provides actionable information from 107 healthcare organizations on their efforts to reduce avoidable readmissions in their most vulnerable and highest-utilization populations. This resource provides metrics and measures on current and planned initiatives as well as lessons learned and results from early adopters of readmission reduction strategies.

Learn more about this resource.

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5.) Healthcare Business White Paper: Online Healthcare — Benchmarks for Assessing Effectiveness, Trust, Outcomes and Perceptions of Cost

According to a Wall Street Journal article, only 19 percent of employees who were able to choose their healthcare plan chose a consumer-directed plan. Those already enrolled in such a plan often report low satisfaction and confusion about how the plan works. Companies offering these plans can do a better job at communicating what HSAs and HDHPs are, how they work and why the consumer should be enrolled in one. The Web offers the potential for companies to provide this information and get consumers started easily and quickly.

Download this complimentary white paper.

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6.) Outpatient Care for Severely Mentally Ill Reduces Crime

Researchers at the Mailman School of Public Health have determined that mandatory outpatient treatment for New Yorkers with severe mental illness leads to a drop in violent criminal behavior. According to the researchers, the study is the first to fully assess the merits of Kendraís Law, enacted in 1999, which mandates outpatient care for New Yorkers with psychotic disorders and other mental illnesses.

Get the full story.

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7.) Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client

Clinical Case Formulations This innovative new guide addresses the essential question facing every therapist with a new client: How do I create a treatment plan that is the best match for my client? This unique resource provides a systematic method to integrate ideas, skills, and techniques from different theoretical approaches, empirical research, and clinical experience to create a case formulation that is tailor-made for the client. With this practical guide you will learn to conceptualize your clients' needs in ways that lead to effective treatment plans while finding the tools for troubleshooting when interventions fail to produce expected benefits.

Learn more about this resource.

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8.) Untreated Poor Vision in Elderly Linked to Dementia

Elderly people with visual disorders that are left untreated are significantly more likely to develop Alzheimerís disease — the most common form of dementia, according to a University of Michigan (U-M) Health System study. The study was based on surveys and medical information from 625 people compiled from 1992-2005. The researchers analyzed data from the nationally representative Health and Retirement Study and records from CMS.

Get the full story.

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9.) Medicare Disease Management: Tactics to Improve Health, Education and Independence in an Aging Population

Medicare Disease Management This special report highlights challenges and opportunities in working with the Medicare population, strategies to close gaps in care, and steps for sustaining system change and improved outcomes within senior care communities. Industry experts provide inside details on how disease management programs can serve the needs of Medicare beneficiaries with chronic conditions to improve their health status, while reducing spending on these conditions.

Learn more about this resource.

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10.) More than $1.1 Million in Grants Available for Community-Based Drug Prevention Coalitions

More than $1.1 million in grants are now available for new Drug-Free Communities Support Mentoring program (DFC Mentoring). An estimated 15 new mentoring grants will be awarded (up to $75,000 per grant, per year) to drug and alcohol prevention community coalitions from across the nation. The length of the project period is up to two years.

Get the full story.

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11.) Prevention is Primary: Strategies for Community Well Being

Prevention is Primary This resource provides models, methods, and approaches for building health and equity in communities. Written in accessible and understandable language, this comprehensive book includes the theory, concepts, and models needed to harness social justice and practice primary prevention of unnecessary illness and injury in the first place. This resource, written by associates of the nationally renowned Prevention Institute, is a theory-to-practice book for students, faculty practitioners and community leaders who want to take a proactive stance against the most pressing health problems in the community including asthma, tobacco, violence, HIV, poor nutrition and physical inactivity, health disparities and environmental injustice. This volume provides a comprehensive and practical understanding of prevention on a community level.

Learn more about this resource.

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12.) HealthSounds Podcast: Enhancing Care and Communication Through Health IT

Enhancing Care and Communication Through Health IT Health IT is extremely important in improving an organization's communication and prevention strategies, says Ewa Matuszewski, CEO of Medical Network One. In this podcast, Matuszewski also comments on how health IT supports the joint principles of the PCMH and describes how her health IT tool of choice can be a stepping stone to further implement IT within an organization.

Listen to this podcast.

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