e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Archive for April, 2007

Physician EHR Implementation Is Doggone Difficult

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 [...]

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Five Lingering Questions Holding Back Remote Patient Monitoring (RPM) Adoption

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 [...]

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Links: April 23, 2007

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 [...]

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Straight Talk on Telehealth and Remote Patient Monitoring

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 [...]

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Despite Limited Penetration, Integrated Delivery Systems Have Advanced Chronic Care

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 [...]

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United’s Move to Fine Physicians: The Other POV

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 [...]

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Doctors and Health Plans: Can Care Management Opportunities Reconcile the Hatfields and the McCoys?

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 [...]

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Medicare and DM: Synthesis in 500 Words

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: [...]

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Introducing: the POE Award and the POO Award

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: Tags: Medicare

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