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 [...]

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Is HITECH Working? #6: HITECH and Health Reform Objectives are Synergistic

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA . ….or to be more specific, HITECH is synergistic with payment reform that could come from the recently passed national health care reform legislation — the Patient Protection and Affordable Care Act (PPACA). We’ll keep this post fairly short and try to avoid many of the more [...]

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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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Pilots, Demonstrations & Innovation in the PPACA Healthcare Reform Legislation

Here’s a bit of trivia that will make you the hit of the next cocktail party you attend.  How many times are the words “demonstration” and “pilot” mentioned in the newly passed Federal healthcare reform legislation — the Patient Protection and Affordable Care Act (PPACA)? Answer: “demonstration” — 312 mentions “pilot” — 80 mentions This weekend [...]

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The Real Secret Sauce of Medicare’s Participation in Regional Collaboratives — Network Effects

Last week I asked whether Medicare’s Biggest Change in 40 Years is on the horizon. That post described and discussed implications of Medicare’s new direction for the medical home — the shelving of Medicare Medical Home Demonstration (MMHD) and the refocusing on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI). In that post I touched briefly on [...]

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Three Years Of Medical Home Demonstration Preparation Down the Drain?

Do you remember the scene in the movie Animal House where Bluto Blutarski laments “…seven years of college education down the drain?” Why aren’t primary care physicians expressing similar laments about  the shelving of the MMHD (Medicare Medical Home Demonstration) in favor of the MAPCI (Multi-Payer Advanced Primary Care Initiative). My colleague Jaan Sidorov, MD and [...]

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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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CMS Shelves Medicare Medical Home Demonstration

I just received an email from CMS announcing the latest official word on the Medicare Medical Home Demonstration (MMHD): 10/26/2009 – In Washington, the efforts to reform health care and health insurance include proposed legislative language that would have an impact on the Medicare Medical Home Demonstration as described in section 204 of the Tax Relief [...]

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Senator Grassley: You’re on Track About EMR Problems, But Here Are Some More Questions to Ask

An article in today’s Washington Post links to a letter written by Senator Charles E. Grassley. The letter is directed at 10 EMR (electronic medical record) vendors, and asks very pointed questions about whether the vendors have been negligent in not addressing patient safety issues in their technologies. Senator Grassley, you have the scent and [...]

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