Changing Needs
1900-1950 Infectious Diseases
1950-2000 Episodic Care
2000-2050 Chronic Care
Gerard F. Anderson, PhD; Johns Hopkins University
Now that Medicare’s future direction for chronic care management has become murky, I’ve started to pay more attention to the many other demonstration/pilot projects that Medicare has in the works relating to chronic care.
In April Medicare announced roll out of its DOQ-IT U (Doctor’s Office Quality — Information Technology University), as a part of the [...]
Technology adoption often takes longer than expected, and remote patient monitoring (RPM) is no exception. More specifically, I’m referring to multiparameter RPM of patient vital signs. There are currently over 25 companies with multiparameter RPM offerings, including Philips, Honeywell HomMed, Health Hero, ViTel Net, and many others.
I am a big believer in RPM technology — [...]
End of the Mississippi Medicare Health Support Program
McKesson Health Solutions; April 7, 2007
Recommendations for Integration of Chronic Disease Programs: Are Your Programs Linked?
Preventing Chronic Disease; April 2007
Commercial Health Plans’ Care Management Activities and the Impact on Costs, Quality and Outcomes
Congressional Testimony, Center for Studying Health System Change; April 11, 2007
You MUST read Dr. Joseph C. Kvedar’s article “Quality, Cost and Connected Health” posted on The Health Care Blog.
Lessons learned include:
Feedback changes behavior
Adherence is a forgotten opportunity
Providers are ready to engage, but need to be led
Dr. Kvedar is Director of the Center for Connected Health at Partners Healthcare System in Boston. The Center for Connected [...]
The 1990’s experiment around development of integrated delivery systems (IDSs) mostly did not take root. This experiment was primarily about financial integration — doctors joining with hospitals so that they could together contract with health insurers for capitated reimbursement, hospitals starting their own health plan, or hospitals buying physician practices as a way of guaranteeing [...]
Joe Paduda at the Managed Care Matters blog makes some great counterpoints defending United Health’s moves threatening to fine doctors for making out-of-network lab referrals. I recommend that you read his essay and his readers comments.
In my posting from a couple days ago — Doctors and Health Plans: Can Care Management Opportunities Reconcile the Hatfields and the [...]
I’m going to try something different in this blog posting. I’d like to introduce a fairly open-ended issue that 1) is of great importance, and 2) is highly debatable. I’ll be the first to admit that my thinking about this is half baked.
Here’s the issue. Over the coming years, will health plans and doctors:
Continue to [...]
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