ACOs improving care for R.I. Medicaid beneficiaries | Clinicians are integral to success of One Health initiative | Safety-net hospitals work to reduce penalties in value-based care
April 26, 2017
Accountable Care SmartBrief
Accountable Care Spotlight
ACOs improving care for R.I. Medicaid beneficiaries
The quality of care for Medicaid beneficiaries in Rhode Island has improved and costs have declined since the state launched a Medicaid accountable care program, says Jim Fanale, chief clinical officer at Care New England.
Modern Healthcare (tiered subscription model) (4/22) 
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Insight into Health Care Quality
Clinicians are integral to success of One Health initiative
Cases in which Rocky Mountain spotted fever has been diagnosed in pets but not in their owners who also had the disease highlight the importance of the One Health approach to public health, including fostering information sharing among health care providers, says Dr. Peter Rabinowitz, director of the Center for One Health Research at the University of Washington. "We feel that clinicians need to be aware of [the One Health initiative] and implement it in their daily practice," Rabinowitz said.
Healio (free registration)/Infectious Disease News (4/19) 
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Safety-net hospitals work to reduce penalties in value-based care
Safety-net hospitals received disproportionate penalties and payment adjustments in the Hospital Readmissions Reduction Program and the Hospital Value-Based Purchasing program, compared with other hospitals, according to a study in the Journal of the American Medical Association. The study found safety-net hospitals are closing the gap, however, and noted better performance in the HRRP program was linked to reduced readmission rates for heart failure and pneumonia.
HealthLeaders Media (4/24) 
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Increasingly popular micro-hospitals have upsides and downsides
Nineteen states are home to micro-hospitals, which typically range from 15,000 to 50,000 square feet with eight to ten hospital beds for short stays and a suite of services tailored to the needs of the local community. Advantages include shorter wait times, shorter stays and improved access to some care, but critics warn that the facilities may lack certain diagnostic or treatment capabilities and offer fewer opportunities for doctors to become proficient at less common procedures.
U.S. News & World Report (4/24) 
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The Technology Component
Chicago-area HIE plans to go mobile
The Cook County, Ill., Medical Home Network links 1,600 primary care providers, 22 hospitals and more than 200 clinics serving high-risk Medicare and Medicaid beneficiaries, and Executive Director Cheryl Lulias says the health information exchange is gearing up to handle mobile apps. The move will expand patient engagement, health coaching capabilities, patient self-management and communication, Lulias says.
Health Data Management (4/21) 
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Top US health systems track data, seek ways to improve care
US hospital systems are tracking data and looking for ways to improve quality of care and patient outcomes, reduce readmissions and save money, said Jean Chenoweth of Truven Health Analytics, which released this year's 15 Top Health Systems along with IBM Watson Health. She says the trend shows value-based reimbursements are taking hold.
Modern Healthcare (tiered subscription model) (4/22) 
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Population Health and Patients
USPSTF recommends routine BP screening for preeclampsia
The US Preventive Services Task Force published updated guidelines in the Journal of the American Medical Association that call for all pregnant women to undergo routine blood pressure monitoring at every prenatal visit to screen for preeclampsia, regardless of whether they have a history of preeclampsia or high blood pressure. Separate guidelines call for pregnant women with a higher risk of preeclampsia to take low-dose aspirin after 12 weeks of pregnancy.
Reuters (4/25) 
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Obese older women may benefit from restricted calorie diet
Obese postmenopausal women with a sedentary lifestyle who adopted a calorie-restricted diet for six months saw improved body composition and fat distribution, researchers reported in the journal Menopause. The study found 12 of 20 women with metabolic syndrome at baseline no longer had the condition but six out of 53 women who did not have metabolic syndrome at the start developed it by the end of the intervention.
Healio (free registration)/Endocrine Today (4/24) 
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Health Insurance and Accountable Care Company News
Solutions Provider News
Video: The value of health plan, community partnerships
Health plans have a long-standing commitment to improving the lives of individuals with asthma. A series of videos from AHIP highlights the partnerships and collaborations between health plans and community organizations to foster sustainable asthma management programs. See the value of health plan and community partnerships -- and more.
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Institute & Expo early registration ends soon
Don't miss out on early registration rates for Institute & Expo, June 7 through June 9 in Austin. Save even more when you take advantage of AHIP health plan member "buy two, receive one free" team discounts. The agenda is filled with great sessions and events, so bring a few colleagues and share the learning.
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