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From the editor Dear Healthcare Intelligence Network Client,
Physicians have them; so do nurses, and even teachers. So why not case managers? Aides, or extenders, could be one of several new key trends for case managers, says case manager Teri Treiger. Because they are often faced with large amounts of administrative work in addition to clinical assignments, aides can help take care of details and allow case managers to be much more efficient. Efficiency and collaboration could help the widespread number of preventable hospital readmissions among Medicare beneficiaries, according to researchers at Penn State, the Weill Cornell Medical College and the University of Pennsylvania. But it will take time, more time than many healthcare professionals originally anticipated, time that is costing the nation nearly $18 billion annually, because of the lack of collaborative relationships among providers in different care settings, researchers say. A majority of hospitals are in agreement that ACOs are key to remaining competitive. According to a new study from L.E.K. Consulting, over 80 percent of surveyed hospitals are making future plans to join or are already participating in an ACO. Hospital executives also intend to invest significantly on information technology (IT) and facilities over the next five years in order to stay ahead, researchers found. Hospitals are investing in mechanisms that will help them improve quality metrics and outcomes and gain a competitive advantage in the marketplace, researchers note. Researchers also found that there will be major changes in purchasing dynamics, as we detail in our story. Nearly half of adult residents living in the metropolitan Texas area are uninsured, making it the highest area of uninsured adults in the metro United States for the second year in a row, according to the Gallup-Healthways Well-Being Index. This is nearly three times the national average of 16.9 percent; a percentage which has remained the same since 2011, but jumped by two percent in 2008. Metropolitan areas in Vermont, Massachusetts and New Hampshire had the lowest uninsured rates. Geographically, these rates haven’t changed; and demographically, one group in particular, Hispanics, remains uninsured. Researchers expect these figures to change, however, as healthcare reforms take effect. And lastly, young adults under 26 insured on their parents' health insurance plans due to federal mandate are more likely to be treated for depression, substance abuse and pregnancy, according to new research from the nonpartisan Employee Benefit Research Institute (EBRI). This report is the first to identify the major treatments the coverage is used for, researchers note. Your colleague in the business of healthcare,Cheryl Miller Editor, Healthcare Business Weekly Update Please send comments, questions and replies to [email protected].
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This week's featured download: 2012 Benchmarks in Reducing Avoidable ER Visits — Pain Management Patients on Rise
2012 Benchmarks in Reducing Avoidable ER Visits — Pain Management Patients
on Rise
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April 22, 2013
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This week's industry news
1.) The ACO Model Figures in Most Hospitals’ Futures
2.) A Strategic, Best Practice Approach to Improve CMS Star Quality Ratings
3.) Better Coordination, Data Needed to Reduce Hospital Readmission Rates
4.) Guide to Reducing Medicare Readmissions, Vol. II
5.) Healthcare Business White Paper: Mobile Health in 2013 — Diabetes, Heart Disease Top Targets for Technologies
6.) More Than 1 in 5 Americans Remains Uninsured Across U.S. Metro Areas
7.) New Chart: Top 5 Mobile Health Technologies
Click here to view the chart.
8.) Healthcare Trends & Forecasts in 2013: Performance Expectations for the Healthcare Industry
9.) Young Adults on Parents’ Insurance Most Likely Treated for Depression, Substance Abuse and Pregnancy Young adults under 26 who are covered on their parents’ health insurance plans are more likely to be treated for depression, substance abuse and pregnancy, according to new research from the nonpartisan Employee Benefit Research Institute (EBRI). Get the full story. >>Return to this week's industry news
10.) Emergency Room Triage of the Mental Health Patient: Pilot Projects in Reducing ED Diversion
11.) Case Management Extenders 1 of 3 Emerging Trends
12.) Case Management in Value-Based Healthcare: Trends, Team-Building and Technology
13.) Infographic: Workplace Wellness
14.) Moving Forward with Payment Bundling
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This 45-minute webinar shares how to stratify and prioritize strategies to improve quality ratings and insight into the future direction of the CMS Star Quality program, and is presented by Joseph Johnson, vice president
of L.E.K. Consulting.
This resource examines innovative interventions to reduce preventable admissions, rehospitalizations and ER visits by high-utilizing Medicare beneficiaries. This guide looks at four multidisciplinary collaborative
interventions aimed at key factors fueling readmissions in this population — and that support an accountable care vision.
The use of mobile health (mHealth) technologies has transformed the exchange of healthcare data, with mobile apps monitoring everything from blood sugar to medication adherence, and text-based reminders urging
smokers not to give into that craving. In its first mHealth e-survey conducted in March 2013, the Healthcare Intelligence Network (HIN) captured current trends in emerging mHealth technologies. Nearly 150 healthcare
organizations describe the technologies they use, the conditions and populations they target, and the challenges and successes they've encountered along the way.
The use of mobile health (mHealth) technologies to monitor health is revolutionizing the exchange and consumption of healthcare data. From mobile apps that monitor blood sugar and heart rhythms to text-based
medication reminders, mHealth technologies could save from $1.96 billion to $5.83 billion in healthcare costs by the year 2014, some studies indicate. We wanted to see which mHealth technologies are most popular
among healthcare organizations.
This resource highlights the challenges that will continue to consume the healthcare executive in the year ahead. Now in its ninth year of providing healthcare executives with a look ahead to help shape strategic plans,
this year’s resource covers how the economic environment is continuing to impact the healthcare industry, in terms of the unemployment rate, the uninsured and underinsured, access to credit and soft volume for
healthcare services, among other issues.
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This resource examines how two emergency department veterans’ backup plans are sometimes necessary to manage the flow of behavioral health patients in the emergency room.
This resource delivers advice for the profession on surviving and thriving in the post-reform healthcare landscape from Teresa M. Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, CCP, president of Ascent Care
Management and a familiar voice on the case management scene.
Since the idea of payment bundling was first introduced 10 years ago, justification for the episode-based reimbursement model has shifted from quality and innovation gains to its proven ability to reduce the total cost of
healthcare, notes Jay Sultan, associate vice president and chief product portfolio architect for TriZetto®. Healthcare entities testing bundled payments should keep two key factors in mind when trying to
engage physicians in the model, Sultan adds, describing the type of message most likely to foster provider support. And finally, Sultan also identifies the major decision primary care must make now that CMS has
introduced bundled payments for care coordination tasks.