Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
This third and final post in the series addresses questions about the future of the Patient Centered Medical Home (PCHM): What’s problematic about using the RUC methodology with the PCMH? What’s the optimal level for a PCMH care management fee? Should primary care leaders pull the RUC out? How? What’s Problematic About Using the RUC Methodology [...]
The honeymoon is over. Prior to April 29, 2008, reviews of the Patient Centered Medical Home (PCMH) model had been uniformly enthusiastic and positive. Today the PCMH model is hitting reality — someone’s going to have to bring home money to pay the bills. On April 29 the American Medical Association/Specialty Society RVS Update Committee (RUC) released a report making [...]
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”. [...]
While not providing anything close to the “final answer”, The New York Times does a good job summarizing the onoging Medicare Health Support (MHS) fracas. To borrow from one of my colleagues, it’s more “enlightened ambiguity” about the ultimate fate of the MHS beached whale. Medicare Finds How Hard It Is to Save Money, The New York Times; April 7, [...]
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 [...]
Here’s the link to Part II of the podcast in which Tom Wilson and I are interviewed by Les Masterson of HealthLeaders Media. If you want to start at the beginning, Part I is available here. Tags: Medicare, Medicare Health Support
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. [...]
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 [...]
by Al Lewis, JD Add the Centers for Medicare and Medicaid Services (CMS) to the growing list of people and organizations who cannot find financial savings through disease management. Weeks after “lowering the bar” on MHS program savings requirements to 0% from 5%, CMS cancelled the program altogether due to the unlikelihood that the much-reduced threshold for savings would be achieved [...]
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