Comments on: The Real Secret Sauce of Medicare’s Participation in Regional Collaboratives — Network Effects http://e-CareManagement.com/the-real-secret-sauce-of-medicare%e2%80%99s-participation-in-regional-collaboratives-network-effects/ Chronic Disease Management • Technology • Strategy • Issues and Trends Wed, 10 Mar 2010 19:15:42 -0700 http://wordpress.org/?v=2.8.2 hourly 1 By: Devon Devine, JD http://e-CareManagement.com/the-real-secret-sauce-of-medicare%e2%80%99s-participation-in-regional-collaboratives-network-effects/comment-page-1/#comment-12359 Devon Devine, JD Fri, 20 Nov 2009 19:37:15 +0000 http://e-CareManagement.com/?p=1308#comment-12359 Hi Vince, I would love to see your discussion of network effects continue. The first 3 articles in your the series were great. It makes me think of account-driven healthcare plans, and wonder how that trend will be impacted by network effects. According to recent EBRI report, 4% of adult population has these; an additional 4% are eligible high deductible plan holders; and they are growing at about 1% of adult population per year. These accounts all tie back to financial institution custodians, which have been grappling with network effects for a few more decades than the healthcare system. Sure, Mastercard is a success, and we get secure realtime financial data through a great many channels, but the drama continues in many respects. Software vendors that run the core central information file control the nervous system of community financial institutions. Some are cloud-based, but API interconnectivity comes with a surcharge. Famous ones with names like Open Systems are anything but. Ultimately the account data in account-based health plans is going to need to network with the broader healthcare system. Hi Vince,

I would love to see your discussion of network effects continue. The first 3 articles in your the series were great.

It makes me think of account-driven healthcare plans, and wonder how that trend will be impacted by network effects. According to recent EBRI report, 4% of adult population has these; an additional 4% are eligible high deductible plan holders; and they are growing at about 1% of adult population per year.

These accounts all tie back to financial institution custodians, which have been grappling with network effects for a few more decades than the healthcare system. Sure, Mastercard is a success, and we get secure realtime financial data through a great many channels, but the drama continues in many respects.

Software vendors that run the core central information file control the nervous system of community financial institutions. Some are cloud-based, but API interconnectivity comes with a surcharge. Famous ones with names like Open Systems are anything but.

Ultimately the account data in account-based health plans is going to need to network with the broader healthcare system.

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