I’ve written a lot recently about Medicare Health Support (MHS). We are learning a lot from MHS about what DOESN’T work with the frail, elderly Medicare population.
But, what DOES work?
One key lesson emerging from MHS is the need to integrate and engage physicians and other local care providers…easier said than done.
MHS is just one of many experimental [...]
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Archive for the "DM Megatrend #2: Integration" category
Last week I did the major annual tune-up of my presentation on Disease Management Megatrends for the MCOL Future Care Web Summit.
I’m pleased to share a copy of the PowerPoint presentation with you, and I hope you find it useful and provocative. You can view and/or download a copy here (6MB). This version contains 77 slides, which would [...]
My colleague and friend Dr. Jaan Sidorov has recently started a blog — Disease Management Care Blog. Check it out and add it to your RSS feed. Jaan is eminently qualified to write on the topic — he spent 25 years at Geisinger Health System in Pennsylvania as a practicing physician and as an executive, [...]
Over the past week I’ve been doing a major tune-up of my presentation on Disease Management Megatrends for the annual MCOL Future Care Web Summit.
More typically, DM Megatrends is 45–90 minute presentation with accompanying PowerPoint slides.
As part of the Web Summit, the good folks at MCOL asked me to do a short podcast on highlights of this presentation. They’re [...]
Al Lewis, one of the founding fathers of DM, has shaped the face of the DM industry probably more than other any single individual. (This is all fine unless you happen to be the person whose face is being shaped by Al.)
Al has been unabashedly pro-DM. Until now. Al writes in a recent article in Managed Healthcare Executive:
Disease management as we now define [...]
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 [...]
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 [...]
Just in case this particular item hasn’t yet reached the top of your own to read pile, let me bring to your attention recent testimony to the Senate Finance Committee on Medicare Payment of Physician Services.
The testimony was presented on March 1 by Byron Thames, MD, an AARP Board member. With over 35 million members, [...]
“In theory, there is no difference between theory and reality. In reality, there is.” Yogi Bera
Out-of-the-box thinking is good; out-of-touch thinking is not. Dr. Porter and Teisberg’s (PT’s) recent article in JAMA “How Physicians Can Change the Future of Health Care” is disappointing, unrealistic and dangerous.
Disappointing: Please Answer the Challenges About Why [...]
Translation Todays blinding flash of the obvious (BFO): How can you expect pay-for-performance (P4P) programs in Medicare to work with out a designated physician quarterback (QB)?
Please allow me to elaborate.
P4P programs are based on two assumptions:
Patients are assigned to a physician or a practice that will have primary responsibility for their care, and
That a meaningful [...]
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