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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

With the summer weather heating up here on the East Coast, so are the first implementations of the Affordable Care Act. In an attempt to improve the affordability of prescription drug coverage under Medicare Part D, seniors eligible for a rebate to fill the "donut hole" received checks in June and July. Rebates will continue to arrive this year as Medicare Part D recipients fall into the donut hole. In other reform news, CMS' Hospital Compare web site has added outpatient and ED quality of care measures to its web site, providing consumers with additional insight into hospital performance levels. The transparency of the quality measures available on the Hospital Compare web site has led to improvements in patient satisfaction measures for these hospitals, CMS has reported. Lastly, as payors and providers increase the number of PCMH pilots and programs available in preparation for provisions in the Affordable Care Act, we've released our fourth annual analysis of the PCMH model of care. Download your copy today.

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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July 12, 2010
Vol. XII, No. 25

Sponsored by:
Minimum Medical Loss Ratios — How Health Plans Should Prepare for the January Compliance Requirements

This week's industry news:

  1. More Organizations Now Familiar with Term “Medical Home” Since 2006, Survey Finds
  2. 2010 Medical Home Performance Benchmarks
  3. New Data Added to HealthCare.gov to Help Americans Understand Hospital Quality Care
  4. Benchmarks in Reducing Hospital Readmissions
  5. Healthcare Business White Paper: 2010 Benchmarks in Managing Care Transitions Across Sites
  6. Depression May Nearly Double Dementia Risk
  7. New Chart: Tactics to Prevent Readmissions
  8. Major Depression and Bipolar Disorder
  9. End-of-Life Care in Teaching Hospital Good, But More Family Communication Needed
  10. The Medical Home Case Manager
  11. More Seniors to Receive One-Time Donut Hole Rebate Checks
  12. Managed Medicare and Medicaid Factbook
  13. HealthSounds Podcast: The Emerging Role of Nurse Practitioners
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.) More Organizations Now Familiar with Term “Medical Home” Since 2006, Survey Finds

Patient-centered medical home (PCMH) pilots are in high gear around the country and high on the healthcare reform agenda. Recent studies indicate that the PCMH can deliver quality care at little or no added cost.

Get the full story.

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2.) 2010 Medical Home Performance Benchmarks: Adoption, Utilization and Results

2010 Medical Home Performance Benchmarks This exclusive 65-page report is the Healthcare Intelligence Network's second annual analysis of awareness, adoption, tools, technologies, challenges, benefits and outcomes of the patient-centered medical home (PCMH) model of care. It analyzes the responses of 156 healthcare organizations to HIN's fourth annual Industry Survey on the PCMH Model, administered in March 2010. It updates metrics and measures on current and planned PCMH initiatives — including the emerging trend of the embedded case manager — as well as lessons learned and results from living PCMHs.

Learn more about this resource.

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3.) New Data Added to HealthCare.gov to Help Americans Understand Hospital Quality Care

Important, new information about the quality of care available in America’s outpatient and EDs, including how well hospitals care for patients with heart attacks and protect outpatients from surgical infections, was added to the new HHS Web site HealthCare.gov.

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: 2010 Benchmarks in Managing Care Transitions Across Sites

This white paper captures the top programs and activities by 87 healthcare organizations to coordinate key care transitions in response to the Healthcare Intelligence Network May 2010 Managing Care Transitions Across Sites e-survey.

Download this complimentary white paper.

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6.) Depression May Nearly Double Dementia Risk

A new study shows that having depression may nearly double your risk of developing dementia later in life. The research will be published in an issue of Neurology®, the medical journal of the American Academy of Neurology.

Get the full story.

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7.) New Chart: Top 13 Tactics to Prevent Readmissions

Tactics to Prevent Readmissions

To avoid leaving reimbursement money on the table, healthcare organizations are working hard to reduce avoidable rehospitalizations, especially among Medicare patients. We wanted to identify the top strategies for reducing readmissions.

Click here to view the chart.

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8.) Major Depression and Bipolar Disorder — Evaluation and Management Guideline

Major Depression and Bipolar Disorder This 109-page resource provides clinical guidelines for the evaluation and management of depression and bipolar disorder with extensive references and resources. It is updated annually.

Learn more about this resource.

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9.) End-of-Life Care in Teaching Hospital Good, But More Family Communication Needed

Patients admitted to a teaching hospital for an end-of-life illness generally receive high-quality medical care, but there is a need for better communication about family expectations and for timely efforts to keep patients comfortable, according to a new study.

Get the full story.

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10.) The Medical Home Case Manager: Profiting from Patient-Centered Care Coordination

The Medical Home Case Manager This resource provides an inside look at the selection, training, skill set, processes and benefits of the Geisinger Health Plan case managers embedded within the payor's medical home practices.

Learn more about this resource.

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11.) More Seniors to Receive One-Time Donut Hole Rebate Checks

The next round of more than 300,000 eligible seniors who have entered the Medicare Part D "donut hole" this year have been mailed their tax-free, one time rebate check for $250, according to HHS. These one-time rebate checks are the first step in closing the prescription drug coverage gap under the Affordable Care Act.

Get the full story.

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12.) Managed Medicare and Medicaid Factbook: 2010

Managed Medicare and Medicaid Factbook As the economic downturn leads to more low-income enrollees and the political climate threatens to significantly alter how managed Medicare and Medicaid work, you need up-to-date enrollment data to help you assess the competitive landscape and develop strategic plans. This resource has current and historical statistics so you can easily make plan-by-plan or state-by-state comparisons to suit your analytical needs.

Learn more about this resource.

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13.) HealthSounds Podcast: The Emerging Role of Nurse Practitioners in Expanding Access, Enhancing Revenue

Linda Lindeke Nurse practitioners constitute a workforce already grounded in patient-centered care, explains Linda Lindeke, Ph.D., an RN and a nurse practitioner herself since 1978. Lindeke, who is also associate professor for the School of Nursing and Department of Pediatrics and director of Graduate Studies for the School of Nursing at the University of Minnesota, describes the demographics where a nurse practitioner's contributions might need clarification, explains why there's not much mention of the medical home in nursing literature and assesses the impact of the Affordable Care Act's $15 million allocation to fund 10 nurse practitioner-led clinics that will provide primary care services to the medically underserved.

Listen to this podcast.

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