UNBOUND: CONVERGENCE OF CONSUMER AND HEALTHCARE TECHNOLOGIES
healthcare technologies are driving opportunities to serve patients
in new ways and in new settings. Forrester Research recently coined
the term “Healthcare
Unbound” to encompass the trends toward self care, mobile care,
and home care. More specifically, Forrester Research describes
Healthcare Unbound as “technology in, on and around the body that
frees care from formal institutions.”
to dramatically changing traditional healthcare delivery, Healthcare
Unbound attracts a range of companies that previously have not been
deeply involved in healthcare -- consumer electronics, telecom, and
information technology companies to name a few.
Technologies’ recent consulting work with Samsung Electronics
highlights some of the dramatic benefits flowing from the
convergence of consumer and healthcare technologies:
patient adherence to clinical guidelines
Gathering vital sign data from patients remotely
Providing information to patients -- anywhere, anytime
Automating information flow among patients, healthcare providers,
and payors -- reducing costs AND improving quality.
Keeping people in their own homes (rather than in hospitals or
interested? In the enlightening report, “Consumer
Healthcare Electronics: Consumer are Ready, Willing and Able”,
Accenture found that consumers are eager to play an active role in
managing their health and embracing emerging home healthcare
examples of converging consumer and healthcare technologies?
TECHNOLOGIES: smart houses, personal communications devices
(PDAs, cell phones, smart phones, etc.), broadband (cable, DSL,
satellite), digital cameras & video, wireless, etc.
HEALTHCARE TECHNOLOGIES: remote patient monitoring, personal
health records, electronic medical records, e-prescribing,
e-disease management, e-clinical trials, telehealth/telemedicine,
sensors, traditional medical devices (becoming smaller, internet
enabled, implantable), call centers, customer relationship
management technologies and Internet/web technologies (interactive
web sites, doctor/patient email, virtual physician visits, etc.)
assistance from Drapin & Co. and BHT,
The Center for Business Innovation (TCBI) is organizing a
Conference & Exhibition on the Convergence of Consumer and
You can view
preliminary agenda for the conference. Are you interested in
speaking? Exhibiting? Sponsoring? Attending? Call or write
Satish Kavirajan, Managing Director, TCBI, (310) 265-2570,
interested in discussing how your company can benefit from
Healthcare Unbound? Call or write Vince Kuraitis, Principal, Better
Health Technologies at (208) 395-1197,
We will be
bringing you more details over the coming months....stay tuned.
A 55% CHANCE OF GETTING THE RIGHT MEDICAL CARE
of Health Care Delivered to Adults in the United States
England Journal of Medicine; June 26, 2003
Rand Organization Fact Sheet with link to full NEJM article
Participants received 54.9 percent...of recommended care. We found
little difference among the proportion of recommended preventive
care provided (54.9 percent), the proportion of recommended acute
care provided (53.5 percent), and the proportion of recommended care
provided for chronic conditions (56.1 percent).
The deficits we have identified in adherence to recommended
processes for basic care pose serious threats to the health of the
American public. Strategies to reduce these deficits in care are
SAYS “TELEMEDICINE REIMBURSEMENT PROGRESSING BETTER THAN EXPECTED”
Private Payer Reimbursement Information Directory
Telemedicine Association (ATA) and AMD Telemedicine, May 2003
Telemedicine Private Payer Reimbursement Insurance Survey
Mark Vanderwerf, President, AMD Telemedicine, Inc.
Presented at the ATA 8th Annual Meeting; April 30, 2003
to be a critical mass for private payer reimbursement for
38 programs in
25 states currently receive reimbursements from private payers
receive reimbursement for store and forward
receive reimbursement for facility fees
appear to follow leadership of Blue Cross more than Medicare or
DESCRIBES MEDICAL MANAGEMENT BENCHMARKS
Managed Care Measures: Results of the 2002 Managed Care Benchmarking
Gemini Ernst & Young (CGE&Y), May 2003
Here are a
few relevant findings relating to medical management benchmarks:
member per month) spending on Medical Management was up 34% over
1999 benchmarks, but reductions were noted in certain areas and
plans were spending in a narrow range. In particular, utilization
management (UM) staffing dropped by 50% and FTEs performing hospital
precertification and referral authorization were less than one-third
of 1999 levels.
investment in focused medical management programs continue to
demonstrate returns. Higher spending on medical management is
strongly associated with lower medical loss ratios....
utilization of disease management (DM) programs has remained steady,
with the ratio of members in DM programs relatively unchanged
between the 1999 to 2002 Benchmarking Studies. However, the
programmatic focus changed.... Diabetes programs remained strong,
but membership shifted out of high-risk obstetrics and into asthma
and coronary artery disease (CAD) programs.
TELEHEALTHCARE REPORT FOR YOUR REFERENCE SHELF
Telehealthcare: Process, Policy, and Procedures” is a new, 150-
page, practical report for home care planners and providers
embarking on the new frontier of home telehealth.
disease management services and new and affordable tools are key
areas of focus. Sample in-house policies and forms for patient and
home assessments, equipment maintenance routines, and other
management concerns are provided to help achieve the consistency
needed for effective telehealthcare program planning and delivery.
information is available at
www.InformationForTomorrow.com or from the author, Audrey
Kinsella, at 800-506-6587/301-581-0090.
DOCTOR/PATIENT EMAIL -- WELL SUITED FOR PATIENTS WITH CHRONIC
Doctors Who Are Using E-mail With Their Patients: a Qualitative
of Medical Internet Research, April-June 2003
surveyed physicians currently using e-mail with their patients.
They found that chronic disease management is one area of consistent
agreement for respondents. These physicians felt that e-mail is a
very effective way of managing patients whom they know well. Many
cited examples of using e-mail to manage conditions such as
diabetes, hypertension, psoriasis, and even congestive heart failure
E-PRESCRIBING: 5 OBSTACLES, 5 POTENTIAL SOLUTIONS
5 Obstacles To E-Prescribing: 5 Approaches To Overcoming Them
Medical News; May 12, 2003
Physicians can't afford the technology.
Potential solution: Someone else must pay for or subsidize the
There is no direct benefit to doctors.
Potential solution: Those who do benefit could offer financial
incentives to physicians.
The technology is poorly designed and more inefficient than the
paper-based system it's supposed to replace.
Potential solution: Companies should design technology that reflects
how doctors work and offers them many benefits in a seamless
There is a lack of interoperability.
solution: Companies should seek a wider adoption of clinical data
standards so different information systems will work with each
There are regulations that ban or can be interpreted to ban
Potential solution: The federal government needs to develop laws
facilitating both e-prescribing and a clearer understanding of the
applicability of the Health Insurance Portability and Accountability
BUSINESS CASE FOR DIABETES MANAGEMENT IS CHALLENGED TO SHOW
The Business Case For Diabetes Disease Management At Two Managed
Care Organizations: A Case Study
Commonwealth Fund, April 2003
is often poorly managed, and the disease exacts a high toll on
society in terms of health costs and lost productivity. Analysis of
two health plans with established diabetes programs shows that the
business case for diabetes disease management is weak. The initial
costs for such programs are substantial, and plans may not be able
to reap the potential savings until 10 years after a health plan
member is enrolled in the program.
diabetes management more attractive to health plans, a financing
system that pays plans and providers on the basis of quality of
services would need to be put into place. For example,
fee-for-service payments could add reimbursement for group visits
and electronic communications. Moreover, the institutions that
benefit from improved diabetes care, including Medicare, Medicaid,
and employers, could contribute to the financing of diabetes disease
AMONG LEAST VULNERABLE COUNTRIES TO CHALLENGES OF AGING
The 2003 Aging Vulnerability Index: An Assessment of the Capacity of
Twelve Developed Countries to Meet the Aging Challenge
Watson-Wyatt Worldwide, March 2003
aging of developed countries will pose a major challenge for global
prosperity and stability during the first half of the twenty-first
century. Watson-Wyatt analyzed characteristics of 12 developed
countries and grouped them into low/medium/high vulnerability:
The Index was
compiled from indicators in four basic categories, each dealing with
a crucial dimension of the aging challenge: 1) Public-burden
indicators, 2) Fiscal-room indicators, 3) Benefit-dependence
indicators, and 4) Elder-affluence indicators.
Connecting Healthcare in the Information Age
Foundation; June 5, 2003
Health Plans: The Next Wave
HealthLeaders: June 10, 2003
Today’s system treats health crises, but it fails at chronic disease
June 18, 2003
National Medical Spending Attributable To Overweight And Obesity:
How Much, And Who’s Paying?
Affairs; May 14, 2003
New model gauges health risks
Benefit News, May 2003
How Does Quality Enter into Healthcare Purchasing Decisions?
Commonwealth Fund, May 2003
Disease Management: The Programs and the Promise
USA May 2003
Ageism: How Healthcare Fails the Elderly
for Aging Research May 2003
Value-Based Purchasing: A Review of the Literature
Commonwealth Fund, May 2003
Broadband Adoption at Home: A Pew Internet Project Data Memo
Internet Project; May 18, 2003
Investment in Population Health in Five OECD Countries
Organisation for Economic Co-operation and Development; April 22,
Use of the Internet and E-mail for Health Care Information
Results From a National Survey
of the American Medical Association; May 14, 2003
European Union citizens and sources of information about health
European Opinion Research Group, March 2003
Success Stories in Telemedicine: Some Empirical Evidence
Telemedicine Journal and e-Health, Spring 2003
If Cars Can Have Microprocessors, Why Can't People?
World; May 27, 2003
E-CareManagement News is a
complimentary e-newsletter sent to over 3,000 worldwide readers
courtesy of Better Health Technologies, LLC <http://www.bhtinfo.com/>.
For business and clinical decision
makers who are developing innovative approaches to managing chronic
diseases, Better Health Technologies is an eHealth and disease
management consulting company that can assist you with
strategy/business planning, finding financing, finding initial
customers, and developing key partnerships.
Samsung Electronics, South Korea,
is a client of Better Health Technologies.
You may copy, reprint or forward all
or part of this newsletter to friends, colleagues or customers, as
long as the use is not for resale or profit and the following
copyright notice is included intact. Copyright © 2003, Better Health
Technologies, LLC. All rights reserved
We welcome your opinions and
comments. Write or call Vince Kuraitis JD, MBA at firstname.lastname@example.org,
(208) 395-1197 or Harry Leider MD, MBA at email@example.com, (410)