Subscribe if you want to be notified of new blog posts. You will receive an email confirming your subscription.
Guest Posts
Medical Home Savings Claims in Medicaid are Not Plausible
by Al Lewis, Disease Management Purchasing Consortium International, Inc.
Medical homes probably do save money in very controlled settings, where the entire team is literally or at least figuratively under one roof, such as Kaiser. However, the belief that one can overlay a traditional medical home model across an entire state and save money in the process turns out to be total fiction.
The poster child for that fiction, North Carolina’s Community Care program, turns out to cost state taxpayers probably $400 […]
Incentive to Innovate: Giving Health Reform a Rocket Boost
by Scott Shreeve, MD
We are entering an unprecedented season of change for the United States health care system. Americans are united by their desire to fundamentally reform our current system into one that delivers on the promise of freedom, equity, and best outcomes for best value. In this season of reform, we will see all kinds of ideas presented from all across the political spectrum. Many of these ideas will be prescriptive, and don’t harness the power of innovation to […]
Hope for Primary Care … from a Payer? A White Paper on the Collaborative Payer Model
by Tom Doerr, MD and Randy Bak, MD, JD
What if the health care payer were re-imagined as a service to the primary care doctor – supplying the tools, information and funding primary care physicians needed to meet the call to reform health delivery?
The structure of physician payment is considered one of the most problematic aspects of our health care system. Driven by volume instead of coordinated, proactive care and favoring procedures over cognitive work, the payment system has driven primary […]
New NRC Report Finds “Health Care IT Chasm,” Seeks New Course Toward Quality Improvement and Cost Savings
by David C. Kibbe, MD MBA
Like the Institute of Medicine’s (IOM) 2001 counterpart report, "Crossing the Quality Chasm," a new report from the National Research Council of the National Academies is complex, full of new ideas assembled from multiple disciplines, and is likely to have seminal importance in framing public policy from now on . "Computational Technology for Effective Health Care:Â Immediate Steps and Strategic Directions " […]
“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 […]
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 […]
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 […]
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 Association, released the Joint Principles of the Patient-Centered Medical Home. In this document they state the characteristics of the Patient Centered Medical Home:
Personal Relationship
Team Approach
Comprehensive
Coordination
Quality […]
Goldilocks: “Markle’s Framework for Networked Personal Health Information is Just Right”
By Vince Kuraitis and David C. Kibbe, MD, MBA
Once upon a time, there was a little girl named Goldilocks. Like most Americans, Goldilocks had concerns about achieving just the right amount of data liquidity for her personal health information (PHI).
Until today Goldilocks felt between a rock and a hard place:
"I want my PHI to be appropriately liquid — just the right viscosity. My PHI should be viscous enough to flow to my trusted […]
Is the Medical Establishment the Best Guardian of Your Medical Data?
David C. Kibbe, MD, MBA and Vince Kuraitis
Drs. Mandl and Kohane begin their recent article in NEJM with the statement that “large corporations are seeking an integral and transformative role in the management of health care information,” and then warn that this “will profoundly affect the biomedical research enterprise.”  Â
At issue for the authors is who controls the information about you and me, our health and healthcare data. Without coming right out and saying it directly, they worry that data in […]
- « Previous
- 1
- 2
- 3
- 4
- Next »