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Archive for the "DM Megatrend #9: Wildcards!" category

Next Generation Disease Management, ala Google

   
Google Wants to Index Your DNA, Too Business Week; April 18, 2008
A few years ago I remember reading a vivid description of how much information is contained in one person’s genetic code:  a stack of phone books high enough to reach the top of the Washington Monument.
    

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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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21 Surprising Ways Wal-Mart Clinics Will Affect US Healthcare

Jessica Hupp at RN Central writes a thought provoking article titled 20 Surprising Ways Wal-Mart Clinics Will Affect US Healthcare.
#20 is “Decreased Continuity of Care”.  I think this one is debatable, and I’ll offer as #21 “Increased Continuity of Care”.  
Jessica writes:
With traditional doctors, patients have charts and medical records, but at in-store clinics, diagnosis is […]

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The PowerPoint — DM Megatrends 2008

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 […]

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Podcast: The 20 Minute Version of “DM Megatrends”

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 […]

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Guest post: Health 2.0 Deserves Careful Watching

by David C. Kibbe, MD MBA
Dear Colleagues:
Thursday I attended a wonderful one day conference, entitled “Health 2.0 — User Generated Health Care.” One of the most interesting events of 2007. Held in San Francisco. I had a chance to talk with Adam Bosworth and Missy Krasner of Google, with Peter Neuport of Microsoft, and with David […]

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RKA for CDHPs?

One of the most valuable exercises I sometimes go through with clients is a road-kill autopsy (RKA) — examining what went wrong with a business model or a policy that has been driving down healthcare highway ahead of where we are today.
I hope we can learn a lesson from the progress (or lack thereof) of Consumer Driven Health Plans (CDHPs).  […]

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More Evidence Suggesting that Consumer Driven Health Plans Can Have a Negative Impact on Chronic Care

What impact will CDHPs (consumer driven health plans) have on patients with chronic conditions? Jason Shafrin of Healthcare Economist blog refers to a recent study examining this important issue:

The authors also found that increased cost sharing led to a slight increase in hospitalizations. However, when the subpopulation of individuals with chronic health conditions is examined, large increases […]

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Today’s BFO: How can P4P Work W/O a QB?

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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Practice Fusion’s EHR: Can Google’s “Endorsement” Overcome a Weak Business Model?

Practice Fusion (PF) has announced a deal with Google to provide a free electronic health record (EHR) to physicians. The EHR will be supported by ad revenues from pharmaceutical companies, insurance companies and others. Read more here.

What’s the connection to care management and chronic disease? EHRs and personal health records (PHRs) are wildcards […]

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