e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Good or perfect: Cutting the fastest path forward

Guest post by Patrick Gordon, Director, Colorado Beacon Consortium Early pioneers to Colorado did not have the luxury of waiting for railway or infrastructure to be in place before taming a new frontier. Their vision and determination laid the foundation for the settlers who followed. They used the tools and talents they had to develop an [...]

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The EHR|HIE Interoperability Workgroup — Potentially Earth-Shattering

Yesterday’s announcement of  “Standard Health Data Connectivity Specifications” by the EHR|HIE Interoperability Workgroup (EHR|HIE WG) is potentially earth-shattering. My mom would not know what I mean by “Standard Health Data Connectivity Specifications,” so I’ll try to write this in plain English. Who Are These Guys? The EHR|HIE Interoperability Workgroup The workgroup consists of HIEs (Health Information [...]

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Is Hospital-Physician Integration Sustainable?

Reprinted courtesy of MCOL. Perspectives on a Selected Key Topic |     April 2011/May 2011     |   Volume Three Issue Two Will a material number of hospitals and their core medical staffs, that are relatively independent, evolve into highly integrated delivery systems during this decade, and why? William J DeMarco MA, CMC President and CEO, Pendulum HealthCare [...]

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List of Top 10 Health Plan Issues — Out of Whack!

Healthcare IT News just published its list of top issues for health plans in 2011: 1. Administrative Mandates (Compliance HIPAA 5010, ICD-10, etc.). 2. Care Management, Data Analytics, and Informatics. 3. Health Insurance Exchanges and Individual Markets. 4. New Provider Payment & Delivery Systems (ACOs, PCMHs, etc.). 5. Bend the Cost Trend. 6. Medicare and [...]

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Tire Kickers Need Not Apply: 8 First Impressions of the Medicare ACO Rule

On March 31, CMS released the long-awaited “Medicare Shared Savings Program: Accountable Care Organizations” document (ACO Rule). Read the details here (strong suggestion: unless you’re working on your PhD in ACOs, start with the fact sheets). There are many surprises. Here are eight first impressions on this 429 page tome: The bar has been set [...]

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The Crucial Distinction Between “Accountable Care” and ACOs

While in Philadelphia earlier this week, my colleague Dr. David Nace presented me with a print copy of McKesson Relay Health’s newest whitepaper — Providing Accountability: Accountable Care Concepts for Providers.  I felt honored as he handed it to me and confided that it was one of only six copies in print.  I took time to read it [...]

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Is Economic Credentialing A Tool for Primary Care to Lead ACOs?

Is economic credentialing — the use of economic factors such as loyalty and utilization rates in the physician credentialing process — a potential tool for primary care physicians to lead ACOs?   and reestablish the vitality of primary care in American health care? Keith Wright and Gregory Drutchas’ incisive article Economic Credentialing: A Prescription To Secure Shared [...]

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Getting DIRECTly to the Point: The Role of the Direct Project in Fast-Tracking Health IT Interoperability

By Rich Elmore and Arien Malec. Rich Elmore is the Direct Project Communication Workgroup leader and Vice President, Strategic Initiatives at Allscripts.  Arien Malec is ONC’s Coordinator, Direct Project and Coordinator, S&I Framework. A patient’s health records are no longer confined to a doctor’s office, shelved inside a dusty file cabinet. With the advent of the [...]

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10 Reasons Why an Open IT Platform Strategy is the Right Long-Term Choice for an ACO

Many Physicians and Clinical Service Providers Will Not Be In Your ACO Contracting Network. Expect Significant Patient Leakage (Migration) Out of Your ACO Network Expect Patient Demands for Sharing Records. Minimize Anti-Trust Concerns. Expect Continuing Government Pressure for Broad Data Exchange. Tags: ACO, HIE, HIT, platform, strategy

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