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HWR @ THCB
The latest Health Wonk Review is at The Health Care Blog. Brian Klepper ably hosts.
Medicare Health Support: 8 Takeaways on Building Better Bridges
by Thomas Wilson, PhD, DrPH and Vince Kuraitis
What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries? We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design.
We’ve now had the time to read, reread, and reread again the very recent report from Research Triangle Institute (RTI) — Evaluation of Phase I of the Medicare Health Support Pilot Program Under Traditional Fee-for-Service Medicare: […]
JAMA Article Asks: What About “The Other Medical Home”?
Dr. Steven H. Landers writes a thoughtful article in today’s JAMA . He asks why the term Medical Home doesn’t include the patient’s home:
“…the Medical Home initiative, as currently articulated, ironically fails to emphasize the complex chronically ill patient’s actual home. This represents a failure to recognize the profile of the highest-risk beneficiaries driving much of the high Medicare costs—that is those with or more chronic conditions and activity limitations…
“A promising way to strengthen and broaden the Medical Home initiative […]
CMS Releases 2nd Report on Medicare Health Support
by Vince Kuraitis and Thomas Wilson, PhD, DrPH
CMS has just released the 2nd Report to Congress evaluating the Medicare Health Support (MHS) program. MHS is Medicare’s most visible and significant demo focusing on chronic disease management.
We’ve been poring over the report and will provide more detailed analysis and implications later this week. This 2nd Report to Congress covers 18 months of data on this 3 year project. It provides far more details and substantiation than RTI’s first report, which only covered 6 […]
“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 mistitled. It should have been titled "The Innovator’s Diagnosis". The book does a fantastic job at diagnosis (Dx) of problems in the U.S. health care […]
Leavitt’s Framework Shoehorns the HIPAA Privacy Rule onto Your Personal Health Information
by Vince Kuraitis and David C. Kibbe MD, MBA
Have you ever heard anyone tell a happy story of how easy it is to get a copy of their paper medical records?
Departing Health and Human Services Secretary Mike Leavitt is laying the groundwork for this same story to apply to access to YOUR electronic personal health information.
Here’s an overview to what evolved into a long posting:
Analysis: The Leavitt Framework Uses the HIPAA Privacy Rule as a Baseline for Electronic Access to Personal Health Information
Implication:Â Extending […]
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 payers evaluate the methods and results used in all kinds of population health management programs – including medical, case and disease management, benefit design, value-based […]
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 are connected to each other through the Internet. That is why the economic recovery plan I’m proposing will help […]
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 the prime suspect. My partner Gannon and I will investigate.
Engage With Grace
This wonderful project is written up in today’s Boston Globe . Happy Thanksgiving all!
Vince
by Alexandra Drane and the Engage With Grace team
We make choices throughout our lives – where we want to live, what types of activities will fill our days, with whom we spend our time. These choices are often a balance between our desires and our means, but at the end of the day, they are decisions made with intent. But when it comes to how we want to […]