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Archive for the "Guest Posts" category

Is the Medical Establishment the Best Guardian of Your Medical Data?

David C. Kibbe, MD, MBA and Vince Kuraitis
Drs. Mandl and Kohane begin their recent article in NEJM with the statement that “large corporations are seeking an integral and transformative role in the management of health care information,” and then warn that this “will profoundly affect the biomedical research enterprise.”   
At issue for the authors is who […]

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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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The Wrong Way and the Right Way to Frame PHR Privacy/Confidentiality Issues

 Vince Kuraitis and David C. Kibbe, MD MBA 
During the past week two reports were released discussing privacy/confidentiality issues surrounding PHRs.  One of these reports did it the wrong way; one did it the right way.
The general public is just learning about Personal Health Records (PHRs).  We believe that the appropriate way to frame the dialogue […]

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Medicare Health Support: “Do not go gentle into that good night”

Vince Kuraitis and Thomas Wilson, PhD, DrPH
“Do not go gentle into that good night.
Rage, rage against the dying of the light”
Dylan Thomas

    
Despite CMS’ recent cocktail hour pronouncement that Medicare Health Support (MHS) is on its last legs, many are fighting to prolong its life.
Recent Developments
DMAA is working with Sen. John Kerry to introduce legislation mandating the continuation […]

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Guest Post: The CMS Announcement Of Medicare Health Support Program Cancellation — What It Means For Buyers

by Al Lewis, JD
Add the Centers for Medicare and Medicaid Services (CMS) to the growing list of people and organizations who cannot find financial savings through disease management.  Weeks after “lowering the bar” on MHS program savings requirements to 0% from 5%, CMS cancelled the program altogether due to the unlikelihood that the much-reduced threshold for savings would be achieved in […]

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Insufficient Evidence to End Medicare Health Support

Thomas Wilson, PhD, DrPH and Vince Kuraitis
Last Tuesday during the cocktail hour, CMS issued documents portending the end of the Medicare Health Support (MHS) project.   
We initially used the word “bizarre” to describe the announcement from CMS’ staff.  After further thought, “reckless” and/or “insubordinate” strike closer to home.
First, let’s have the head-honcho at CMS instruct […]

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CMS: “Rumors of Medicare Health Support’s Death Have Not Been Greatly Exaggerated”

Vince Kuraitis and Thomas Wilson, PhD, DrPH
Today’s POO (persistent obfuscatory orations) Award goes to the Centers for Medicare Services (CMS) for their posting of two bizarre documents updating progress on the Medicare Health Support (MHS) program.  The documents “appeared” (no press release, no announcement, a reference to “today” but no date) on the web page for the MHS demonstration […]

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What Will Microsoft’s HealthVault Mean to the Telehealth Community?

My colleague Tim Gee and I are guest bloggers on the Get-Connected Forum at the Center for Connected Health.  We speculate on:
What Will Microsoft’s HealthVault Mean to the Telehealth Community?
Our bottom line:  HealthVault overall is a positive for telehealth industry growth and scale, even though it will speed the inevitable commoditization of remote patient monitoring (RPM) devices.
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Four Misconceptions About HealthVault and the Emerging Personal Health Information Ecosystem (PHI-Ecosystem)

by Vince Kuraitis and David C. Kibbe, MD MBA 
The health care and technology worlds are still trying to figure out what Microsoft’s HealthVault (HV) is all about.  We believe that there are a number of misconceptions out there about what HV is and isn’t:
Misconception #1: HealthVault is a personal health record (PHR).
Misconception #2: People don’t trust Microsoft, […]

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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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Guest post: Quantifying the Cost of Lost Productivity — And You Thought Direct Medical Costs Were High!

What is the cost of lost productivity due to poor employee health? Actually most employers have no way of knowing since productivity is typically not measured or tracked. But a new tool called the Blueprint for Health: A Framework for Total Cost Impact provides the answer.
The cost of lost productivity actually is higher than direct […]

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