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This week's industry news
1.) Clinical Analytics Deliver Patient, Population Health Insights
Advanced clinical analytics technologies from Optum are supporting population health management and accountable care strategies at Mercy and HealthEast Care System, according to the United Health Group.
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2.) 2013 Healthcare Benchmarks: Accountable Care Organizations
This resource documents the numerous ways in which accountable care is transforming healthcare delivery, particularly in the area of care coordination, where the ACO model has had the greatest impact for this year's respondents.
Learn more about this resource.
3.) Doctors Likely to Accept New Medicaid Patients as Coverage Expands
Doctors are likely to accept new Medicaid patients as coverage expands, but they may not accept patients who remain uninsured, according to a study from Virginia Commonwealth University, Richmond.
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4.) Telephonic Case Management Protocols to Engage Vulnerable Populations
This resource describes a suite of tools to facilitate identification, interaction, surveys, follow-up action, resource matching, and member engagement and outreach for a behavioral health population that is also a template for case management and care coordination of any organization's hard-to-reach or vulnerable members.
Learn more about this resource.
5.) Healthcare Business White Paper: Medication Adherence in 2013 - Closer Look at Compliance During Care Transitions
In its third annual Medication Adherence e-survey conducted in January 2013, HIN captured emerging trends in efforts to improve medication adherence (MA) among more than 100 healthcare organizations. According to 75 percent of survey respondents, complex patients remain the most common targets of MA programs. This HINtelligence Report provides data highlights on MA program components, the most successful tools for improving MA, and more.
Download this complimentary white paper.
6.) Study: Patient Activation Linked to Lower Readmissions
Patient activation - or having the knowledge, skills, and confidence needed to manage one's health - leads to better health following hospital discharge, and lower readmission rates, according to researchers from the Boston Medical Center.
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7.) New Table: 5 Reasons Bundled Payments Are Member-Friendly
With 500 provider organizations participating in the Bundled Payments for Care Improvement initiative, believed to be the largest demonstration project ever run by CMS, both payer and provider interest in the adoption of payment bundling is at an all-time high. We wanted to see the reasons why one organization, TriZetto�, created member benefits specific to payment bundling.
Click here to view the table.
8.) Avoiding the Readmissions Penalty Zone: Population Health Management for High-Risk Populations
This resource delivers winning process improvements and interventions that can help organizations make measurable progress toward reducing readmissions in high-risk populations, including a look at a health system-SNF network that has curbed rehospitalizations and length of stay for participants.
Learn more about this resource.
9.) 5 Trends in Healthcare Include Antibiotic Overuse, Childhood Obesity Strategies: NCQA
Childhood obesity and overuse of antibiotics are among the five trends healthcare advocates are targeting, according to the State of Health Care Quality Report 2013 from the National Committee for Quality Assurance (NCQA).
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10.) 38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable Care
This resource dives deep into several years of market research to document the role and outcomes of disease management in 11 key areas, as well as the high-focus diseases and health conditions of such initiatives as obesity and weight management and diabetes management.
Learn more about this resource.
11.) How WellCare Closed 4 Socially Based Care Gaps
Imagine, if you will, a family of six living in a 1,100-square foot home in rural United States. Mom and Dad work two part-time jobs, their daughter is 19 and pregnant for the second time; her 10-year-old twin brothers have developmental issues, and their grandmother has diabetes and early onset dementia. Finding ways to help this family access healthcare, food and even transportation is one of WellCare's primary goals, explains Pamme Lyons Taylor, vice president of advocacy and community-based programs.
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12.) Community Care Connections for Dual Eligibles: Closing Social Gaps to Improve Health Outcomes
This resource details the WellCare approach to duals' care coordination - a healthy mix of public health and social support in which a team of advocates works the front lines of the community, cataloging and pooling resources with a common goal - the reopening of a local food bank, for example.
Learn more about this resource.
13.) Infographic: 6 Frightening Truths About Stress
It is widely accepted that stress is a common experience, with almost eight out of 10 people regularly having physical symptoms. What you may not know is the cost to the healthcare system. There is a $300 billion annual cost of stress related to healthcare and missed work, according to a new infographic from HowToHandleStress.info. This infographic also identifies symptoms and effects of stress, as well as trends and potential causes.
Read this blog post.
14.) Healthcare Trends in 2014: Expect Surge in Commercial ACOs to Continue
Despite the migration of some Pioneer ACOs to CMS's Medicare Shared Savings Program (MSSP), expect the surge in commercial accountable care organizations to continue in 2014, predicts Steven Valentine, president, The Camden Group. In this audio interview, Valentine suggests improvements to patient handoffs, an area in which ACOs have disappointed, in Valentine's view, as well as expectations for the other much-modeled care delivery platform, the patient-centered medical home (PCMH).
In both the ACO and the PCMH, Valentine anticipates specialists will be critical parts of the solution, especially when it comes to emerging payment models, quality and performance.
Listen to this podcast.
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