e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

Is Hospital-Physician Integration Sustainable?

Reprinted courtesy of MCOL. Perspectives on a Selected Key Topic |     April 2011/May 2011     |   Volume Three Issue Two Will a material number of hospitals and their core medical staffs, that are relatively independent, evolve into highly integrated delivery systems during this decade, and why? William J DeMarco MA, CMC President and CEO, Pendulum HealthCare [...]

Continue reading

 

Tire Kickers Need Not Apply: 8 First Impressions of the Medicare ACO Rule

On March 31, CMS released the long-awaited “Medicare Shared Savings Program: Accountable Care Organizations” document (ACO Rule). Read the details here (strong suggestion: unless you’re working on your PhD in ACOs, start with the fact sheets). There are many surprises. Here are eight first impressions on this 429 page tome: The bar has been set [...]

Continue reading

 

MGH Medicare Disease/Care Management Demo Shows Home Run Results!

Medicare has (finally) recently released a report showing home run results for a disease/care management demonstration project! Evaluation of Medicare Care Management for High Cost Beneficiaries (CMHCB) Demonstration: Massachusetts General Hospital and Massachusetts General Physicians Organization (MGH) Remind Me Again About the CMHCB Medicare Demo… The CMHCB started in 2005. My recollection is that the [...]

Continue reading

 

Testing Technology vs. Enabling a System of Chronic Care – Results of the NIH Tele-HF Trial

by Randy Williams, MD FACC, CEO of Pharos Innovations The results from the National Institutes of Health (NIH)-sponsored Tele-HF trial are in, and the findings are worth considering . The results are counter to most of the findings of other studies examining telemonitoring for heart failure and at face value are disappointing to us, and the [...]

Continue reading

 

Hospital Readmissions Avoidance “Programs” — Vendors and Hospitals Not All On the Same Wavelength

Last week I attended and participated in an excellent conference — the National Reducing Hospital Readmissions Forum sponsored by World Research Group. One of my main take aways is to observe a simple — yet huge — difference in mindset between hospital executives and vendors. Over the past few months I’ve heard many vendors with diverse health care [...]

Continue reading

 

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 [...]

Continue reading

 

Obama Budget: Hospitals Should Warrantee Admissions for 30 Days

Warrantee War`ran*tee"\, noun. A written assurance that some product or service will be provided or will meet certain specifications. Today when we buy practically any consumer item we expect a warrantee. What’s the “warrantee” after you are discharged from a hospital? Last September I wrote a post posing the question “What’s the Best Way to Get Hospitals [...]

Continue reading

 

What’s the Best Way to Get Hospitals Involved in Care Coordination?

Pay them to do it, take money away when they don’t — make hospitals accountable for their role in avoiding unnecessary readmissions. Mark E. Miller, Ph.D., Executive Director, Medicare Payment Advisory Commission testified recently in front of the U.S. Senate Committee on Finance. He opened his remarks by stating: The health care delivery system we see [...]

Continue reading