Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
I just received an email from CMS announcing the latest official word on the Medicare Medical Home Demonstration (MMHD): 10/26/2009 – In Washington, the efforts to reform health care and health insurance include proposed legislative language that would have an impact on the Medicare Medical Home Demonstration as described in section 204 of the Tax Relief [...]
In my post from Monday on LifeMasters seeking Chapter 11, I dropped a BTW comment. The part that’s puzzling to me is the statement that LifeMasters owes $125 M to CMS. That’s hard to figure…the company only participated in MHS for a few months, and to my knowledge MHS is the only Medicare demo that required guaranteed [...]
Updated 6:10 pm, September 14, 2009 One bad deal can ruin your day. Today, LifeMasters filed for Chapter 11 bankruptcy protection. According to its press release: “The Chapter 11 filing is the most efficient path for the company to restructure liabilities that are a result of Demonstration Projects previously performed under contracts with the Centers for [...]
In Part I of my guest post on The Collaborative Forum blog, I wrote that the Medicare Medical Home Demo is in BIG Trouble. Here’s a recap: Political reality dictates that the MMHD must save costs. As currently structured, the MMHD cannot achieve cost savings In any given year, only a small percentage of patients account [...]
Between the time the MMHD was authorized in 2006 and now, we’ve learned a lot about what works and what doesn’t work in Medicare care coordination programs. The MMHD is between a rock and a hard place — conflicted by two “must achieve” objectives that are diametrically opposed: As a political matter, the MMHD must [...]
Download a copy here . Excerpts from the Executive Summary: Effective Interventions Three types of interventions have been demonstrated to be effective in reducing hospitalizations for Medicare beneficiaries with multiple chronic conditions who in general are not cognitively impaired: Transitional care interventions in which patients are first engaged while in the hospital and then followed [...]
Warrantee War`ran*tee"\, noun. A written assurance that some product or service will be provided or will meet certain specifications. Today when we buy practically any consumer item we expect a warrantee. What’s the “warrantee” after you are discharged from a hospital? Last September I wrote a post posing the question “What’s the Best Way to Get Hospitals [...]
We have learned that coordinating care of patients — particular care of Medicare patients — is complex and time consuming for physicians. A breakthrough study quantifies just how complex and challenging care coordination really is. The study is reported in the February 17 issue of Annals of Internal Medicine and is entitled Primary Care Physicians’ Links to Other Physicians Through Medicare [...]
by Thomas Wilson, PhD, DrPH and Vince Kuraitis What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries? We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design. We’ve now had the time to read, reread, and reread again [...]
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