Exhibit at the Population Health and Wellness Event of the Year

Care Continuum Alliance Forum 2013

Exhibit at the Population Health and Wellness Event of the Year

Be where health care leaders are.

Showcase how you are shaping the future of health care. 

EXHIBIT at The Solutions Zone of the CCA Forum, Oct. 23 – 25, at the Fairmont Scottsdale Princess in Scottsdale, Arizona!

Designed to expand and provide opportunities for the leaders of the health care industry, technology innovators, government officials, researchers and academics, the CCA Forum is the go-to event for:

  • Wellness and care management organizations
  • Pharmaceutical manufacturers and benefits managers
  • Health information technology innovators
  • Employers
  • Researchers and academics
  • Physicians, nurses and other health care professionals

Where does your company fit in the Solutions Zone?  The Solutions Zone, the exhibit hall reinvented for engagement, features four neighborhoods – The Virtual Edge, Data Marketplace, Destination Wellness and Care Strategies Center – and provides infinite ways to engage, instruct, and connect with customers.

A walk through the “neighborhoods” helps attendees understand how to implement successful wellness, prevention and chronic care management programs.


Save $500 on your exhibit fee before May 14, 2013, plus your company’s promotional items will be inserted in the CCA Forum conference tote bag. A $1,000 value!

Before May 14, 2013Members:          $3,500
Non Members:  $4,500

Download Exhibitor Prospectus

     After May 14, 2013Members:          $4,000
Non Members:  $5,000

Go to:  Apply to Exhibit  and sign up today.

Questions? Contact Cindy DeClark at cdeclark@carecontinuumalliance.org

Membership Update – March 2013

March has been a busy month for the Care Continuum Alliance. We are excited by the record number of CCA Forum 2013 proposal submissions received. The Program Committee is now hard at work in the selection process. With more than 90 proposals from around the world we can be sure of two things: the selection process won’t be easy and the final program will be top notch! We want to thank the CCA members who volunteered their time to be part of the Program Committee. The selected proposals will be announced late June, so, please, standby!
CCA is preparing for the April 11th Capitol Caucus. Don’t miss it! Please, check the Agenda, and I’m sure you will realize you need to be there. 
Frequently, members and prospective members ask about the opportunities for engagement with CCA and I thought it might be helpful to list them as a reminder:
  • We Are SOCIAL! Communication vehicles for you to engage with CCA and the community at large:
    1. Follow us on Twitter @CCAVoice
    2. Become part of our very active LinkedIn group
    3. Submit a Guest Blog Post about what’s going on in your organization: CCA’ s blog guidelines 
  • SUBMIT member info to the  CCA Connect: Voice of Population Health! Catch up on the January and February  editions.
  • INVITE your Washington D.C. legislative team/reps or if you are in town, to:
    1. ATTEND the monthly Washington Representatives Meeting – The March 26th meeting features Dr. Linda T. Bilheimer, Assistant Director for Health, Retirement, and Long-Term Analysis-The Congressional Budget Office. Read about the January meeting with Representative Charles Boustany (R-LA).
    2. ATTEND the April 11th Capitol Caucus, Embassy Suites, Washington DC.
    3. ATTEND  the monthly Government Affairs or Innovations Committee meeting either in person or via dial in. Contact Victoria Ingenito-Shapiro, vingenito@carecontinuumalliance.org
    4. Hold a Congressional Briefing.
  • SIGN UP for the new HIX Committee and Workshops! Contact Karen Moseley, kmoseley@carecontinuumalliance.org 
I’m here to answer any questions and am always interested in feedback and suggestions on how to improve upon our offerings to you.
Lisa Gorski
Vice President, Membership & Development
Care Continuum Alliance   LinkedInFacebookTwitter
701 Pennsylvania Avenue, N.W., Suite 700
Washington, DC 20004
Tel: 202-737-5806
Cell: 650-222-3811


CCA New Members Roll Call: March 2013

BayCare Health System is a leading community-based health system in the Tampa Bay area.  Composed of a network of 10 not-for-profit hospitals, outpatient facilities and services such as imaging, lab, behavioral health and home health care, BayCare provides expert medical care throughout a patient’s lifetime.

With more than 200 locations throughout the Tampa Bay area, BayCare connects patients to a complete range of preventive, diagnostic and treatment services for any health care need.

SCAN Health Plan® is a Medicare Advantage plan serving the needs of more than 130,000 members in California and Arizona. The goal of the organization is to continue to find innovative ways to enhance members’ ability to manage their health and to continue to control where and how they live. Since its inception, SCAN has provided the care needed to keep more than 100,000 people out of nursing homes. Founded in 1977, SCAN is headquartered in Long Beach, California. Today SCAN is the second largest not-for-profit Medicare Advantage plan in California. We invite you to find out more about our unique health plan dedicated to helping our members stay healthy and independent.

CCA Quality & Research Update – Focus on Partnerships

Quality & Research March Update

Population Health Management in Health Insurance Exchanges

The Affordable Care Act requires health insurance exchanges (HIX) to be established and working by 2014 in every state. Currently, 17 states are pursuing a state-run marketplace, while the remaining 33 states will allow a federally facilitated marketplace or partner for a state-federal marketplace. These exchanges will function as a transparent and competitive marketplace where buyers of health insurance, mainly individuals and small businesses, can buy affordable and qualified health benefit plans.

This move toward increased health care access for broader populations provides an opportunity to apply population health management (PHM) beyond Medicare and Medicaid populations to the commercial market. As employers shift the ways in which they provide health benefits, this work will be applicable to any population health model trying to gain access to broader populations through broader access models such as state and private exchanges.

CCA and its members have already laid the groundwork for population health management as the cornerstone for this broader access model. PHM strategies and tactics will be important to the success of the health insurance exchanges. As the voice of population health, CCA will develop tools and guidance to address three main objectives: 1) help PHM vendors to understand the health insurance exchanges and the opportunities that may exist in these new markets; 2) demonstrate the value of PHM to the health insurance exchanges; and 3) inform policy makers about the value of PHM for the HIX and differentiate the payment models used.

The Quality & Research Committee has formed two work groups for this effort. If you are interested in participating, please contact Karen Moseley, kmoseley@carecontinuumalliance.org.

  1. HIX Assessment. This work group will perform the environmental scan of HIX, including participating states, design decisions, product offerings, populations served, measurement, health information technology, and other exchanges such as private exchanges and state-federal marketplaces.
  2. Exchanges 101. This work group will develop guidance around the value proposition of HIX as a new business opportunity for PHM organizations as well as the value proposition of PHM for the success of HIX.

HERO-CCA Employer Dashboard

CCA’s collaborative effort with HERO is progressing and will be in the final stages of review within the next few months. The project leadership group plans to meet for a full-day working session in April to finalize the document for review by experts in the industry and stakeholder groups within HERO and CCA. If you have expertise in measures for employee health management programs—specifically the domains of health impact, satisfaction, participation, financial outcomes, productivity, organizational support, and value of investment—please contact Karen Moseley, kmoseley@carecontinuumalliance.org, if you would like to serve as a reviewer of the work prior to release. The final review will include public comment, so stay tuned.

Workplace Wellness

The CCA data aggregation buzz has been quiet for several months, but it is becoming louder as we await the release of RAND’s Report to Congress on the effectiveness of wellness programs in the workplace, including factors such as the incentives offered, the impact participation has on employee behavior, and programs’ ultimate impact on employees’ health. We expect to have the full report in April, and RAND has offered to brief the CCA data advisory board as well as the data contributors on the report findings post release.

On a similar note, CCA Quality & Research is collaborating with CCA Advocacy to develop a detailed, comprehensive, and evidence-based response to a recent article in Health Affairs titled, Wellness Incentives In The Workplace: Cost Savings Through Cost Shifting To Unhealthy. The authors draw several conclusions that merit a response, and CCA members are called to submit case studies to increase the evidence. Read the Call to Actionand act now!


Notes from Congressional Hearing on Health Information Technology

The U.S. House of Representatives Energy & Commerce Committee’s Subcommittee on Communications and Technology held a hearing March 19 titled “Health Information Technologies: Harnessing Wireless Innovation.”

Stakeholders from the population health management industry testified in this important issue for our industry and wellness in general. Here is a brief summary of the testimony:

U.S. House of Representatives Hearing Summary

Energy & Commerce Subcommittee on Communications and Technology

 “HIT: Harnessing Wireless Innovation”

Representative Greg Walden (R-OR) – Chair

Representative Bob Latta (R-OH) – Vice Chair

Key Comments from Health Care Industry Stakeholders:

Overly broad application of FDA regulations and the medical device tax continue to be top concerns and potential hurdles to investment and growth for mobile health industry stakeholders. Stakeholders generally described uncertainty in the health care industry on how to best navigate the mobile medical regulatory environment and anticipate future regulatory actions. They emphasized the need for final FDA guidance on mobile medical devices and applications to bring clarity and assurance to the marketplace. The final guidance should delineate what would be considered low-risk devices and hence outside of the regulations. It should also assess manufacturing exemptions, classify devices by individual levels of risk, coordinate through a single office in the FDA and work in collaboration with app developers. Further, higher risk medical apps that purport to make clinical decisions should be required go through the FDA approval process. Stakeholders noted that the final guidance does not have to be all-encompassing. Rather, updates should be anticipated as technology advances the concept of a medical device and health care stakeholders continue to innovate.

Regarding the medical device tax, significant anxiety persists among health industry stakeholders over the tax’s potential to stifle innovation and marketplace investment. In response to the “retail exemption” to the medical device tax, stakeholders seemed aligned that most medical apps would qualify for the exemption and that smartphones and tablets are excluded from the tax.  Though, some stakeholder comments indicated that the tax could be a slippery slope to overregulation and wary of whether this retail exemption will alleviate burdens associated with the tax if a mobile medical device or application is deemed to be FDA regulated.

Finally, the Federal Communications Commission Incentive Auctions must be open and inclusive. There is significant underutilization of the wireless spectrum that needs to be resolved in order to pave the way for continued growth and innovation in the health industry.

Key Comments from Subcommittee Members:

Members of the Subcommittee broadly agreed and recognized that cloud, mobile and app technology is transforming health IT. Patient safety continues to be a paramount consideration for both Congress and industry stakeholders as innovation and corresponding regulatory actions progress. The Subcommittee’s objective was to understand stakeholder concerns and risks related to the medical device tax and pending FDA final guidance. They also expressly sought information from industry stakeholders on recommended next steps.

Additional Background Information:

Medical Device Tax

The Affordable Care Act amended Section 4191 of the Internal Revenue Code to create the medical device tax. The tax is 2.3% of the sale price of the taxable medical device and generally applies to manufacturers and importers of certain devices created after December 31, 2012. The “retail exemption” to the medical device tax states that the tax does not apply to the sale of any devices that are typically purchased at retail by the general public for individual use. The IRS issued final medical device tax regulations on December 7, 2012 and noted factors to consider in evaluating whether a particular device qualifies for the “retail exemption.” The regulations also identify several categories of exempt devices. For further details, view the final IRS regulations on taxable medical devices here: Federal Register- IRS Medical Device Tax. Also, view the IRS’s Frequently Asked Questions and Answers on this topic here: IRS-FAQ Medical Device Tax.

Federal Communications Commission Incentive Auctions

The Federal Communications Commission Incentive Auctions are a voluntary, market-based method of repurposing the wireless broadband spectrum. The auctions encourage current licensees to voluntarily relinquish spectrum usage rights in exchange for a share of proceeds from an auction of new licenses to use the repurposed spectrum. The first incentive auction is anticipated in 2014.

CALL FOR ACTION: Showcase The Value of Workplace Wellness Incentives

CCA has reviewed the March 2013 Health Affairs article discussing the use of incentives in wellness programs. The authors’ conclusions are not reflective of the evidence and experience of CCA members in implementing health contingent wellness programs. In addition, the title of the article seems to be unduly inflammatory, and not fully supported by the analysis.

We are concerned that the timing of this publication could adversely affect the nature of the forthcoming regulations on non-discriminatory wellness programs.  Therefore, the Care Continuum Alliance is:

  1. Alerting our members and the industry to the potential impact of this negative-toned article in the current regulatory and policy environment;
  2. Conducting a comprehensive literature review including CCA’s recent research on Participant Engagement and the Use of Incentives;
  3. Issuing a Call for Case Studies from the CCA membership to address the points made in the Health Affairs article;
  4. Calling our members to a concerted action in response to the assertions made in this article:
    1. Respond to CCA’s Call for Case Studies.
    2. Read Care Continuum Alliance Evidence Statements: The Use of Incentives in Employer-Sponsored Wellness Programs.
    3. Attend CCA Capitol Caucus, on April 11, where discussions on incentives and other regulatory issues will be center stage. Learn more and register today.
    4. Highlight your organization’s research and outcomes on incentives for wellness programs through media and public outreach.

Article’s Key Points

The article Wellness Incentives In The Workplace: Cost Savings Through Cost Shifting To Unhealthy, published in the peer-reviewed journal Health Affairs, offers a conceptual framework for assessing whether health-contingent wellness programs are effective in achieving cost-savings through health improvement. The authors determine that the relationship between high-risk health conditions/ behaviors and increased healthcare costs is not definitive; conclude that the current evidence on the effectiveness of incentives in behavior change science is ambiguous; and posit that demonstrated cost-savings from wellness programs may result from cost-shifting and placing an undue burden on those of lower socioeconomic status.

Our Response

CCA is developing a more detailed, comprehensive, and evidence-based response, which will incorporate our members’ research.

Please submit your case studies, experience and evidence illustrating the following points:

  • CCA members engage in rigorous program evaluations and scientific assessments with ample data to ensure wellness programs are appropriately designed and tailored to improved health outcomes.
  • Significant evidence suggests a clear relationship between high-risk health conditions/ behaviors and increased healthcare costs.
  • Years of epidemiological data clearly show that a healthy lifestyle reduces the likelihood of disease.
  • CCA acknowledges that current evidence yields mixed outcomes on the effectiveness of incentives in behavior change science. Though, as program innovation continues, a growing body of research positively indicates that incentives can, in some cases, facilitate behavior change to increase patient engagement in wellness programs.
  • Appropriate incentive and wellness program design can produce cost savings for employers without any cost shifting to less healthy employees.
  • The value of wellness programs extends beyond direct healthcare cost-savings. As one component of an organizational culture of health, wellness programs can produce additional positive outcomes such as workforce productivity, aside from short-term Return On Investment.

The final rules on Incentives for Nondiscriminatory Wellness Programs in Group Health Plans from the Department of Health and Human Services (HHS), the Department of the Treasury, and the Department of Labor are under development and expected in the coming months. In addition, there is concern about the possibility of lawsuits. Read CCA Letter to HHS Secretary Sebelius on Incentives for Wellness Programs.

CCA’s Actions

Your Actions

Guest Post: New AHRQ Report Clarifies which Safety Strategies Work and How Best to Use Them

Knowing what steps to take to make care safer for your patients just got a little easier. A new report from the Agency for Healthcare Research and Quality identifies 22 patient safety strategies that are proven to be effective and provides information on how they work best so they can be adapted to local needs.

The report, Making Health Care Safer ll, An Updated Critical Analysis of the Evidence for Patient Safety Practices, includes reviews of the strength and quality of evidence for 41 patient safety strategies and identifies those that have the strongest evidence of effectiveness. The reviews also include evidence about context, implementation and adoption to help clinicians understand what works, how to apply it and under what circumstances it works best.

An international panel of experts considered the 41 strategies and found that 22 were supported by enough evidence that “providers should not delay” in adopting them. Based on these findings, clinicians and health systems can now move forward with assurance that a sound evidence base exists for integrating these patient safety strategies in their day-to-day delivery of patient care.

Many of the strategies identified in this report are already widely in use; others have shown great promise but remain uncommon in practice. Clinicians and health systems can use the report to guide or realign efforts that are already underway for patient safety improvement.

The report also identifies gaps where more research can propel patient safety efforts even further. To learn more about the online report, visit AHRQ at:  http://www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html

Free continuing medical education credits are available for select articles published in a special supplement to the Annals of Internal Medicine; visit Annals at: http://annals.org/issue.aspx?journalid=90&issueid=926462


Guest Blog Post Disclaimer

CCA invites guest bloggers to post on Voice on Population Health Blog as a benefit for our members and the industry and to allow for exchange of ideas and information regarding population health.

The views, opinions and positions expressed within these guest posts are those of the author alone and/or of the company the author represents and do not represent those of the Care Continuum Alliance (CCA), its members, or the industry as a whole. CCA is not responsible for the accuracy, completeness and validity of any statements made within this guest post article. We accept no liability for any errors, omissions or representations. The copyright of this content belongs to the author(s) and any liability with regards to infringement of intellectual property rights remains with them.

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