For the most current ABL Healthcare Online 
and access to ABL.org, go to
 
http://www.abl.org/new/html/resources_news_hc.asp

 
AUGUST 9, 2007 ISSUE:
 

 -- Click on Titles Below to Go to Each News Item --

WELCOME NEW MEMBER!

Albert Gomez, MD, Strategic Healthcare Systems

 
CONGRATULATIONS ON NEW POSITION!

Tony Kesman has Joined Linden LLC

 
MEMBER NEWS

Isotis to be Acquired by Integra
Abraxis Gets FDA OK, New Partner & New Facility
AIM Acquired by WellPoint; Genentech Acquires Tanox
CalorieKing Teams with Joslin to Fight Diabetes
El Camino Rated Tops for Bariatric Surgery
GSK & Targacept Partner to Treat CNS Diseases
IntelliDOT's CAREt Used at One of U.S. Largest Hospitals
Keenan Provides Update on California Healthcare Reform
LA Biomed's New Lab to Study Heart & Kidney Disease Link
L.A. DHS Gets $2 Million to Treat Uninsured at LAC+USC
OneLegacy: Minorities Play Critical Role in Organ Donation
PCG Adds FACIS to its Product Suite
TOMR Addresses Upcoming CMS-Mandated Disclosure
TripleTree Hosts Webcasts on CRM
Vantage Collaborates with Chicago-area Cancer Center

 

MIMI'S MINUTE

Good News: ABL Members are FIVE TIMES Healthier than the National Average

 

HEALTHCARE TRENDS

Scorecard Planned for California PPOs
Chassin to Head Joint Commission
Healthcare Leaders United Behind Reform Measures

 

HEALTHCARE & GOVERNMENT

Medicare Reimbursement to Rise by 3.5%
Budget Deadlock Delays Large Medi-Cal Provider Payments

 
UPCOMING ROUND TABLES & EVENTS

 

 
WELCOME NEW MEMBER!

Albert Gomez, MD, Strategic Healthcare Systems
Albert Gomez, MD, has been CEO of Strategic Healthcare Systems (SHS) since 1996, and has operated a private practice called Meridian Medical Group Professional Corp. since 1992. Albert launched SHS to capitalize on his success with Meridian as an independent, self-contained and financially self-sufficient healthcare system that serves Spanish-speaking patients in Northern California. Albert has lowered the cost of operating a medical clinic through aggressive negotiation with labs, imaging centers, hospitals and pharmaceutical distributors, and by taking advantage of group purchasing. The result is that Meridian’s uninsured, cash-paying patients pay the same or lower rates than insurance companies pay. Meridian’s clinics see 300+ patients a day and over 60% of them are new. SHS addresses the medical needs of all working uninsured Americans and immigrants, providing the infrastructure and IT systems that connect physicians, consumers and employers. This includes web sites (in English and Spanish) where patients can find a doctor, check credentials, review services and fees, make an appointment on-line, obtain medical information, and purchase medical products and services. Previously, Albert was Director of the Emergency Department at St. Francis Hospital in San Francisco; worked for Biomedical Corporation Emergency Physicians at Alexian Brothers Hospital in San Jose; and was Medical Director of American Emergency Services in San Jose. He has joined the Northern California Round Table.

 
CONGRATULATIONS ON NEW POSITION!

Tony Kesman has Joined Linden LLC
Tony Kesman is a Senior Operating Partner at Linden LLC, a Chicago-based private equity group focused exclusively on healthcare and life science industries. With nearly 30 years of experience in healthcare distribution, medical device and provider operations, Tony is also Chairman of Focused Health Solutions, a national provider of customized disease management services. Linden’s investment strategy is to purchase controlling equity interests in mature, non-core businesses and privately held companies that can benefit from strategic redirection, operational improvements, growth capital and additions to the management team. Linden invests primarily in leveraged buyouts and late-stage transactions where it can be the lead investor or have significant governance influence. The firm most recently announced its investment in Behavioral Centers of America, whose facilities include psychiatric hospitals, outpatient clinics and residential treatment centers. 

 
MEMBER NEWS

Isotis to be Acquired by Integra
IsoTis, Inc., where Pieter Wolter is CEO, and Integra LifeSciences Holdings Corporation have announced a definitive agreement whereby Integra would acquire IsoTis in an all cash transaction, expected to be completed in Q4 of 2007. IsoTis will become a wholly-owned subsidiary of Integra, which will be one of the largest companies in the world focused on advanced technology in orthobiologics.

Abraxis Gets FDA OK, New Partner & New Facility

The Abraxis Pharmaceutical Products business of Abraxis BioScience, Inc., where Patrick Soon-Shiong, MD, is CEO, has received FDA approval for its Abbreviated New Drug Application for Caffeine Citrate injection, USP, 20 mg/mL. Also, Abraxis and the California NanoSystems Institute at UCLA have formed a partnership to collaborate on early research in nanobiotechnology, and Abraxis has acquired from Watson Pharmaceuticals a sterile injectable manufacturing facility located in Phoenix, Arizona.

AIM Acquired by WellPoint; Genentech Acquires Tanox
WellPoint, Inc. has completed its acquisition of American Imaging Management, where David Soffa, MD, is Chief Medical Officer.  Meanwhile, Genentech, Inc., where Art Small heads Value-based Healthcare, has completed the acquisition of Tanox, Inc.

CalorieKing Teams with Joslin to Fight Diabetes
CalorieKing, where Keith McGuinness is CEO, a leading provider of calorie-centric education tools for food awareness, and Joslin Diabetes Center have announced an alliance to promote type 2 diabetes awareness, prevention and management. The first step of this campaign is access to Joslin-authored material through the CalorieKing nutrition toolbar at calorieking.com.


El Camino Rated Tops for Bariatric Surgery
El Camino Hospital, where Ken Graham is CEO, has been recognized with a five-star rating for clinical excellence in the Second Annual HealthGrades Bariatric Surgery Trends in American Hospitals Study, one of only 109 hospitals nationally to receive five stars.
 

GSK & Targacept Partner to Treat CNS Diseases
GlaxoSmithKline, where Arlene Kirsch is Area VP,
and Targacept, Inc. have formed a strategic alliance to discover, develop and market novel therapeutics that selectively target specified neuronal nicotinic receptors. Meanwhile, HHS has placed another order with GSK to purchase bulk H5N1 antigen for the U.S. national stockpile of pre-pandemic vaccines.

IntelliDOT's CAREt Used at One of U.S. Largest Hospitals
IntelliDOT Corporation, where Tom Klopack is CEO,
has announced an agreement to deploy its CAREt patient safety system at 2,335-bed New York-Presbyterian Hospital, the largest not-for-profit, nonsectarian hospital in the U.S.

Keenan Provides Update on California Healthcare Reform
Keenan & Associates, where Steve Richter is Senior VP, Healthcare, has published a briefing, Update on California Healthcare Reform, that discusses the status of several Assembly and Senate Bills currently under consideration.

LA Biomed's New Lab to Study Heart & Kidney Disease Link
The Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, where Ken Trevett is President,
has announced the creation of the Scriba Family Trust Cardio-Renal Laboratories, where kidney researchers will work in close proximity to cardiovascular specialists, geneticists, pathologists and hematologists to examine new therapies to reduce the risk of premature death -- to be housed in a new research building scheduled for groundbreaking in mid-2008.


L.A. DHS Gets $2 Million to Treat Uninsured at LAC+USC
The Los Angeles Department of Health Services, where John Cochran is Chief Deputy Director, and whose responsibilities include Los Angeles County-USC Medical Center, has announced that charitable organization QueensCare has given $2 million dollars to LAC+USC for the treatment of uninsured patients.

OneLegacy: Minorities Play Critical Role in Organ Donation
OneLegacy, where Tom Mone is CEO, has released new data indicating that in the greater Los Angeles area Latinos account for 47% of the organ and tissue donors and people of color account for about 66% of deceased organ donors. Benefiting from their own generosity, people of color receive almost 80% of kidney donations - the organ of greatest need across all ethnicities.

PCG Adds FACIS to its Product Suite
PCG Software, where Andria Jacobs is COO, announced that Government Management Services, where John O'Shaughnessy is President, has joined PCG’s Affiliate Vendor program. GMS, the developer of FACIS (Fraud and Abuse Control Information System), is adding risk management capabilities to PCG's products, enabling both payer and provider customers to screen individuals and entities for any history of fraudulent practices.

TOMR Addresses Upcoming CMS-Mandated Disclosures
Theodora Oringher Miller & Richman PC, where Dale Miller is a Principal, has published a Health Care Legal Update, entitled, "CMS Requires Hospitals to Disclose Financial Arrangements with Physicians." Beginning in September 2007, initially 500 hospitals will be required to make disclosures; later reporting will be mandated for all Medicare participating hospitals.

TripleTree Hosts Webcasts on CRM

TripleTree, where Rob McCray is a Managing Partner, recently released a major industry analysis report on the Customer Relationship Management sector and will host three upcoming, related webcasts on Software as a Service and Collaboration Tools. Click here for more information

Vantage Collaborates with Chicago-area Cancer Center
Vantage Oncology, Inc., where Mike Fiore is CEO,
has entered into a joint venture with Valley Cancer Center, of central Illinois, to provide capital, advanced information technologies, and management experience that will enable Valley to upgrade its internal operations and current technology.  

 

MIMI'S MINUTE

Good News: ABL Members are FIVE TIMES Healthier than the National Average
Bad news: That's not saying much!  Thanks to the generosity of Margaret Sabin's Sutter Health Partners (SHP), over 100 ABL Healthcare Members were sent a Personal Wellness Profile to complete and return to SHP for "analysis."  So far the first 20 profiles have been received and when compared to a national study of U.S. adults, on the basis of the primary "Healthy Lifestyle Characteristics":
- non-smoking
- healthy weight (BMI <25)
- five fruits and vegetables per day
- regular physical activity
15% of our "profile submitting Members" exhibited all four of these characteristics. So why is that five times better than the national average? You guessed it: because nationally, only 3% of Americans are meeting all four of these goals! Little wonder we're spending $2 trillion on our healthcare, when, according to Margaret's research, 72% of all disease is preventable through healthy lifestyle choices - that most of us aren't making. 

Over lunch, Margaret shared that she'd lowered her LDL cholesterol level just by foregoing brie. I figured if she could do it, so could I.  The result: my LDL dropped 19% between readings 90 days apart - and the only significant change I made to my diet was cutting back on brie and other cheeses. While I'm still not among our esteemed "Top 15%" group (eating five servings of fruits and, particularly, veggies, will not be easy), I'm at least working on it.

Ideally, all of our Members will take advantage of this opportunity to discover our lifestyle "shortcomings," and start fine-tuning our habits. Congratulations to those of you in that top 15%!  And for the rest of us, let's commit to getting there: one pound, one green bean, 30 minutes of exercise, at a time.

 

HEALTHCARE TRENDS

Scorecard Planned for California PPOs
T
he Department of Insurance has unveiled a new healthcare report card program for six of California's largest PPOs: Aetna, Blue Shield of California, Cigna, Health Net, UnitedHealth Group and Wellpoint. These insurers have agreed to voluntarily provide data on quality of care and patient satisfaction rather than go through a lengthy regulatory process. The department beginning in 2009 will issue an annual report card, awarding one to four stars in: Preventive care; Effectiveness of treatment; Dealing with chronic illnesses; and Patient satisfaction. The data will be compiled and analyzed by a third party, such as a PPO accreditation organization. The information then will be turned over to the state. (Sacramento Bee, 8/7/07)

Chassin to Head Joint Commission
Health policy expert and former commissioner of the New York State Health Department Mark Chassin has been appointed to replace Dennis O'Leary as President of the Joint Commission, effective Jan. 1, 2008. (Modern Healthcare's daily IT enewsletter, 8/1/07)

Healthcare Leaders United Behind Reform Measures
A
ccording to a survey of 214 experts from four broad areas of the healthcare spectrum by the Commonwealth Fund Health Care Opinion Leaders: About 90% of respondents think that health information technology should be mandated for Medicare providers within the next 10 years, and 70% think that the federal government should help to finance this reform. Over 50% support financial incentives for hospitals and physicians to provide high-quality care. Only 7% believed that the current Patient Safety and Quality Improvement Act is sufficient in guaranteeing patient safety. Nearly 60% support the public reporting of performance on quality measures. Approximately 75% support Medicare reform that would pay medical homes for care coordination. (Medical homes are a healthcare setting that provides patients with timely, well-organized care, and enhanced access to providers.) (Healthcare Daily Data Byte, 08/7/07)

 

HEALTHCARE & GOVERNMENT

Medicare Reimbursement to Rise by 3.5%
CMS issued a final rule for inpatient hospital services in fiscal 2008 that would increase total Medicare reimbursement by an estimated 3.5% and include 745 new DRGs to more accurately account for patient severity. (Modern Physician Alert, 8/2/07)

Budget Deadlock Delays Large Medi-Cal Provider Payments
The ongoing budget stalemate in California has forced the Department of Finance to withhold a $212.6 million payment scheduled this week to hospitals, clinics and nursing homes that treat Medi-Cal beneficiaries. The delayed Medi-Cal payment will be the second in two weeks, with state officials last week withholding a $227 million payment to Medi-Cal providers. California's budget is six weeks overdue. The Assembly on July 20 approved a spending plan, but Senate Republicans have held out for more spending cuts and other demands. Senate Republicans argue that if Gov. Schwarzenegger and Senate Democrats were serious about delayed payments during the budget deadlock, they could have passed emergency legislation last week to continue funding. Instead, the Democrats refused to waive procedural rules to consider the measure. (Sacramento Bee, 8/7/07)

 

UPCOMING ROUND TABLES & EVENTS

8/9 - Northern California Round Table
8/15 - Life Sciences Round Table
8/17 - Los Angeles Round Table
9/5 - Orange County Round Table

 

For the most current ABL Healthcare Online and access to ABL.org, go to
 
http://www.abl.org/new/html/resources_news_hc.asp