e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

“Disease Management” RIP

The Care Continuum Alliance has mercifully and wisely rebranded it’s name and eliminated the initials “DMAA”. See its press release: Care Continuum Alliance Launches New Brand for Population Health Improvement. (As a reminder, DMAA originally stood for Disease Management Association of America.) I for one say “hurrah, and good riddance”. Where Did the Term “Disease Management” (DM) [...]

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“The Innovator’s Prescription”: Christensen’s Book Offers Insightful Dx, Unrealistic Rx

by Vince Kuraitis and David C. Kibbe MD, MBA Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang. We have mixed reactions. The [...]

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Healthways Fights an Uphill Battle on Medicare Health Support Phase II

Earlier this week Healthways issued a press release describing their progress in pursuing a Phase II Medicare Health Support (MHS) project.   Read Dr. Jaan Sidorov’s blog commentary for additional background. In brief, Healthways position is that the Centers for Medicare and Medicaid Services (CMS) is statutorily required to expand into Phase II of MHS if Phase I is “successful”. [...]

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The Medicare Health Support Saga: Opacity in Government Going Strong

 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 [...]

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Medicare Health Support: “Do not go gentle into that good night”

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. [...]

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HealthSpring “Gets” Physician Engagement.

I’ve written a lot recently about Medicare Health Support (MHS).  We are learning a lot from MHS about what DOESN’T work with the frail, elderly Medicare population.   But, what DOES work?   One key lesson emerging from MHS is the need to integrate and engage physicians and other local care providers…easier said than done.   MHS [...]

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Insufficient Evidence to End Medicare Health Support

Thomas Wilson, PhD, DrPH and Vince Kuraitis Last Tuesday during the cocktail hour, CMS issued documents portending the end of the Medicare Health Support (MHS) project.    We initially used the word “bizarre” to describe the announcement from CMS’ staff.  After further thought, “reckless” and/or “insubordinate” strike closer to home. First, let’s have the head-honcho [...]

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$389 M of Healthways’ Market Value Vaporizes After CMS Announcement. What Happened?

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 [...]

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Four Misconceptions About HealthVault and the Emerging Personal Health Information Ecosystem (PHI-Ecosystem)

by Vince Kuraitis and David C. Kibbe, MD MBA  The health care and technology worlds are still trying to figure out what Microsoft’s HealthVault (HV) is all about.  We believe that there are a number of misconceptions out there about what HV is and isn’t: Misconception #1: HealthVault is a personal health record (PHR). Misconception #2: People [...]

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