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This week's industry news

1.) ACOs' Medication Readiness Falling Short of Quality, Cost Goals

Accountable Care Organizations (ACOs) have not yet developed the capabilities to leverage optimal medication use to achieve quality care and reduce overall costs, according to a study by researchers from the National Pharmaceutical Council (NPC), the American Medical Group Association (AMGA) and Premier, Inc. and appearing in the Journal of Managed Care Pharmacy.

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2.) Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives

This webinar will provide advice from Cynthia Kilroy, senior vice president of provider strategy and business development at Optum, as she explores the key structure, issues and challenges in these evolving reimbursement models.

Learn more about this resource.

3.) CMS, Maryland Work to Modernize State's Healthcare System

CMS and the state of Maryland have launched a new initiative designed to modernize Maryland's unique all-payor rate-setting system for hospital services aimed at improving patient health and reducing costs.

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4.) Essential Guide to Physician-Hospital Organizations: 7 Key Elements for PHO Success

This resource describes the seven critical areas of PHO development, from defining the PHO mission to creating a data environment conducive to registry use, analytics and active patient management.



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5.) Healthcare Business White Paper: Healthcare Trends in 2014 - Putting Money on Population Health, Care Coordination and Integrated Care Delivery

Respondents to HIN's tenth annual Healthcare Trends and Forecasts survey identified a trifecta of value-based priorities for the coming year, deeming population health management (56 percent), care coordination (51 percent) and integrated care delivery (42 percent) initiatives most worthy of their attention in 2014. Download this HINtelligence report to learn more about how 136 healthcare companies fared in 2013 and what trends they expect to emerge in 2014. Included in this report are data highlights on the top business areas affected by economic conditions in 2013, successful programs and services launched in 2013, the impact of the accountable care act in 2014, and much more.

Download this complimentary white paper.

6.) States' Restrictions on ACA Implementation Hinder Access to Coverage

Community health centers across the country are waging intensive efforts to find and enroll eligible and uninsured patients and community residents, but are hampered by states resistant to healthcare reform, according to the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at the George Washington University School of Public Health and Health Services.

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7.) New Chart: Top Incentives for HRA Completion

Combined with other 'big data' analytics, aggregate results from health risk assessments or health risk appraisals (HRAs) become the building blocks of population health management programs designed to bend the healthcare cost curve. We wanted to see which incentives healthcare companies offer for HRA completion.

Click here to view the chart.

8.) Managed Medicare and Medicaid Factbook: 2014

This resource provides practical data and strategic information and convenient access to up-to-date enrollment data so readers can easily evaluate market share, make plan-by-plan or state-by-state comparisons, identify opportunities and develop strategies.

Learn more about this resource.

10.) Guide to the Patient-Centered Medical Home: Metrics, Models and Engagement

This resource provides an overview of PCMH adoption and results and examines nuances of the model that have emerged in recent years - including the embedding of case managers on medical home teams.



Learn more about this resource.

11.) Identifying High Utilizers First Step in Reducing Readmissions

Businesses do it all the time - analyze their repeat customers, and market to them, says Susan Horton, DNP, APRN, CHFN, VP of peri-operative services at Central Maine Medical Center and executive director of the Central Maine Heart and Vascular Institute. Healthcare professionals need to take a similar course: analyze their repeat or readmitted customers, in order to ensure they don't remain so.

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12.) New Horizons in Healthcare Home Visits

This resource profiles two home visit interventions that are helping to reduce hospital readmissions and emergency room visits while enhancing the patient experience in this 30-page special report.



Learn more about this resource.

13.) Infographic: What You Need to Know About Affordable Healthcare

The very name of the Affordable Care Act (ACA) insinuates affordability, yet many consumers in this economy are still unable to afford health insurance premiums, according to a new infographic from Care Pilot. The cost of physician care, to insurance and patients, has risen 1.3 percent during the past year, the infographic shows. The infographic also outlines the prevalence of high healthcare costs even with insurance and a breakdown of healthcare costs, including hospital care, drug use, doctor visits and lifestyle factors.

 Read this blog post.

14.) Medicare Pioneer ACO Year One: Lessons from a Top-Performer

Lauded for its care coordination service, Monarch had to overcome a few challenges when retrofitting the Naylor Transition of Care (TOC) model for the ACO - among them insufficient patient access, patient skepticism and resource limitations. By focusing on readmissions reductions and four disease management conditions - ESRD, COPD, CHF and diabetes - and creating a care coordination team that included the newly created care navigator, case managers, and pharmacist, the organization has improved patient compliance, reduced negative drug interactions and hospital days and improved patients access to community services.   

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