ABL HEALTHCARE ONLINE
JANUARY 21, 2010

         

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IN THIS ISSUE:

MEMBER NEWS - HEADLINES

Welcome New Members! 
Paul Feneck, Dispensing Solutions, Inc.
Rob Webber, Resolution Biomedical, Inc.

Aetna: Study Finds High-Quality Care Can Reduce Costs
Aperio Teams with ADCIS on Advanced Stereology Module
Axolotl's Elysium Chosen by Memorial
CIGNA Recognized for Outstanding Customer Service
HeartMath: New Case Study Shows Lower Healthcare Costs through Reduced Stress
Hythiam Writes about Predictive Modeling for Substance Dependent Populations
Kaiser Research Finds Improved Medication Adherence with Mail-Order Pharmacies
Keenan Offers Rx Discount Program -- No Eligibility Requirements, No Cost to User
Kindred Announces Development Plans and Project Openings
Molina to Acquire Unisys' Medicaid HIM Business
Paul Hastings Named "Labor & Employment Litigation Firm of the Year"
Sutter Launches EHR System in Solano County
Vocera Delivers Strongest Quarter and Year Ever

 

HEALTHCARE & GOVERNMENT - HEADLINES

New Massachusetts Senator Likely to Have Major Impact on Healthcare Reform Efforts
California Announces New Limits on HMO Wait Times
CCHIT Updates EHR Criteria Based on Interim Rule     

 

HEALTHCARE TRENDS - HEADLINES

California Counties Lead Demand for Healthcare Workers     

 
UPCOMING ROUND TABLES & EVENTS

2/3 - Orange County Round Table
2
/9 - Silicon Valley Round Table
2
/10 - San Francisco Round Table
2
/17 - Healthcare Device/Dx Round Table
2
/19 - Los Angeles Round Table

1/28 - 7th Annual Top Tech Trends (including MedTech) Workshop, Newport Beach: Dave Berkus, former Chairman of Tech Coast Angels, will update us on the latest trends in consumer electronics, technology and medtech, followed by a Round Table discussion on what attendees anticipate the implications of Dave’s trends will be on their own business strategies.

3/24 - Developing an Effective Board Workshop, Costa Mesa: This interactive discussion program will address the Purposes, Types and Key Drivers To Getting Value from a Board, including shareholder, advisory and special purpose boards.

4/28 - 12th Annual Innovations in HealthcareSM Awards Event, Newport Beach - Hold the Date!

 
WELCOME NEW MEMBERS!
 

Paul Feneck, Dispensing Solutions, Inc.
Paul Feneck is President and COO of Dispensing Solutions, Inc. (DSI), an FDA and DEA-licensed phamaceutical repackager. Via its DispenseQuick in-office dispensing program, DSI packages 1,600+ SKU’s of branded and generic drugs, controlled substances, injectables, creams, ointments, liquids and suspensions, and provides web-based software dispensing applications to thousands of physician dispensing programs. DSI also supplies government agencies with ready-to-deploy prophylactic antibiotics, and works with companies as a scalable, dependable, quality-centric packaging partner. Previously, Paul was CEO of Nephrology Associates Medical Group; Regional VP of Operations for Pediatrix Medical Group; CEO of PPO Alliance, a subsidiary of Columbia/HCA; and was responsible for Western Group Operations of Columbia's Provider Networks/Managed Care Division. At PacifiCare Health Systems, he assisted in the development of Secure Horizons, and also worked for Safeguard Health Enterprises, a National Dental HMO. A returning ABL Member, Paul has joined the Orange County Round Table.

Rob Webber, Resolution Biomedical, Inc.
Rob Webber is President and CEO of Resolution Biomedical (RBI), a privately-held specialty diagnostics company. RBI’s core technology, ClearPrep™, is based on a proprietary formula that dramatically enhances the quality and throughput of diagnostic procedures that require visualization through microscopy, including the 55 million Pap tests, and tens of millions of urine and other cytology tests performed annually in the U.S. In addition, RBI packages, sells and distributes high-quality diagnostic chemistry reagents, and owns exclusive U.S. distribution rights for a line of rapid test kits used to diagnose various animal diseases. Previously, Rob was President & CEO of Maui Land & Pineapple Company; President & CFO of DynTek, Inc.; President & CEO of MindArrow Systems; President & CEO of Silicon Film Technologies; COO of Intelogis, Inc.; and worked for McKinsey & Company and Skadden, Arps, Slate, Meagher & Flom. Another returning ABL Member, Rob has joined the Healthcare Device/Dx Round Table.

 
MEMBER NEWS - IN BRIEF

Aetna: Study Finds High-Quality Care Can Reduce Costs
A study recently conducted by Aetna Health, where Pam Kehaly is President of National Accounts, and US Oncology finds that evidence-based care for patients with non-small cell lung cancer results in an average cost savings of 35% over 12 months while demonstrating equivalent health outcomes. Aetna provided data on the average payer costs for treating such patients, providing a key point of comparison to determine cost savings.
 
Aperio Teams with ADCIS on Advanced Stereology Module
Aperio Technologies, where Dirk Soenksen is CEO, and Advanced Concepts in Imaging Software, of France, have introduced a stereology software module for the quantitative evaluation of complex 3D biological structures that originate from 2D sections, built on Aperio’s digital pathology platform. Stereology is an effective alternative to complex image processing algorithms when structures of interest are too intricate, staining is problematic, or there is too much variability between slides or within the same slide. Stereology is used in a wide variety of applications, including neuropathology, pulmonary and kidney diseases, diabetes, and cancer. The stereology module is distributed by Aperio and is fully compatible with its ImageScope digital slide viewing software.
 
Axolotl's Elysium Chosen by Memorial
Axolotl Corporation, where Ray Scott is CEO, announced that Memorial Healthcare System, the fifth-largest public healthcare system in the nation, has selected Axolotl's Elysium Exchange solutions to securely access and share clinical information between physician practices and medical staff, including networking their hospitals' health information with disparate electronic medical record systems in physician practices to achieve clinical interoperability.  Meanwhile, Ray is scheduled to speak at the eHealth Initiative Annual Conference 2010 in Washington, DC on January 26, where he will moderate a panel discussion on "Laboratories for Change: State eHealth Leadership."

CIGNA Recognized for Outstanding Customer Service
CIGNA HealthCare, where Chris De Rosa is Southern California/Nevada President, has been recognized for call center operation customer satisfaction excellence for a fourth consecutive year by J.D. Power and Associates. To become certified, CIGNA’s call center operations successfully passed a detailed audit of its recruiting, training, employee incentives, quality assurance capabilities, and management roles and responsibilities.
 

HeartMath: New Case Study Shows Lower Healthcare Costs through Reduced Stress
HeartMath, LLC, where Bruce Cryer is CEO, has announced the results of an independent actuarial analysis that assessed the value of its Revitalize You! stress reduction program. In 2006, the Reformed Church in America (RCA) introduced this program to its 2,000+ active and retired pastors in an effort to improve clergy wellbeing while reducing the higher-than-average healthcare claims costs. Subsequently, RCA commissioned an independent analysis whose findings included: *Medical claim costs for the HeartMath-trained participants declined by 3.8% from 2007 to 2008. Claim costs for non-HeartMath participants increased by 9% in that same period, roughly equivalent to the national trend. *HeartMath participants had a 22.5% decrease in costs for essential hypertension diagnoses, compared to nonparticipants, who had a 46.9% increase in same costs. *Pharmacy cost trends were lower for HeartMath participants (7.9%) than for nonparticipants (13.3%). *HeartMath training saved the church $585 per participant in its first year. *The one-year ROI in the HeartMath program was 1.95:1, or $1.95 for every $1 invested in the program. The projected ROI for the second year is 3.90:1, or $3.90 for every $1 invested.

Hythiam Writes about Predictive Modeling for Substance Dependent Populations
Hythiam, Inc., where Rick Anderson is President,
has published a paper, "Application of Multivariate Probabilistic (Bayesian) Networks to Substance Use Disorder Risk Stratification and Cost Estimation," in Perspectives in Health Information Management, Volume 6, Fall 2009. The paper features the creation of predictive models that draw on historic healthcare claims and diagnostic data to estimate the expected future costs of a population with a substance dependence diagnosis, and that can stratify the population based on the expected benefit of intervention. Thus, the predictive models can be utilized as the basis for Hythiam to develop new and innovative approaches for substance dependence solutions that result in improved member care and reduced costs for payers.

Kaiser Research Finds Improved Medication Adherence with Mail-Order Pharmacies
In a first-of-its-kind study, researchers from UCLA and
Kaiser Permanente, where Dan Edmonds-Waters and Terry Austen are senior executives, found that patients with diabetes, high blood pressure or high cholesterol who ordered their medications by mail were more likely to take them as prescribed than did patients who obtained them from a local pharmacy. They found that 84.7% of patients who received their medications by mail at least two-thirds of the time stuck to their physician-prescribed regimen, versus 76.9% who picked them up at Kaiser pharmacies.

Keenan Offers Rx Discount Program -- No Eligibility Requirements, No Cost to User
Keenan, where Steve Richter is Senior VP
, has introduced
a new pharmacy discount card program -- Keenan Saver Rx -- designed to help individuals take advantage of significant discounts offered by pharmacy benefit companies. The program is a free service available to part-time employees; friends and family members who are uninsured or under insured; retirees who have reached the Medicare doughnut hole; and to individuals with pharmacy benefits when purchasing any non-covered pharmaceuticals.
Kindred Announces Development Plans and Project Openings
Kindred Healthcare, where Adam Darvish is Southern California Executive Director of Hospitals, and Traci Shelton is Senior VP of Kindred Hospitals West, has announced plans for a replacement hospital, the opening of a new hospital, development of six new hospital-based subacute units and a new transitional care center in Texas, Florida, California, Ohio, Indiana and Washington. Specifically in California, Kindred has opened a 38-bed co-located hospital-based subacute unit within Kindred Hospital Brea. These projects will expand Kindred's capacity to provide a continuum of post-acute care by approximately 130 long-term acute care hospital beds, 150 subacute beds and 150 skilled nursing beds.  

Molina to Acquire Unisys' Medicaid HIM Business
Molina Healthcare, Inc., where Ed Kim is a Corporate VP, has entered into a definitive agreement to acquire the Health Information Management (HIM) business of Unisys Corporation, for approximately $135 million. The HIM business provides design, development, implementation, and business process outsourcing solutions to state governments for their Medicaid Management Information Systems.

Paul Hastings Named "Labor & Employment Litigation Firm of the Year"
Paul, Hastings, Janofsky & Walker LLP, where Michael McKinnon is a Partner, announced that The American Lawyer has selected the firm as the Labor & Employment Litigation Firm of the Year -- for its accomplishments in trial wins, arbitrations and appellate work, with the firm maintaining a 12-1 record in court trials, and a 14-0 record in arbitrations during the time period of competition, January 1, 2008 – July 31, 2009. The firm also stood out among its peers for its successful defense of clients in complex, multi-front class action suits.

Sutter Launches EHR System in Solano County
Sutter Health, where Peter Anderson is Senior VP of Strategy and Business Development, announced that Sutter Regional Medical Foundation has begun rolling out of an electronic health record system in Solano County, and will continue going live with it until its final care center implementation in mid-March. The EHR connects physicians across Sutter Health’s Northern California network; no matter where a patient seeks care, their Sutter physicians will have instant access to their entire medical record.

Vocera Delivers Strongest Quarter and Year Ever
Vocera, Inc., where Brent Lang is President, ended 2009 with a record quarter for both revenue and customer bookings, achieving 31% growth compared to fourth quarter 2008. Vocera also delivered record profits in fourth quarter 2009. Contributing to the company's solid net new growth in the fourth quarter were 13 new hospitals and three five-star hotels. Vocera added new customers in the United States, United Kingdom, Australia, Saudi Arabia and United Arab Emirates.

 

HEALTHCARE & GOVERNMENT - IN BRIEF

New Massachusetts Senator Likely to Have Major Impact on Healthcare Reform Efforts
In an apparent blow to national health reform efforts, Republican Scott Brown defeated Democrat Martha Coakley in the U.S. Senate race to fill the late Sen. Edward Kennedy's Massachusetts seat. The loss of a Senate seat for Democrats knocks them down to a caucus of 59 -- one shy of the 60 needed to break a filibuster. It also puts in jeopardy the Senate's ability to pass a sweeping healthcare overhaul bill. The Senate passed its bill last month, needing all 60 of its members to do so. Without the seat once occupied by Kennedy and held by Sen. Paul Kirk in the interim, it's unlikely the bill could pass again. Brown has said that he would vote against the measure. As an elected official, Brown has influenced healthcare policy in Massachusetts. He was part of a State Senate vote that launched a type of mandatory health insurance program that has extended coverage to close to 97% of the population. Currently, he made the issue of national healthcare reform part of his campaign, tying it to tax hikes and saying he is against the national effort now in Congress. (ModernHealthcare.com, 1/19/10)

California Announces New Limits on HMO Wait Times
The California Department of Managed Health Care this week rolled out new rules giving HMO patients the right to obtain: *A physician appointment within 10 business days of a request; *A specialist appointment within 15 business days of a request; *An urgent care visit within 48 hours of a request; and *Telephone access to a healthcare professional at all times. Health plans will have one year to comply with the new rules. After January 2011, the state will have the authority to fine non-compliant HMOs. DMHC Director Cindy Ehnes acknowledged that HMOs could face difficulty complying with the new rules, particularly in regions that already suffer from a shortage of primary care physicians. In addition, California physicians might struggle to keep up with demand if national healthcare reform efforts succeed in extending coverage to millions of uninsured U.S. residents. Ehnes said DMHC might grant exemptions to the wait time rules in areas with a particularly acute shortage of general practitioners. (Sacramento Bee & New York Times, 1/20/10)


CCHIT Updates EHR Criteria Based on Interim Rule
Applications for vendors seeking to test and certify their electronic health record systems against the upgraded criteria of the Certification Commission for Health Information Technology can begin submitting applications Feb. 12, the organization announced. CCHIT intends to base its testing and certification program on an interim final rule on EHR certification criteria issued by the Office of the National Coordinator for Health Information Technology on Dec. 30, 2009, and a notice of public rulemaking issued by the CMS that same day on “meaningful use” criteria. Generally, EHR systems must conform to those rules to qualify for the federal EHR subsidy program under the American Recovery and Reinvestment Act of 2009. CCHIT will host a free, public Web and teleconference to go over the changes and answer questions at 3 p.m. Central time on Jan. 26. More information is available at the CCHIT Web site. (HITS - Modern Healthcare's daily IT e-newsletter, 1/20/10)

 

HEALTHCARE TRENDS - IN BRIEF

California Counties Lead Demand for Healthcare Workers
The demand for healthcare workers appears to be accelerating in most areas of the nation, according to a new study from Health Workforce Solutions LLC. Labor trends in 30 markets tracked by the consulting firm found demand growing fastest in Sacramento, Riverside/San Bernardino, Pittsburgh, Cleveland, and Dallas for the fourth quarter of 2009. The New York/Northern New Jersey area ranked at the bottom of the 30 markets tracked. (HealthLeaders Media, 1/15/10)

 
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