Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
Here’s the big idea: accountable care organizations (ACOs) are about creating accountability. ACOs of various types are being proposed in national health reform legislation. For all you ever wanted to know about ACOs, read How to Create Accountable Care Organizations from the Center for Healthcare Quality and Payment Reform. I spent an hour and a half poring over the details of [...]
In Part I of my guest post on The Collaborative Forum blog, I wrote that the Medicare Medical Home Demo is in BIG Trouble. Here’s a recap: Political reality dictates that the MMHD must save costs. As currently structured, the MMHD cannot achieve cost savings In any given year, only a small percentage of patients account [...]
by Vince Kuraitis, Steve Adams, and David C. Kibbe MD, MBA Over the past several years, many diverse initiatives have arisen offering partial solutions to systemic problems in the U.S. health care non-system. We see Meaningful Use Criteria recommended by the HIT Policy Committee as a unifying force for these previously disparate initiatives. These initiatives have included: Patient [...]
by Al Lewis, Disease Management Purchasing Consortium International, Inc. Medical homes probably do save money in very controlled settings, where the entire team is literally or at least figuratively under one roof, such as Kaiser. However, the belief that one can overlay a traditional medical home model across an entire state and save money in [...]
Between the time the MMHD was authorized in 2006 and now, we’ve learned a lot about what works and what doesn’t work in Medicare care coordination programs. The MMHD is between a rock and a hard place — conflicted by two “must achieve” objectives that are diametrically opposed: As a political matter, the MMHD must [...]
by David C. Kibbe MD, MBA The remarkable report, “Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home,” published in the May/June issue of Annals of Family Medicine, the Nutting Report, makes this point about the state of primary care IT offerings: Technology needed in a PCMH is [...]
Download a copy here . Excerpts from the Executive Summary: Effective Interventions Three types of interventions have been demonstrated to be effective in reducing hospitalizations for Medicare beneficiaries with multiple chronic conditions who in general are not cognitively impaired: Transitional care interventions in which patients are first engaged while in the hospital and then followed [...]
Will the recently passed HITECH legislation — the federal stimulus funding for health IT — encourage innovation? or will it lock in outdated electronic health record (EHR) technology? It’s a mixed bag — HITECH legislation is both dog-like (innovative) and catlike (protecting incumbents). I’ll refresh your memory below on more specific definitions of cats and dogs. Among many other [...]
What’s the commonality among Medical Home, Telehealth, and Health IT/Information Exchange initiatives? They all relate to care coordination. As shown in the diagram below from the Kansas Health Policy Authority (KHPA), there’s a lot of overlap. A larger copy of the slide is available in this March 2 PowerPoint presentation by Marcia Neilsen , Executive [...]
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