HIN logo
From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Telehealth is a heavy hitter in healthcare reform — both as a means of extending primary care access and as a target for coveted health IT dollars. This week we feature the United Health Group-Cisco partnership to build "Connected Care" — the first national telehealth network. The program combines audio and video technology and health resources to greatly expand physicians’ reach into rural, urban and other underserved areas. As we discovered during a recent webinar on healthcare IT in care management, telehealth has already made a believer out of Dr. Thomas Kline, medical director at the Iowa Medicaid Enterprise, which used telephonic self-reporting to engage Medicaid patients in rural areas of the state in its disease and care management programs. You can read more about Dr. Kline's response and program results, including whether the group reached its target of 50 percent engagement, in the HIN blog.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to pdonovan@hin.com.

Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

>>Return to top

HIN podcasts: www.hin.com/podcasts/...
HIN blog: blog.hin.com
HIN videos: www.youtube.com/HealthSounds
New HIN products: store.hin.com

Contact HIN:
www.hin.com
(888) 446-3530
(732) 528-4468
Fax: (732) 292-3073
Email: info@hin.com

This week's featured download: Healthcare IT — Many Wired for Automated Claims Management

Healthcare IT — Many Wired for Automated Claims Management

Featured download










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

>>Return to top

July 20, 2009
Vol. XI, No. 27

Sponsored by:
Meet the Medical Home Neighbor: Accountable Care Organizations

This week's industry news:

  1. First National Telehealth Network Aims to Expand Healthcare Access
  2. Health IT in Care Management to Improve Health and Effect Behavior Change
  3. ER Visit Reduction Efforts Best Focused on Non-Emergent Cases
  4. Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options
  5. Healthcare Business White Paper: Reducing Impact of Uninsured & Underinsured on the Healthcare Industry
  6. Crisis Lines Report Prescription Drug Abuse on the Rise
  7. Drugs, the Brain and Behavior: The Pharmacology of Abuse and Dependence
  8. Cognitive Training Reduces Older Adults' Healthcare Costs
  9. The Next Generation of Health Coaching: Multi-Platform Models for Sustained Behavior Change
  10. Uninsured Account for Nearly One-Fifth of ER Visits
  11. For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement
  12. HealthSounds Podcast: Medical Home Contracting — Building a Solid Framework
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.

Join our Community: Twitter Facebook LinkeIn


Take the monthly e-survey:
Health Coaching Trends in 2009

You'll be emailed a synopsis of the survey results.


This week's industry news

1.) First National Telehealth Network Aims to Expand Healthcare Access

UnitedHealth Group and Cisco are partnering to build the first national telehealth network, which will give patients access to physicians and specialists when in-person visits are not possible. The new “Connected Care” program combines audio and video technology and health resources to greatly expand physicians’ reach into rural, urban and other underserved areas.

Get the full story.

>>Return to this week's industry news


2.) Health IT in Care Management to Improve Health and Effect Behavior Change

Health IT in Care Management The most sophisticated technology in the world will not engage patients and members in health improvement if they are not convinced of the value of the program to their health, the commitment of their providers to the process and the credibility of the entire care team. Those are some of the findings detailed in this special report, which describes the enrollment and engagement of patients in telemedicine programs in a variety of care settings.

Learn more about this resource.

>>Return to this week's industry news


3.) ER Visit Reduction Efforts Best Focused on Non-Emergent Cases

Dr. James Glauber, medical director for Neighborhood Health Plan of Massachusetts, explains why his organization no longer targets “frequent flyers” in programs to reduce ER use.

When intervening to reduce ER visits, one of the decision points a plan needs to make is whether they’re going to focus on frequent ER utilizers — who make up only a small percentage of total ER use — or whether they’re going to adopt a broad-based strategy to target ER use among the 90 percent of the population that is visiting the ER occasionally.

Get the full story.

>>Return to this week's industry news


4.) Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options

Emergency Exits In this 35-page special report, three physicians share the specifics of their health plans' ER diversion initiatives that have roots in patient self-care education, physician office adaptability and hospital-health plan partnerships. Their reframed approaches to ER utilization and primary care have netted them significant reductions in both ER visits and hospital admissions. This report also contains a wealth of tactics from the more than 220 healthcare organizations that responded to HIN's e-survey on dealing with unnecessary ER visitors.

Learn more about this resource.

>>Return to this week's industry news


5.) Healthcare Business White Paper: Reducing Impact of Uninsured & Underinsured on the Healthcare Industry

According to a 2007 study from the Commonwealth Fund, nearly 25 million Americans are underinsured and can’t close the gap between their insurance coverage and their medical bills. At the beginning of 2009, the number of uninsured Americans was estimated at 52 million. This white paper from the Healthcare Intelligence Network (HIN) is based on HIN’s May 2009 e-survey in which survey respondents shared the impact of the uninsured and underinsured on their organizations.

Download this complimentary white paper.

>>Return to this week's industry news


6.) Crisis Lines Report Prescription Drug Abuse on the Rise

According to Oregon Partnership (OP), the non-profit that operates the state’s crisis and suicide prevention lines, significantly more callers are reporting problems with prescription drug abuse. This follows on the heels of a study by the Oregon Department of Human Services, which found that prescription pain killers are now the second most popular drug of choice, behind marijuana.

Get the full story.

>>Return to this week's industry news


7.) Drugs, the Brain and Behavior: The Pharmacology of Abuse and Dependence

Drugs, the Brain and Behavior In this book, you will explore the brain and see what happens when drugs affect its functions. Filled with an array of useful definitions and amazing historic discoveries about the nervous system, this book will bring you up to speed on the brain/behavior relationship, basic neuroanatomy, neurophysiology and the mechanistic actions of mood-altering drugs, including alcohol, marijuana, anxiolytics, antidepressants, antipsychotics, cocaine and opiates.

Learn more about this resource.

>>Return to this week's industry news


8.) Cognitive Training Reduces Older Adults' Healthcare Costs

Older adults' predicted annual medical care expenditures can be reduced significantly through the use of cognitive training, according to a research team led by Fredric Wolinsky, Ph.D., who holds the John W. Colloton Chair in Health Management and Policy in the University of Iowa College of Public Health. The team evaluated the effects of three cognitive training interventions (memory, reasoning or speed of processing) on changes in predicted medical care expenditures.

Get the full story.

>>Return to this week's industry news

9.) The Next Generation of Health Coaching: Multi-Platform Models for Sustained Behavior Change

The Next Generation of Health Coaching In this special report, health coaching veterans set the stage for Health Coaching 3.0 and describe the skills, technology and training that will be required to equip health coaches for this eventuality. To optimize program success and ROI, health coaching will need to be powered by multi-channel outreach — land lines, Web, e-mail, cell phones and even PDAs — and reinforced by tightly interwoven communication and incentive programs.

Learn more about this resource.

>>Return to this week's industry news


10.) Uninsured Account for Nearly One-Fifth of ER Visits

New data indicate that uninsured persons accounted for nearly one-fifth of the 120 million hospital-based ED visits in 2006. HHS Secretary Kathleen Sebelius released this new data from the Nationwide Emergency Department Sample — the largest, all-payor ED database in the United States.

Get the full story.

>>Return to this week's industry news


11.) For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement

For Emergency Use Only This special report provides a blueprint for health plans, hospitals and providers desiring to address and reduce unnecessary ED utilization in their populations. In this report, you'll get details on initiatives and interventions for decreasing non-urgent ED use, mining data to target high-utilization, high-cost individuals; implementing an ED case management program, communicating proper ED use to targeted populations and enlisting physicians' support in care redirection and appropriate ED use.

Learn more about this resource.

>>Return to this week's industry news


12.) 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.

>>Return to this week's industry news


Thank you for your readership! Please urge your colleagues to subscribe by forwarding this email or visiting http://www.hin.com/freenews2.html or by calling (888) 446 — 3530 or visiting the HIN Web site.

While we encourage you to forward this email to your colleagues, these articles may not be redistributed in any other publication, reproduced for publication in any form, distributed on an intranet or network or by e-mail distribution or distributed for commercial purposes without the expressed written permission of the Healthcare Intelligence Network.


Copyright 1997-2009 Healthcare Intelligence Network. All rights reserved.
Healthcare Intelligence Network
Gateway to Healthcare Business Information on the Internet
1913 Atlantic Ave., Suite 201, Manasquan, N.J. 08736