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This week's industry news

1.) Nurse Navigators Help Cancer Patients Cope Early in Care

Cancer patients who received support from a nurse navigator or advocate soon after being diagnosed had better experiences and fewer problems with their care, particularly in the areas of health information, care coordination and psychological and social care, according to a study from the Group Health Research Institute.

Get the full story.

2.) Essentials of Embedded Case Management: Hiring, Training, Caseloads and Technology for Practice-Based Care Coordinators

This resource documents the experiences of Aetna and Bon Secours in the recruitment, education, workload management and information technology (IT) support of practice-based case managers.



Learn more about this resource.

3.) Automated Predictor Flags Patients at Risk for 30-Day Readmission: Study

An automated prediction tool that identifies newly admitted patients at risk for readmission within 30 days of discharge has been successfully incorporated into the EHR of the University of Pennsylvania Health System.

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4.) 2012 Healthcare Benchmarks: Reducing Avoidable ER Visits

This resource provides critical benchmarks that show how the industry is working to reduce avoidable hospital ED visits, and is designed to meet business and planning needs of hospitals, health plans, physician practices and others.


Learn more about this resource.

5.) Healthcare Business White Paper: Care Transitions in 2013 - Interventions Surge in Response to Payor Scrutiny; Home-Grown Approaches Trump Traditional Models

In its third annual e-survey on Care Transition Management, the Healthcare Intelligence Network (HIN) captured efforts by 86 organizations to strive for Triple Aim goals of better care at improved cost during transitions of care. Conducted in April 2013, the survey measures existing and planned programs, targeted transitions and populations, 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.

Download this complimentary white paper.

6.) 1 in 4 Uninsured Americans Plan to Remain That Way; Politics Influence Decisions

One in four uninsured Americans plan on paying the government fine imposed for not having insurance, a percentage that has remained the same in the last month, according to the latest results of a daily tracking Gallup poll that began in September.

Get the full story.

7.) New Table: 3 Impacts of ACA Marketplaces on Health Plans in 2014

Sustained growth in emerging reimbursement models, including accountable care, bundled payments and shared savings, will continue to impact innovation within the healthcare industry in 2014 as providers and payors struggle to find more ways to reduce costs within their systems and better manage the care they provide. We wanted to see the impact of ACA's health insurance marketplaces on health plans in 2014.

Click here to view the table.

8.) Designing Pharmacy Benefits in Health Insurance Exchanges

This resource sheds light on the tactics insurers should employ to nail down drug benefit designs that avoid adverse selection, fulfill government requirements and win healthy members.



Learn more about this resource.

10.) Patient Engagement in the Patient-Centered Medical Home: A Continuum Approach

This webinar shares how Horizon BCBS approaches patient engagement, including seven key consumer engagement objectives and the impact of stand-alone pilots on consumer engagement, from iPhone apps to telemonitoring.

Learn more about this resource.

11.) 3 Pioneer ACO Tips to Improve Patient Engagement

As a top performer in year one of the CMS Pioneer ACO program, Monarch HealthCare is paving the way to accountable care with a foundation of patient and provider-centered strategies that support Triple Aim goals, says Colin LeClair, Monarch's executive director of ACO. Identifying opportunities to yield patient engagement is crucial to success, and here he cites three ways do so.

Get the full story.

12.) 7 Value-Based Priorities for Healthcare's Smart Money

This resource shares tactics, lessons learned and results from some of the most recognizable names in healthcare - Kaiser Permanente, Mayo Clinic Health System, Monarch HealthCare, HealthFitness, WellCare, and others, as well as 2013 benchmarks in telehealth and telemedicine applications from 129 healthcare companies.

Learn more about this resource.

13.) HINfographic: Risk-y Business - HRAs Take Temperature of Population Health

Seventy percent of healthcare organizations use health risk assessments (HRAs) to measure health risk factors, according to a recent 2013 HIN survey. The individuals most eligible to take HRAs include employee and health plan members, spouses and dependents over 18, according to a new infographic from the Healthcare Intelligence Network. This infographic also provides metrics on HRA completion rates, target populations, HRA formats and contents, and HRA inputs and outputs.

 Read this blog post.

14.) Motivational Interviewing by Ochsner Health Coaches Drives Results in 4 Key Areas

When health coaches employ motivational interviewing during patient encounters, expect upticks in medication adherence, weight loss, HbA1c levels and overall engagement, notes Alicia Vail, RN health coach for Ochsner Health System. Ochsner's eight health coaches focus on patients with diabetes, hypertension and obesity who have come to their attention by way of physician referrals, health screenings and pre-chart reviews.  

In this podcast, Ms. Vail describes how Ochsner Health System incorporates health coaches in its clinic structure and describes the benefits that result from the coaching intervention.    

Listen to this podcast.

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