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This week's industry news
1.) Patients' Sense of Urgency - Not Convenience - Contributes to ED Use
Contrary to the idea that convenience prompts many privately insured people to seek care in emergency departments (EDs), the people most likely to use EDs believe they urgently need medical attention, according to a new study by the Center for Studying Health System Change (HSC).
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2.) 27 Interventions to Reduce Avoidable ER Use
This resource describes 27 separate initiatives launched by Kaiser Foundation Health Plan and WellPoint around the country that are effectively reducing avoidable emergency department use and redirecting patients to more cost-effective care venues.
Learn more about this resource.
3.) 23 States Receive Over $307 Million in Bonuses for Enrolling Children in Health Coverage
Twenty-three states received over $307 million in bonuses for improving access to children's health coverage and successfully enrolling low income, eligible children in Medicaid, according to CMS officials.
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4.) Accountable Care Reimbursement Models: Moving from Productivity to Population-Based Incentives
This webinar will explore key structure, issues and challenges in evolving accountable care reimbursement models, including how to use real-time EHR data to identify risk, manage gaps in care and analyze performance to manage population health.
Learn more about this resource.
5.) Healthcare Business White Paper: Dual Eligibles Care Management in 2013 - Case Management, Education Boost Compliance, Satisfaction
Education and engagement are key to managing the health of dual eligibles but also the most formidable challenges, say a third of respondents to a new survey on Care Management of Dually Eligible by the Healthcare Intelligence Network. Care coordination of the 9 million Americans eligible for both Medicare and Medicaid is a growing priority for the nation's payors who wish to address this population's unique medical, social and functional needs in a coordinated and cost-efficient manner. Download this HINtelligence report for more data on dual eligibles as reported by 72 healthcare companies in HIN's 10 Questions on Care Coordination of Dual Eligibles Survey, including dual eligible care coordination program components, results and ROI, and successful care coordination strategies for dual eligibles in respondents' own words.
Download this complimentary white paper.
6.) Leading Healthcare Executives Optimistic About Healthcare Reform
Nearly two-thirds of the nation's leading healthcare executives believe the healthcare system will be somewhat or significantly better by 2020 than it is today as a result of national healthcare reform, according to a study published in the Health Affairs blog.
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7.) New Chart: Top Components of an ACO
Care transition management is one of the top components of an accountable care organization, say nearly 90 percent of healthcare companies who respondend to HIN's third annual survey on ACOs. We wanted to see which other components make up an ACO.
Click here to view the chart.
8.) Leading a Hospital Turnaround: A Practical Guide
This resource, along with concrete tools and action plans, provides candid advice on hospital turnarounds: minimizing the fears of employees, physicians, and board members; and preserving crucial relationships while directly addressing difficult questions.
Learn more about this resource.
9.) FQHCs, Rural Health Clinics Among 123 Newly Minted Medicare ACOs
Doctors, hospitals and other healthcare providers have formed 123 new Medicare ACOs, providing approximately 1.5 million more Medicare beneficiaries with access to high-quality coordinated care across the United States.
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10.) Tactics from a Top-Performing Pioneer ACO: Engaging Patients and Providers in Accountable Care
This resource provides first-year advice from Monarch HealthCare's Medicare ACO, one of 32 original CMS Pioneer ACOs engaged to test alternative payment and program design models for accountable care organizations.
Learn more about this resource.
11.) Leveraging Technology to Increase Case Management Efficiency
The use of technology is a big influencer of case management efficiency, but the industry should be mindful of its use and participate in tool creation, advises Teresa M. Treiger, RN-BC, MA, CHCQM-CM/TOC, CCM, CCP, president of Ascent Care Management.
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12.) Case Management in Value-Based Healthcare: Trends, Team-Building and Technology
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.
Learn more about this resource.
13.) HINfographic: 7 Value-Based Priorities for Healthcare's Smart Money
With time and resources at a premium, healthcare organizations are increasingly selective about allocation of human and financial capital. There are, however, a select group of initiatives worthy of C-suite investment. Population health management, care coordination and integrated care delivery are among the top business opportunities in 2014, according to a new infographic from the Healthcare Intelligence Network. This HINfographic also identifies the other top opportunities, as well as metrics from existing programs.
Read this blog post.
14.) Medical Home Neighborhoods: Uplinking Specialists To Create Integrated Systems of Care
If payment inequities can be addressed, communication and technology tools in place in large physician multispecialty groups make them ideal candidates for a medical neighborhood, suggests Terry McGeeney, MD, MBA, director of BDC Advisors. Dr. McGeeney, who spent 13 years of his practice career in a large multispecialty group, has also seen some FQHCs and managed Medicaid programs that do a good job of linking community and social supports required in medical neighborhoods.
As for engaging patients in this emerging integrated care delivery system, try explaining the medical neighborhood's value proposition for them, he suggests. Patients already get why the integrated approach is good for physicians and insurance companies but need to hear why they should buy in to team care, patient portals and other aspects of centralized care coordination.
Listen to this podcast.
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