e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Archive for March, 2008

Search Engines Using Your Personal Health Information: Creepy or Cutting Edge?

When using a search engine, should results be customized based on your personal health information (PHI)?  Should your search engine of choice take into account your previous history of medical searches, or even provide results tailored from data about your personal medical history?
Two companies — Aetna and Microsoft — have come up with 180 degree different answers.
In [...]

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Health Wonk Review — Fearless Leader Edition

Joe Paduda has posted the latest edition of the Health Wonk Review at his blogsite, Managed Care Matters. 
Joe is one of the founders of the HWR, so a big THANK YOU goes out to our  “Fearless Leader”.

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The Medicare Health Support Saga: Opacity in Government Going Strong

 Vince Kuraitis and Thomas Wilson, PhD, DrPH
“If you aren’t confused you don’t know what’s going on.”
Jack Welch, former CEO, General Electric

         
Thanks to the continuing opacity of the Centers for Medicare and Medicaid Serices (CMS), we remain confused about the future of Medicare Health Support (MHS).
It’s been over a month since we last commented on MHS. What’s MHS?  It’s JUST [...]

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4 Reasons Why Health Plans Struggle with PHRs

Aetna recently made another big announcement relating to their PHR.  While the concept of what they’re doing is very appealing, it strikes me that health plans in general face an uphill battle in getting consumers to adopt and use personal health records (PHRs).
I’ll describe 4 factors behind my thinking:

Lack of Trust
Lack of Access to Clinical Data
Lack [...]

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How Will the HMO Stock Meltdown Affect Chronic Disease Management?

About three weeks ago Cain Brothers Investment Bankers released a report that foreshadowed the collapse of HMO stock prices that has occurred over the past few days.  The report was entitled: FAREWELL TO A TIME OF PLENTY? Health Plan Strategies for Growth in a More Challenging Market. 
Here are a few highlights from the report:

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Eight Reflections From One Year of Blogging

Blogging started as an exercise in business development.  It’s turned into an adventure in personal development.
Blogging is more work than I ever imagined.
Blogging is also more rewarding than I ever imagined.
Think book, not diary  (with gratitude to Guy Kawasaki, How to Change the World blog).
Putting up 1/2 baked ideas is a great way to have a dialogue; putting up 1/4 baked [...]

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Going to the Mat for Dorothy

by Jill Kuraitis 
Vince gave me Dorothy’s story to read, and here’s what I said:  GO DOROTHY!   ::::goofy little happy dance:::   Dorothy is my new hero. I love people who are willing to go to the mat for a cause, especially one having to do with the elderly, children, the disabled and less fortunate than we.
Since [...]

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Birth Announcement: the Personal Health Information Network (PHIN)

Vince Kuraitis and David C. Kibbe, MD MBA 
The Internet and digital technologies have transformed many aspects of our lives over the past twenty years.  We can get cash at ATMs all over the world; we can book our own airline reservations; we can shop and get best prices over the Internet.
Why hasn’t this happened in [...]

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“Give me Auntie’s medical records or put me in the slammer!”

We underestimate how much people REALLY want medical infomation about themselves and their loved ones. 
Dorothy Tillman wanted it so badly that she was arrested!  Read more at Jaz-Michael King’s blog, A Scanner Brightly.
 
Hat tip to Jen McCabe Gorman for spotting this amazing story.

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A First Comparison of Google Health and MS HealthVault

While details are thin, here’s a first pass at comparing and contrasting Google Health (GH) and Microsoft HealthVault (HV).  Overall, there are many common features, some differences, and many common challenges between these two platforms. 
A High Level Comparison
Google Health and Microsoft HealthVault Personal Health Information (PHI) Platforms

There’s still not much information available about the specifics of GH, although [...]

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Are HIEs a Dead Horse?

Do local Health Information Exchange (HIE) participants have the right economic motivations to make them work?  
A report released this week raises strong doubts. The study — Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation be Overcome? — was  funded by the U.S. Agency for Healthcare Research and Quality (AHRQ) and conducted by the Center for Studying Health System Change (CSHSC). The [...]

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