e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

“The Innovator’s Prescription”: Christensen’s Book Offers Insightful Dx, Unrealistic Rx

by Vince Kuraitis and David C. Kibbe MD, MBA
Being big fans of Clay Christensen and his theory of disruptive innovation (DI), we have been awaiting his just-released book The Innovator’s Prescription: A Disruptive Solution for Healthcare .  The book is co-authored by Dr. Jerome Grossman and Dr. Jason Hwang.
We have mixed reactions.
The book is [...]

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Complimentary Webinar on Comparative Effectiveness Sponsored by Population Health Impact Institute (PHII)

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 and [...]

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An Open Letter to the Obama Health Team on Health IT Spending

By David C. Kibbe, MD MBA and Brian Klepper, PhD
It seems likely that the Obama administration and Congress will spend a significant amount on health IT by attaching it as a first-order priority to the fiscal stimulus package. We take the President-elect at his word when he recently said:

"…we must also ensure that our hospitals [...]

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Health Wonk Review — The “Just the Facts, Ma’am” Edition

The story you are about to read is true. The names have been changed to protect the innocent.
This is the city: Los Angeles, California. I work here. I carry a badge blog. My name’s Friday.
Click here (short) or here (long) for Dragnet theme music.
A crime of disorderly conduct has been committed. The U.S. health care system is [...]

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Empowering Health IT for the Medical Home

by David C. Kibbe, MD MBA
The basic premise of the medical home concept is continuous, uninterrupted care that is managed and coordinated by a personal provider with the right tools that will lead to better health outcomes.
In 2007, the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic [...]

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Finally! CMS Provides a Flood of Details About the Medicare Medical Home Demo

I’ve been critical in the past when CMS has been silent in explaining their thinking, so I’ll start this post by congratulating CMS on sharing a flood of details about the upcoming Medicare Medical Home Demonstration project.

An email from CMS arrived in my inbox this morning at 2 am.  That email notified me that they have [...]

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Details “Emerge” on the Medicare Medical Home Demonstration

Where would one expect to find CMS’ latest thinking on the upcoming Medicare Medical Home Demonstration project? The obvious answer would be “on the Official CMS MMHD home page ”, but you’d be wrong.
CMS has issued a Medicare Medical Home Demonstration Payment Contractor RFP available on the Federal Business Opportunities website. Thanks to the [...]

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Perspectives on the Upcoming 5th Annual Healthcare Unbound Conference

 The Healthcare Unbound Conference is a highlight of my year and I always look forward to it!
What’s so special about this conference?

First, the caliber of the people attending.  It’s a stimulating mix of high-level clinical, technical and business types.  The energy is flowing and many people have told me how much they like to go [...]

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Book Review: Good Health is Good Business

My colleague Dr. Dave Rearick asked me to review his recent book, Good Health is Good Business.  I’m pleased to recommend it enthusiastically.
While the book is targeted at small to medium size employers, the lessons go far beyond this audience.
By the end of the 3rd chapter, Dr. Rearick had convinced me of two conclusions that I’d describe as [...]

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