Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
This third and final post in the series addresses questions about the future of the Patient Centered Medical Home (PCHM): What’s problematic about using the RUC methodology with the PCMH? What’s the optimal level for a PCMH care management fee? Should primary care leaders pull the RUC out? How? What’s Problematic About Using the RUC Methodology [...]
Vince Kuraitis and Thomas Wilson, PhD, DrPH “If you aren’t confused you don’t know what’s going on.” Jack Welch, former CEO, General Electric Thanks to the continuing opacity of the Centers for Medicare and Medicaid Serices (CMS), we remain confused about the future of Medicare Health Support (MHS). It’s been over a month since we last [...]
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. [...]
Healthways stock price declined today by $10.52 (15.9%) after CMS “announcement” about ending Medicare Health Support (MHS) Phase 1. This equates to a loss of $389 million in market capitalization…poof! Gone. Healthways is one of the remaining five participants in the MHS program. Without pointing fingers, it’s obvious that investors were surprised by the news. What happened? Tags: disease [...]
My colleague and friend Dr. Jaan Sidorov has recently started a blog — Disease Management Care Blog. Check it out and add it to your RSS feed. Jaan is eminently qualified to write on the topic — he spent 25 years at Geisinger Health System in Pennsylvania as a practicing physician and as an executive, [...]
Just about everybody in the world has been talking about problems that Medicare is having with chronic disease management (DM) demonstration projects…everybody except the folks at Medicare. Well, that’s finally changing. Today’s POE (plain old English) award is presented to Linda Magno, Director, Medicare Demonstrations at CMS (Centers for Medicare and Medicaid Services). Here are [...]
Thomas Wilson, PhD, DrPH and Vince Kuraitis, JD, MBA The conventional wisdom in the disease management (DM) community has been that the Medicare Health Support (MHS) project would provide the evidence to resolve two issues: First, MHS would once-and-for-all resolve the issue of “does DM have ROI? (return on investment).” It was thought that the [...]
Please join me at a live teleconference next Tuesday, August 21 at 1 pm Eastern: New Health Plan Strategies for Disease Management: Lessons Learned From the Medicare Health Support Pilot Click the link for details about the agenda and registration. The faculty includes: CHRISTOBEL SELECKY, chairman, president and CEO of LifeMasters Supported SelfCare, Inc. She also [...]
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