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Platform Wars!
Click here or on the graphic to download a copy of my July 11 presentation from this year’s Healthcare Unbound conference.
Google+ Shines the Light on the Value of Data Portability
It’s understandable that a healthcare delivery system would have a mindset and business objective to keep referrals within its network of care providers. Businesses have a right and an obligation to try to hang on to their customers.
It’s a different issue whether closed or walled garden HIT is an acceptable means toward that end.
Outside of healthcare, we understand and can accept that businesses used closed, proprietary IT as part of their business model. Apple has designed their […]
Payment Transformation: From Volume to Value
by Jaan Sidorov MD, MHSA, FACP and Vince Kuraitis JD, MBA
In our introductory posting, we suggested that a huge shift is underway in the health care industry. Decades of hospital-physician cooperation are not only eroding, we suggest this trend could accelerate. Instead of a natural clinical and economic affinity with hospitals, we foresee the potential for physicians forming a new dyad with insurer-buyers.
In this post, we will examine what we and many other commentators view as inevitable: the demise of […]
The 100 Year Shift? Introduction and Overview
by Vince Kuraitis JD, MBA and Jaan Sidorov MD, MHSA, FACP
Gazing at the horizon, we foresee the potential for a tectonic realignment among physicians, hospitals and payers. Here’s a quick visual representation:
This essay is the first of a seven part series. In this first post we will capsulize our vision of this potential 100 Year Shift, answer initial FAQs, and lay out the structure for the rest of the series.
The Lynchpin — Changing Economic Incentives
In the past, physicians and hospitals […]
Could Google+ Be Your Platform for Care Coordination?
An earlier post — Could Facebook Be Your Platform for Care Coordination? — resonated well with folks.
Readers and commenters (on e-CareManagement and The Health Care Blog) quickly grasped that a social networking platform could play a very useful role in coordinating our health care, yet also agreed with the conclusion that Facebook wasn’t “it”.
So let’s ask the question again: Could Google+ be your platform for care coordination? This post will
Describe Google+ and Circles
Discuss how Google+ gets past some of Facebook’s limitations as a […]
Patient “Leakage”: Rethinking Two Field of Dreams Assumptions About ACOs
A study released last week by the Massachusetts Attorney General contains surprising data to challenge two commonly held ACO (accountable care organization) “Field of Dreams” assumptions. These assumptions relate to patient “leakage” — out-of-network patient care and referrals.
1) Hospital administrators assume that tighter physician-hospital integration (e.g., through employment of physicians) will result in “captive referrals” by physicians back to the mother-ship hospital.
2) Medicare administrators are assuming that Medicare Shared Savings ACOs will be able to coordinate patient care even without limitations on patients’Â choice to go […]
Trend Spotting: 1) Medicare ACO Dead-in-the-Water, 2) Payers Awaken to ACO Opportunities
It’s time to call it — the Medicare Shared Savings (SS) ACO is dead-in-the-water.
Ironically — at the same time — commercial payers are awakening to ACO opportunities.
Please read further.
Aetna, Cigna, Wellpoint Recreating Their Business Models
Major U.S. health insurers, including Aetna Inc., Humana Inc. and WellPoint Inc., are retooling to become more than just health plans, in the wake of the federal health-care overhaul that is changing the rules for the industry’s core business.
Diversification plans, touted in meetings with investors this year, include stepped up acquisitions and partnerships that will allow the companies to employ doctors directly, deliver health-information technologies, and participate in new hospital-doctor groups known as accountable-care […]
BlogTalkRadio Interview — Is Hospital-Physician Alignment Sustainable?
Why have hospitals increasingly been buying physician practices? Are these marriages based on true love or convenience? Will these marriages survive?
To address these questions, let’s take the long view (50–100 years) and revisit 7 assumptions that have driven us to today’s healthcare non-system:
Healthcare payment systems have rewarded piecemeal work.
Despite uneasiness, hospital-physician relationships have been cooperative.
Physicians can function effectively in small/medium size practices.
The healthcare mindset: built on control, not collaboration.
Barriers to sharing patient info and coordinating care are high.
The hospital has been the economic bedrock […]
“The Top Ten Things You Need To Know About Engaging Patients”…and the Why
Hi all, my name is Howard Rosen (Founder & CEO of LifeWIRE Corp), co-author of the recently published white paper report entitled “Top Ten Things You Need To Know About Engaging Patients.” You can access a copy here through the Institute for Health Technology Transformation (scroll down to “Whitepapers”.)
According to the Pew Internet and American Life Project, 88% of American adults with Internet access research health information online and 60% say Internet info influenced a decision about how […]