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.

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May 15, 2008 -- The Medical Home Hits the RUC (1)
May 13, 2008 -- The Medical Home: Confusion Over Care Management Fees (0)
July 24, 2007 -- Disease Management and the Medical Home Model: Competing or Complementary? (6)
March 26, 2007 -- Porter/Teisberg JAMA Article: Out-of-the-Box or Out-of-Touch? (6)
December 18, 2006 -- Resources (1)

Blog Advisory Board

Jim Giuffré, MPH — Healthwise
Steve Hards — Telecare Aware
Rose Higgins, RN, BSN, MPM — iMetrikus
Jim Jacobson, JD — Holland & Knight
Ken Joslyn, MD, MPH — Medica Health Plans
David C. Kibbe, MD MBA — The Kibbe Group
Joseph Kvedar, MD — Center for Connected Health
Al Lewis, JD — Disease Management Purchasing Consortium
Ariel Linden, DrPH, MS — Linden Consulting Group
Steven Locke, MD — Beth Israel Deaconess MC
Charlene Marietti, MS, MT (ASCP) — Healthcare Informatics
Julie Meek, DNS — CareGuide
Gordon Norman, MD, MBA — Alere
John Riedel, MBA, MPH — Riedel & Associates
Craig Russell — Health Dialog
Jay Srini, MS, MBA, FHIMSS -- University of Pittsburgh Medical Center (UPMC)
Warren Todd, MBA — International Disease Management Alliance
Tom Wilson, PhD, DrPH — Trajectory Healthcare

Chronic Disease Management MEGATRENDS

1) MAGNITUDE: We are just scratching the surface of chronic disease challenges.
2) INTEGRATION: The 50 year tide is shifting toward integration, away from specialization.
3) MEDICARE: While Medicare has endorsed the need for chronic disease management, disappointing results from recent demo projects make future direction unclear.
4) PROVIDERS: Care providers have woken up to DM opportunities and threats; they are promoting the Chronic Care Model and the medical home.
5) MAKE, ASSEMBLE, BUY? Fewer are buying as health management becomes increasingly strategic.
6) TECHNOLOGY: DM in your home and your pocket.
7) BEHAVIOR CHANGE: DM is moving from a medical to a social model; behavior change has become the Holy Grail.
8) CLINICAL AND ECONOMIC ROI: Round one is over, DM wins; Round 2 has just begun.
9) WILDCARDS!

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