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From the editor Dear Healthcare Intelligence Network Client,
Nearly one in three Americans die of cardiovascular disease (CVD), including heart disease and stroke, each year, according to the latest Vital Signs report from the CDC. In 2010 alone, more than 200,000 deaths from CVD occurred, with more than half happening to people younger than 65 years of age. Most CVD can be managed or prevented in the first place by addressing risk factors, such as reducing blood pressure and cholesterol and quitting smoking, CDC officials say, and they offer a list of recommendations for providers, communities and health departments for reducing the death rates. Contrary to reports that individual health insurance policy costs will jump steeply under the ACA, there will be no widespread premium increase, according to a RAND analysis of 10 states and the United States. There will be widespread differences in individual policy costs from state to state, however, as well as an increase in health insurance coverage and higher enrollment among people who purchase individual policies. RAND researchers predicted how the ACA will likely change cost and coverage patterns in both the individual market and small group market in 10 states, including Florida, Kansas, Louisiana, Minnesota and New Mexico. Costs will be influenced by a specific range of individual factors, including age, tobacco use, geographic location, family size and amount of coverage purchases. Geographic diversity is at the root of another study from the Center for Studying Health System Change (HSC). According to the report, hospital prices for privately insured patients — especially for outpatient care — are much higher than Medicare and vary widely within and across communities. Within individual communities prices vary widely, even after accounting for differences in the complexity of services provided. The highest-priced hospital typically is paid 60 percent more for the same inpatient services than the lowest-priced hospital. The price gap within markets is even greater for hospital outpatient services, with the highest-priced hospital typically paid nearly double the lowest-priced hospital, according to the study. In contrast to hospital prices, prices for PCP services generally are close to Medicare rates and vary little within markets, the study found. Prices for specialist physician services, however, are higher relative to Medicare and vary more within and across markets. And lastly, forget yesterday's house calls: doctor and dusty medical bag tending a swooning patient. Today's home visits provide a unique perspective on the patient experience while helping individuals meet everyday needs, avoid rehospitalization or an ER visit, and connect with community resources. Describe how your organization employs home visits by September 10, 2013 and you will receive a free summary of compiled survey results. 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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Medication Adherence in 2013 — Closer Look at Compliance
During Care Transitions
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September 9, 2013
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This week's industry news
1.) 200,000 Heart Attacks, Stroke Deaths Could Have Been Prevented in 2010: CDC
2.) Chronic Care Professional Manual 5.0
3.) No Widespread Jump in Cost of Individual Health Insurance Under ACA
4.) AIS’s Directory of Health Plans: 2013
5.) Healthcare Business White Paper: Care Transitions in 2013 — Interventions Surge in Response to Payor Scrutiny; Home-Grown Approaches Trump Traditional Models
6.) Cigna Expands Medical Home, Chronic Care Services with Alegis Care Acquisition
7.) New Chart: Top 5 Technologies Used in Telehealth
Click here to view the chart.
8.) 2012 Healthcare Benchmarks: The Patient-Centered Medical Home
9.) Wide Price Variation for Privately Insured Underscores Hospital Market Power Across 13 selected U.S. metropolitan areas, hospital prices for privately insured patients — especially for outpatient care — are much higher than Medicare and vary widely within and across communities, according to a new study by the Center for Studying Health System Change (HSC). Get the full story. >>Return to this week's industry news
10.) Achieving High Value Healthcare: Metrics from Medical Homes, Accountable Care and Case Management
11.) 3 Steps to a CMS Star Quality Improvement Roadmap
12.) Formula for CMS Five-Star Quality Population Health Management
13.) HINfographic: Medicare Pioneer ACO Year One, Lessons from a Top Performer
14.) Physician Hospital Organizations: Developing a Collaborative Structure for Shared Savings Agreements
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. |
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This resource is the definitive guide to the practice of population health improvement and health coaching for lifestyle management, shared decision-making, treatment adherence
and disease self-care support.
This resource contains enrollment data for all types of health plans, including commercial HMOs/PPOs/POS, Medicare and Medicaid HMOs, state government-run plans such as Medicaid
FFS, PCCM, PCIP, SCHIP and other local community plans, managed FFS plans, and other types of primary medical insurance plans offered in the U.S. as of year-end 2012, so you can
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transition team members and responsibilities, and much more. This HINtelligence Report provides data highlights on care transition program components, the most successful tools
for care transition management, results and ROI; and much more.
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reach encompasses telemedicine — the use of telecommunications technology to deliver clinical diagnosis, services and patient consultations — as well as the exploding
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This resource examines star quality improvement strategies, including Kaiser Permanente’s successful care management efforts that have made it a leader in the five-star space.
Physician-hospital organizations have been around before, but it's the emphasis on quality that sets today's PHO apart from the 80's version. In PHO 2.0, where healthcare value
is favored over volume, clinical integration of participating physicians is a prerequisite, agree Greg Mertz, director of Healthcare Strategy Group, and Travis
Ansel, its manager of strategic services. In this interview, they talk about the essential first steps of PHO creation and the perennial challenges of physician engagement
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