e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Archive for the "Health Policy/Reform" category

The Day the Tide Started Shifting Against Greedy Healthcare

Mark the date — July 9, 2008.
Bob Laszewski describes it eloquently in his blog posting: Senate Votes 69-30 To Rescind Medicare Physician Fee Cuts and Cut Medicare Advantage to Pay For It .
Is healthcare more like schools, fire departments, and roads or is it more like TV sets, shampoo, and movies?
I do think of myself [...]

Continue reading

 

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 [...]

Continue reading

 

Are HIEs a Dead Horse?

Do local Health Information Exchange (HIE) participants have the right economic motivations to make them work?  
A report released this week raises strong doubts. The study — Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation be Overcome? — was  funded by the U.S. Agency for Healthcare Research and Quality (AHRQ) and conducted by the Center for Studying Health System Change (CSHSC). The [...]

Continue reading

 

The Medical Home: Advancing, But Still Many Questions

Paul Keckley and colleagues at the Deloitte Center for Health Solutions have released an important contribution to advance the dialog about the medical home (MH).  It’s entitled The Medical Home: Disruptive Innovation for a New Primary Care Model.  The report offers a strategic perspective on the potential for the MH to address the challenge of chronic care [...]

Continue reading

 

How the AMA Undermined Chronic Disease Care in America

Over at The Health Care Blog, Brian Klepper has written an excellent article entitled “Bad Medicine: How The AMA Undermined Primary Care in America.”
His essay could just as easily been entitled “How the AMA Undermined Chronic Disease Care in America” — it’s very informative reading.

Continue reading

 

A Medicare Administrator’s “To Do” List: the EHR, Chronic Disease Management, Primary Care….

Let’s drop in on a top Medicare administrator as he reviews his “to do” list over a morning cup of coffee.
TO DO
1) George says everybody’s gotta have an EHR by 2014

tougher than getting a man to the moon in the 60s
stall — G will be gone by then

2) solve chronic disease crisis

chronic disease costs are killing [...]

Continue reading

 

AARP On the Fence About Care Coordination Roles

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, [...]

Continue reading

 

Porter/Teisberg JAMA Article: Out-of-the-Box or Out-of-Touch?

“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 [...]

Continue reading