Comments on: Doctors and Health Plans: Can Care Management Opportunities Reconcile the Hatfields and the McCoys? http://e-CareManagement.com/doctors-and-health-plans-can-care-management-opportunities-reconcile-the-hatfields-and-the-mccoys/ Chronic Disease Management • Technology • Strategy • Issues and Trends Mon, 15 Mar 2010 19:40:15 -0600 http://wordpress.org/?v=2.8.2 hourly 1 By: Healthcare Economist · Health Wonk Review http://e-CareManagement.com/doctors-and-health-plans-can-care-management-opportunities-reconcile-the-hatfields-and-the-mccoys/comment-page-1/#comment-55 Healthcare Economist · Health Wonk Review Thu, 19 Apr 2007 04:02:39 +0000 http://e-caremanagement.com/doctors-and-health-plans-can-care-management-opportunities-reconcile-the-hatfields-and-the-mccoys/#comment-55 <p>[...] adversarial relationships, according to Vince Kuratis, it's time to lay down arms. In his post Doctors and Health Plans: Can Care Management Opportunities Reconcile the Hatfields and the McCoys?, Kruatis’s e-Care Management blog states that Health plans need to rethink financial [...]</p> [...] adversarial relationships, according to Vince Kuratis, it’s time to lay down arms. In his post Doctors and Health Plans: Can Care Management Opportunities Reconcile the Hatfields and the McCoys?, Kruatis’s e-Care Management blog states that Health plans need to rethink financial [...]

]]> By: Gordon Norman, MD, MBA; Alere Medical, Inc. http://e-CareManagement.com/doctors-and-health-plans-can-care-management-opportunities-reconcile-the-hatfields-and-the-mccoys/comment-page-1/#comment-54 Gordon Norman, MD, MBA; Alere Medical, Inc. Mon, 16 Apr 2007 21:04:29 +0000 http://e-caremanagement.com/doctors-and-health-plans-can-care-management-opportunities-reconcile-the-hatfields-and-the-mccoys/#comment-54 <p>If ever there was a time ripe for such reconciliation, it would appear to be now. The delivery system including physicians but more broadly referencing all those whom patients think of as their health providers and the Disease Management industry (or Care Mgt or PHM, take your pick) certainly should be able to find common ground today, given multiple converging and reinforcing factors that are pushing them to do just that. To name a few: </p> <p>The need for improved health care value remains as high as ever with health care inflation running at 2-3X of general inflation with no end in sight</p> <p> Medical home movement replacing yesterday's gatekeeping with comprehensive, continuous care and care coordination</p> <p>Consumerism displacing paternalism in the patient-provider relationship</p> <p> CDHP w/ HSA/HRA skin in the game vehicles</p> <p> Boomer Demographics/Psychographics we want what we want when we want it, and by God, we've got the discretionary income to get it!</p> <p> Medicare Trust Fund looming insolvency remember when 2019 seemed a very long way away?</p> <p> Telemedicine and remote patient monitoring are increasingly making healthcare unbound a reality for mainstream health management</p> <p> EHR, EMR, Registries, PHR, RHIO slow adoption, but progressive spread nonetheless</p> <p> Evidence-based medicine, ubiquitous (and democratized) access to evidence, Cochrane reviews, clinical guidelines</p> <p> P4P in myriad forms, despite some provider skepticism, is gaining traction</p> <p> Health as Human Capital realization by Fortune 500 employers health is much more than what health care providers provide, and the consequences of optimal health on productivity may exceed the value of health care costs by sevevral fold</p> <p> CQM (more & better metrics, more measuring of care process & outcomes)</p> <p> Increasing Quality transparency, Quality reporting, consumer use even though consumers are still inexperienced and inexpert at using these tools currently, their proliferation will slowly improve population quality literacy</p> <p>So is this enough of a catalyst for DM-provider reconciliation on a large scale? It remains to be seen, but I am cautiously optimistic given what I perceive now as a gradual thawing of current relations and the prospect for substantially more areas of mutual self-interest in the future.</p> If ever there was a time ripe for such reconciliation, it would appear to be now. The delivery system including physicians but more broadly referencing all those whom patients think of as their health providers and the Disease Management industry (or Care Mgt or PHM, take your pick) certainly should be able to find common ground today, given multiple converging and reinforcing factors that are pushing them to do just that. To name a few:

The need for improved health care value remains as high as ever with health care inflation running at 2-3X of general inflation with no end in sight

Medical home movement replacing yesterday’s gatekeeping with comprehensive, continuous care and care coordination

Consumerism displacing paternalism in the patient-provider relationship

CDHP w/ HSA/HRA skin in the game vehicles

Boomer Demographics/Psychographics we want what we want when we want it, and by God, we’ve got the discretionary income to get it!

Medicare Trust Fund looming insolvency remember when 2019 seemed a very long way away?

Telemedicine and remote patient monitoring are increasingly making healthcare unbound a reality for mainstream health management

EHR, EMR, Registries, PHR, RHIO slow adoption, but progressive spread nonetheless

Evidence-based medicine, ubiquitous (and democratized) access to evidence, Cochrane reviews, clinical guidelines

P4P in myriad forms, despite some provider skepticism, is gaining traction

Health as Human Capital realization by Fortune 500 employers health is much more than what health care providers provide, and the consequences of optimal health on productivity may exceed the value of health care costs by sevevral fold

CQM (more & better metrics, more measuring of care process & outcomes)

Increasing Quality transparency, Quality reporting, consumer use even though consumers are still inexperienced and inexpert at using these tools currently, their proliferation will slowly improve population quality literacy

So is this enough of a catalyst for DM-provider reconciliation on a large scale? It remains to be seen, but I am cautiously optimistic given what I perceive now as a gradual thawing of current relations and the prospect for substantially more areas of mutual self-interest in the future.

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