e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Medicare MAPCP Medical Home Demo: CMS Kicks Sands in the States’ Faces

by Jaan Sidorov, MD and Vince Kuraitis
The Medicare MAPCP (Multi-Payer Advanced Primary Care Practice) demo promised to be Medicare’s Biggest Change in 40 Years…
…but the emerging reality isn’t living up to the promise.
In this post, we’ll discuss:

The Promise
An Overview of the MAPCP Demo
Our Main Takeaway: Emerging Reality Suggests Medicare Will Be a “Difficult” Partner
Conclusion: Think [...]

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PCMH and Healthcare Reform: Avoiding Drowning in an Ocean of Opportunity

This article appears in the April 2010 issue of Medical Home News.
First, the good news: There are a lot of pilot and demonstration projects potentially involving the Patient Centered Medical Home (PCMH) in newly enacted Federal health care reform legislation – the Patient Protection and Affordable Care Act (PPACA).
Then, the bad news: There are a [...]

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Medicare’s Biggest Change in 40 Years on the Horizon?

Earlier this week CMS issued a typically cryptic Announcement indicating that they were shelving the Medicare Medical Home Demonstration (MMHD) and instead would focus on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI). My blog post from Tuesday provides details and asks the question “What does all this mean?”
Today’s blog post will tackle:

Medicare’s biggest change [...]

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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 [...]

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We’re Building a REALLY BIG Health Internet!

How big a network will the Health Internet (aka National Health Information Network) be?
My BOTE (back-of-the-envelope) calculation is that this network could consist of about 301 million nodes.  Here’s my math (pls. clarify or amplify):

300 million individuals in U.S.
700 K doctors
5 K hospitals
295 K — other B2B healthcare entities

Very rough…but I hope you get the point.
So let’s put into perspective [...]

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Medicare Health Support (MHS) Claims Another Victim: LifeMasters Files for Chapter 11

Updated 6:10 pm, September 14, 2009
One bad deal can ruin your day.
Today, LifeMasters filed for Chapter 11 bankruptcy protection.  According to its press release:
“The Chapter 11 filing is the most efficient path for the company to restructure liabilities that are a result of Demonstration Projects previously performed under contracts with the Centers for Medicare and Medicaid [...]

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SPEAKING

Frequent keynoter, speaker, panel moderator at 40+ industry conferences in the past 3 years
Opening keynote speaker – 2004-2009 Healthcare Unbound Conferences
Speaker at corporate events sponsored by:

Guidant
Roche Diagnostics
Centocor
Arizona Hospital Association
Gateway Computer
Connecticut Hospital Association,
Walgreens National Advisory Board
Blue Cross Blue Shield Association
HomMed Honeywell
Spacelabs
…and others

Facilitation/consulting experience leading strategic planning sessions for management, Boards and physicians
 
TOPICS – Healthcare Enters the [...]

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What’s a Network Industry? Is Healthcare One?

This post is a foundational overview of characteristics of network industries.  Much of the terminology will deserve deeper discussion, but we have to start somewhere.
In his book The Economics of Network Industries, Professor Oz Shy lists four characteristics of network industries.
The main characteristics of these markets which distinguish them from the market for grain, dairy products, apples, and treasury bonds [...]

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Intro to a New Series

  “We need to make care linkages a core competency of American health care.” 
George Halvorson, Chairman and CEO, Kaiser Foundation Health Plan, Kaiser Foundation Hospital
 
There’s a double meaning to the title of this new series: Healthcare Crosses the Chasm to the Network Economy
At the level of technology, it’s a reference to Geoffrey Moore’s bestselling business/technology book [...]

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