e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Will HITECH Lead to Innovation? The Continuing Cat/Dog Dialogue

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  or will it lock in outdated electronic health record (EHR) technology?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 […]

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How Should Fed HIT Dollars Be Spent? Cat vs. Dog POV.

“Where’s the single best place to get up to speed on how the Feds should  spend $20 billion to advance health information technology (HIT)?” A colleague asked me this question a couple of days ago, and at first I hesitated.  Then it struck me — Matthew Holt’s The Health Care Blog has become the focal point for […]

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Medicare Health Support: 8 Takeaways on Building Better Bridges

by Thomas Wilson, PhD, DrPH and Vince Kuraitis What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries?  We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design. We’ve now had the time to read, reread, and reread again […]

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Doctors Bat A Thousand in Year Two of PGP Medicare Demo

CMS announced today that all 10 participating groups in the Physician Group Practice (PGP) demonstration achieved quality targets, and that the groups are sharing $16.7 million in incentive payments. The program rewards providers for improved outcomes delivered to Medicare patients with congestive heart failure, coronary artery disease, and diabetes. This goes a long way in […]

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Are HIEs a Dead Horse?

Do local Health Information Exchange (HIE) participants have the right economic motivations to make them work?   A report released this week raises strong doubts. The study — Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation be Overcome? — was  funded by the U.S. Agency for Healthcare Research and Quality (AHRQ) and conducted by the Center for Studying Health System Change (CSHSC). […]

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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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Health Wonk Review at e-CareManagement

Welcome! Since this is my first time hosting the Health Wonk Review, I really didn’t know what to expect.  I have to say that I’ve learned a lot while poring over the insight and wisdom of my fellow bloggers. Fortunately, this week’s entries fell into neat categories: In-Store Clinics Physicians Problems — U.S. & World Health […]

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The PowerPoint — DM Megatrends 2008

Last week I did the major annual tune-up of my presentation on Disease Management Megatrends for the MCOL Future Care Web Summit.  I’m pleased to share a copy of the PowerPoint presentation with you, and I hope you find it useful and provocative.  You can view and/or download a copy here (6MB).  This version contains 77 slides, which […]

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Podcast: The 20 Minute Version of “DM Megatrends”

Over the past week I’ve been doing a major tune-up of my presentation on Disease Management Megatrends for the annual MCOL Future Care Web Summit.  More typically, DM Megatrends is 45–90 minute presentation with accompanying PowerPoint slides. As part of the Web Summit, the good folks at MCOL asked me to do a short podcast on highlights of […]

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