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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Remote monitoring of some Aetna Medicare members with CHF combined with enhanced case management has meant more timely attention to health alerts, resolution of medication errors and increased engagement of the member, physician and nurse case manager, according to early results of a study featured in this week's issue.

We've already seen how the application of telemononitoring or case management alone can impact this population, so we imagine the combined intervention is hard to beat. According to a HIN benchmark study on the use of telehealth, more than half of survey respondents are using remote monitoring, with more than four-fifths focusing this effort on patients with CHF. In a 2010 study of healthcare case management trends, more than 80 percent of respondents employ case managers, of which more than half are primarily focused on CHF patients.

Use the links above to download these complimentary study results. And while you're on our site, be sure to take this month's survey on health risk assessments so you can learn how healthcare organizations are using aggregate data from HRAs to fashion health interventions and reduce costs for their populations.

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: Healthcare Makes History — Assessing Impact of Landmark Reform Laws

Healthcare Makes History — Assessing Impact of Landmark Reform Laws

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June 14, 2010
Vol. XII, No. 22

Sponsored by:
Improving Physician Performance and Value-Based Reimbursement Levels Through Meaningful Data Sharing

This week's industry news:

  1. Few Health Reform Options Would Have Covered More People at Lower Cost Than New Law
  2. Shared Savings in the Medical Home
  3. Calculating Health Coaching ROI
  4. Health Coach Hiring, Training and ROI
  5. Healthcare Business White Paper: Clinical Case Management
  6. Psychological Intervention Provides Health Benefits for Women with Breast Cancer
  7. New Chart: Top 5 Occasions to Boost Medication Adherence
  8. Benchmarks in Health & Wellness Incentives, 2010 Edition
  9. CHF Patients Benefit from Remote Monitoring, Case Management
  10. Reducing Readmissions
  11. Center for Medicare and Medicaid Innovation Must Develop, Implement Payment Reforms
  12. Principles of a Patient-Centered Practice
  13. HealthSounds Podcast: Medical Home Contracting
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.) Few Health Reform Options Would Have Covered More People at Lower Cost Than New Law

The recently enacted federal healthcare reform law provides health insurance coverage to the largest number of Americans while keeping federal costs as low as reasonably possible, according to a new analysis from the RAND Corporation.

Get the full story.

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2.) Shared Savings in the Medical Home

Shared Savings in the Medical Home A shared savings approach for reimbursement can be an effective recruiting tool for high-quality providers to participate in medical home programs. This webinar examines the structure of a shared savings agreement in place in Grand Junction, Colorado — an area touted for its high-quality care and lowered healthcare costs.

Learn more about this resource.

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3.) Calculating Health Coaching ROI

A successful health coaching program has to measure and defend the behavioral, health and financial outcomes it generates. Dr. Elizabeth Rula, principal investigator of Health Outcomes Research at Healthways Inc., provides some primary considerations for calculating ROI from health coaching.

Get the full story.

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4.) Health Coach Hiring, Training and ROI: Profiting from Behavior Change

Health Coach Hiring, Training and ROI This 50-page report provides strategies for the screening, hiring, training, mentoring, certification and continued educational support of health coaches, as well as metrics for evaluating the success of an online, telephonic or in-person coaching effort and maximizing program ROI.

Learn more about this resource.

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5.) Healthcare Business White Paper: Clinical Case Management — A Common Platform for Managing Health and Productivity

As economic connections between employee health and workforce productivity have been more clearly delineated, employers are considering health and productivity management as a business strategy that can increase corporate earnings. Integrating the management of their benefit programs is one option for such strategies, but certainly not the only means of achieving this goal.

Download this complimentary white paper.

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6.) Psychological Intervention Provides Health Benefits for Women with Breast Cancer

Stress-reducing psychological intervention helps to increase survival and quality of life among women with recurrent breast cancer over the long-term, according to results of Phase III study published in Clinical Cancer Research.

Get the full story.

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7.) New Chart: Top 5 Occasions to Boost Medication Adherence

Occasions to Boost Medication Adherence

Medication adherence programs can improve patient care and lower healthcare costs by more effectively managing chronic medication utilization. We wanted to see at which points in care organizations were most heavily focused on improving medication adherence.

Click here to view the chart.

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8.) Benchmarks in Health & Wellness Incentives, 2010 Edition: Utilization and Effectiveness Data to Drive Health Promotion, Compliance and ROI

Benchmarks in Health & Wellness Incentives, 2010 An all-new follow-up to the best-selling 2009 edition, this resource is packed with actionable new metrics on incentives activity, including the prevalence of incentives, favored incentive types, the population health management activities most often incentivized, identification and eligibility of recipients, and incentive program challenges, measurement tools, results and ROI.

Learn more about this resource.

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9.) CHF Patients Benefit from Remote Monitoring, Case Management

Chronic heart failure (CHF) is one of the most common causes of hospitalization for elderly Americans, and is also one of the nationís most costly conditions to treat. A study from Aetna and Intel Corporation demonstrates how the combination of remote patient monitoring and nurse case management could improve the health of Medicare beneficiaries with CHF.

Get the full story.

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10.) Reducing Readmissions: Interventions, Incentives and Infrastructure

Reducing Readmissions: Interventions This report presents case studies from three healthcare organizations — including a case study from Aetnaís Dr. Randall Krakauer — whose efforts have significantly reduced avoidable hospital readmissions in high-risk populations and include the alignment of financial incentives to readmission rates.

Learn more about this resource.

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11.) Center for Medicare and Medicaid Innovation Must Develop, Implement Payment Reforms to Achieve Goals of Effective, Coordinated, Efficient Care

The new Center for Medicare and Medicaid Innovation (CMI) must be inclusive and flexible in developing and implementing payment initiatives, continuously monitor their impact and rapidly disseminate them if they appear to be successful, in order to realize the potential for improved healthcare delivery and reduced spending, according to a new Health Affairs article by Commonwealth Fund researchers.

Get the full story.

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12.) Principles of a Patient-Centered Practice: Medical Home Guidelines for Staffing, Recognition and Evidence-Based Care

Principles of a Patient-Centered Practice This resource delivers essential lessons in a practice-wide redesign from organizations that have already completed the transformation to a medical home — including two of the top 10 commercial health plans for 2009-2010 as ranked by the National Committee for Quality Assurance (NCQA) and the US News Media Group and a Level III NCQA-recognized medical home.

Learn more about this resource.

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13.) HealthSounds Podcast: Medical Home Contracting — Building a Solid Framework

Dr. Barbara Walters There are several ways a healthcare organization can bring clinical credibility to the medical home contract negotiating table, explains Dr. Barbara Walters, senior medical director for Dartmouth-Hitchcock Medical Center. She describes the ways in which the medical home contracting process differs from the standard payor contracting experience and highlights some typical performance guarantees to include in a medical home contract.

Listen to this podcast.

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