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 [...]

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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 [...]

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The New ACO Rule is Here…The New ACO Rule is Here…and more!

429 p. Proposed ACO Rule ACO Fact sheet from HHS Medicare Fact Sheet: What Providers Need to Know HHS press release Don Berwick’s article on ACOs in the NEJM ACO Quality Performance Standards Summary FTC/DOJ Joint Antitrust Statement on ACOs TheHill article “Leaked memo reveals Dem strategy for defending healthcare reg” The leaked memo Tags: [...]

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Health Plan Strategy Options in Two Sentences

  “If you’re a health plan, you either become a care delivery system or an information services company,” said David Brailer, a former George W. Bush administration health official who now leads an investment firm. “The traditional business is dead.”   Read more at Kaiser Health News. . Tags: health plan, strategy

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The Crucial Distinction Between “Accountable Care” and ACOs

While in Philadelphia earlier this week, my colleague Dr. David Nace presented me with a print copy of McKesson Relay Health’s newest whitepaper — Providing Accountability: Accountable Care Concepts for Providers.  I felt honored as he handed it to me and confided that it was one of only six copies in print.  I took time to read it [...]

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Doctors Love iPads. What Does it Mean? What Does it Mean?

After attending the largest annual health IT conference of the year — HIMSS 11 –  John Moore reported that “nearly every EHR vendor has an iPad App for the EHR [electronic health record], or will be releasing such this year.” Doctors love iPads…not surprising? But, how might you explain this? There are at least two different [...]

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10 Reasons Why an Open IT Platform Strategy is the Right Long-Term Choice for an ACO

Many Physicians and Clinical Service Providers Will Not Be In Your ACO Contracting Network. Expect Significant Patient Leakage (Migration) Out of Your ACO Network Expect Patient Demands for Sharing Records. Minimize Anti-Trust Concerns. Expect Continuing Government Pressure for Broad Data Exchange. Tags: ACO, HIE, HIT, platform, strategy

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Verizon Abandoning Walled Garden Network & Business Model: Implications for Healthcare

Wha…?  why are we talking about Verizon…isn’t is a healthcare blog? When a major, multinational company does a complete turnaround on its operating and business model, it’s worth noting and examining the reasons behind the switch. Wireless Week reported on a presentation made at the CTIA conference this week by Verizon COO, Lowell McAdam: In a nod [...]

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Is HITECH Working? #4: While most attention has been focused on demand side incentives (will doctors and hospitals buy EHRs?), the supply (vendor) side of HIT is already transforming.

by Vince Kuraitis JD, MBA and David C. Kibbe MD, MBA Most of the press coverage and attention to HITECH has been to the “buy” side of the market:  The central question here has been: “Will doctors and hospitals buy and use EHR technology?” Meanwhile — and much more quietly — the sell (vendor) side of the [...]

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