Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
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 [...]
The message is clear from Washington – “Comparative Effectiveness” has been proposed as the foundation for coverage decisions in Medicare. As the feds lead – this will more than likely "trickle down" to the commercial sector. The Population Health Impact Institute (PHII) has convened national experts to develop a practical, comparative-based system to help purchasers [...]
In a little less than three weeks, DMAA: The Care Continuum Alliance will open its 10th annual meeting , in Hollywood, Fla. – a notable milestone for an organization that has evolved with its membership over the past decade. I’ll be there, presenting with Dr. Victor Villagra on the "March toward Data Interoperability" and the [...]
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 [...]
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 [...]
Thomas Wilson, PhD, DrPH and Vince Kuraitis, JD, MBA The conventional wisdom in the disease management (DM) community has been that the Medicare Health Support (MHS) project would provide the evidence to resolve two issues: First, MHS would once-and-for-all resolve the issue of “does DM have ROI? (return on investment).” It was thought that the [...]
I know that I’m sounding like a broken record. The first “official” results from the Medicare Health Support (MHS) disease management (DM) pilot projects were published last week. While the results are preliminary, there is virtually no evidence of any early success. Here are three key findings from the executive summary of the report: Tags: care management, conference, disease management, [...]
What impact will CDHPs (consumer driven health plans) have on patients with chronic conditions? Jason Shafrin of Healthcare Economist blog refers to a recent study examining this important issue: The authors also found that increased cost sharing led to a slight increase in hospitalizations. However, when the subpopulation of individuals with chronic health conditions is examined, large [...]
Al Lewis, one of the founding fathers of DM, has shaped the face of the DM industry probably more than other any single individual. (This is all fine unless you happen to be the person whose face is being shaped by Al.) Al has been unabashedly pro-DM. Until now. Al writes in a recent article in Managed Healthcare Executive: Disease management as we [...]
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