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 [...]
Can I interest you in a 2 minute summary of DM in Medicare? Please read my posting Medicare Chronic Disease Management Direction? It’s Anybody’s Guess on the World Health Care Blog.
The World Health Care Blog is a unique experiment sponsored by the World Health Care Congress. Please also check out the excellent health care blogs of my fellow bloggers:
Tony Chen [...]
Today I’m introducing two new awards:
The POE Award — for plain old English
The POO Award — for pervasive obfuscatory oration
When I work on projects, the room typically has a combination of people who are native speakers of three very different languages:
Medicare’s major thrust at chronic disease management innovation — the Medicare Health Support (MHS) pilot project — continues to gather storm clouds.
Today’s POO (persistent obfuscatory orations) Award goes to Healthways for their explanation of MHS progress (or lack thereof) in an April 4 press release. If you can understand what they’re saying about MHS (see p. 3) without having your CPA [...]
Mathematica Research has just released a report: The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years. It’s not pretty.
Section F of the Executive Summary is entitled “Synthesizing the Findings: What Works, and What Doesn’t”. That section begins:
Given that few of the programs have shown convincing evidence to date of reducing [...]
Next Thursday April 12, Dr. Randy Williams and I will jointly be presenting our perspectives in a webinar entitled:.
Disease Management (DM): Will Providers Seize the Opportunity to Be Back in Charge?
Click the link for details about the agenda and registration You can receive a 15% discount by entering the following Promotional Code: 0412VK
Thank you to Jane Hiebert-White, who hosts the latest edition of the Health Wonk Review at the Health Affairs Blog. Health Wonk Review is a bi-weekly round-up of the best in health care policy blogging commentary. This edition is entitled “Health Wonk Review And Health Reform 2.0”.
Jane’s tribute to Paul Hiebert really touched me:
For myself, my [...]
TA Associates announced that it has partnered with management in a $175 million buyout of Alere Medical Incorporated, a leading disease management company.
Here are a few of my initial impressions:
I’m honored to have been invited to be a guest blogger at the World Health Care Blog, an innovative experiment by the World Health Care Congress. Today’s question is: Technology in Health Care: Villain or Hero?
Telemedicine in the Ambulatory Setting: Trends, Opportunities and Challenges
First Consulting Group, March 2007
New Technologies For Chronic Disease Management And Control: A Systematic Review
Journal of Telemedicine and Telecare, March 2007
Systematic Review of the Chronic Care Model in Chronic Obstructive Pulmonary Disease Prevention and Management
Archives of Internal Medicine; March 26, 2007
Case Management For Seniors Requires Heightened [...]
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