Comments on: A Medicare Administrator’s “To Do” List: the EHR, Chronic Disease Management, Primary Care…. http://e-CareManagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/ Chronic Disease Management • Technology • Strategy • Issues and Trends Tue, 27 Jul 2010 09:53:43 -0600 http://wordpress.org/?v=2.9.2 hourly 1 By: Ted http://e-CareManagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/comment-page-1/#comment-11982 Ted Mon, 08 Jun 2009 18:02:48 +0000 http://e-caremanagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/#comment-11982 It is definitely a lifestyle change... all areas of your life need to reflect a healthy life style and your correct in having a balanced spiritual, physical and emotional life. It is definitely a lifestyle change… all areas of your life need to reflect a healthy life style and your correct in having a balanced spiritual, physical and emotional life.

]]> By: Health Business Blog » Blog Archive » Health Wonk Review http://e-CareManagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/comment-page-1/#comment-225 Health Business Blog » Blog Archive » Health Wonk Review Thu, 14 Jun 2007 10:51:32 +0000 http://e-caremanagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/#comment-225 [...] ever-insightful Vince Kuraitis at e-CareManagement points out that Medicare’s challenges with primary care and disease management have a lot in [...] [...] ever-insightful Vince Kuraitis at e-CareManagement points out that Medicare’s challenges with primary care and disease management have a lot in [...]

]]> By: Randy Williams http://e-CareManagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/comment-page-1/#comment-186 Randy Williams Thu, 07 Jun 2007 14:15:56 +0000 http://e-caremanagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/#comment-186 There is undoubtedly a link between the chronic care crisis, and the "pissed off" docs. This mood extends beyond the primary care docs to include the "cognitive" specialists. I should point out that specialization is not per se the problem for the reimbursement system, it is the relative overweighting of procedures vs. cognitive work. It is also at least worth mentioning that the disease management literature suggests that chronic care costs and outcomes are BETTER under the supervision of specialists. One could argue this has nothing to do with training and everything to do with resources, such as electronic care platforms and multidisciplinary teams. The overarching challenge to CMS and other payer is that you can't do #1, #2, or #3 without first tackling payment reform! There is undoubtedly a link between the chronic care crisis, and the “pissed off” docs. This mood extends beyond the primary care docs to include the “cognitive” specialists. I should point out that specialization is not per se the problem for the reimbursement system, it is the relative overweighting of procedures vs. cognitive work. It is also at least worth mentioning that the disease management literature suggests that chronic care costs and outcomes are BETTER under the supervision of specialists. One could argue this has nothing to do with training and everything to do with resources, such as electronic care platforms and multidisciplinary teams.

The overarching challenge to CMS and other payer is that you can’t do #1, #2, or #3 without first tackling payment reform!

]]> By: Dr Raymond Rupert http://e-CareManagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/comment-page-1/#comment-181 Dr Raymond Rupert Thu, 07 Jun 2007 02:00:22 +0000 http://e-caremanagement.com/a-medicare-administrators-to-do-list-the-ehr-chronic-disease-management-primary-care/#comment-181 The care co-ordination and patient advocacy that is needed can be provided by primary care providers if they have been trained to provide collaborative care and if patients are willing to fund this service privately- ie. as an uncovered/uninsured service. The care co-ordination and patient advocacy that is needed can be provided by primary care providers if they have been trained to provide collaborative care and if patients are willing to fund this service privately- ie. as an uncovered/uninsured service.

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