e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

The State-of-the-Art of Care Management Software: Disconnected

Care management software is intended to help patients make critical connections across the health care delivery system.  Today it’s used primarily by 3rd party care managers who are typically either employed directed or indirectly by payers. While not surprising, the state-of-the-art of care management software is that it continues to function as disconnected islands of information. The  2010 [...]

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Status Report: HITPC and Workgroup Activities on HITECH Stages 2 & 3

  OK, let me be the first to admit that today’s “just-the-facts-ma’am” post might be a little dry…but trust me, its really important stuff to know in understanding the process of how the Health IT Policy Committee (HITPC) and its workgroups are approaching formulating recommendations for HITECH Stages 2 and 3. At this point at least two different [...]

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Megatrend Spotting: Health Plan Role of Having “Best Data About YOUR Medical Conditions” is Up for Grabs

Who has the most comprehensive data about YOUR clinical conditions? For most people, the answer today is “your health plan”, but it’s not at all clear that health plans will continue to have this role in the future. As physicians and hospitals adopt EHRs, it’s foreseeable that clinical data about patients will be far more [...]

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Overview: Here Come Stages 2 and 3 of HITECH!

  We’ve spent the past year creating the MU (meaningful use) requirements for Stage 1 of the HITECH act.  As shown by the diagram above, Stage 1 focuses on Data Capture and Sharing. Now it’s time to begin to focus on Stage 2 (Advanced Clinical Processes) and Stage 3 (Improved Outcomes). The current generation of [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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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 [...]

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