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care coordination
A Medicare Administrator’s “To Do” List: the EHR, Chronic Disease Management, Primary Care….
Let’s drop in on a top Medicare administrator as he reviews his “to do” list over a morning cup of coffee.
TO DO
1) George says everybody’s gotta have an EHR by 2014
tougher than getting a man to the moon in the 60s
stall — G will be gone by then
2) solve chronic disease crisis
chronic disease costs are killing us, 5% of seniors account for 50% of costs
baby boomers hit the fan in 2010
note to self — drop the cheeseburger at lunch
3) solve primary […]
Links: May 6, 2007
A Majority of Consumers Favor Secure Electronic Health Information Exchange Attitude and Opinion Research – Executive SummaryeHealth Initiative Foundation; Released May 2, 2007
Systematic Review of Home Telemonitoring for Chronic Diseases: The Evidence BaseJournal of the American Medical Informatics Association, May/June 2007
Informatics Systems to Promote Improved Care for Chronic Illness: A Literature Review Journal of the American Medical Informatics Association; March/April 2007
A Founding Father of DM Astonishingly Declares: “My Kid is Ugly”
Al Lewis, one of the founding fathers of DM, has shaped the face of the DM industry probably more than other any single individual. (This is all fine unless you happen to be the person whose face is being shaped by Al.)
Al has been unabashedly pro-DM. Until now. Al writes in a recent article in Managed Healthcare Executive:
Disease management as we now define it may be on its last legs, though no one knows it yet. The Disease Management Purchasing Consortium has noticed that the savings in all […]
One More Dark Cloud in the Stormy Skies of Medicare DM
Mathematica Research has just released a report: The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years. It’s not pretty.
Section F of the Executive Summary is entitled “Synthesizing the Findings: What Works, and What Doesn’t”. That section begins:
Given that few of the programs have shown convincing evidence to date of reducing beneficiaries’ need for hospitalizations and saving money or of improving the quality of care received, there is relatively little assessment that can be done yet […]
TA Associates Completes $175 Million Buyout of Alere Medical
TA Associates announced that it has partnered with management in a $175 million buyout of Alere Medical Incorporated, a leading disease management company.
Here are a few of my initial impressions:
AARP On the Fence About Care Coordination Roles
Just in case this particular item hasn’t yet reached the top of your own to read pile, let me bring to your attention recent testimony to the Senate Finance Committee on Medicare Payment of Physician Services.
The testimony was presented on March 1 by Byron Thames, MD, an AARP Board member. With over 35 million members, AARP is the leading nonprofit, nonpartisan membership organization for people age 50 and over in the United States.
Here are my take-away points from Dr. Thames […]
Porter/Teisberg JAMA Article: Out-of-the-Box or Out-of-Touch?
“In theory, there is no difference between theory and reality. In reality, there is.” Yogi Bera
Out-of-the-box thinking is good; out-of-touch thinking is not. Dr. Porter and Teisberg’s (PT’s) recent article in JAMA “How Physicians Can Change the Future of Health Care” is disappointing, unrealistic and dangerous.
Disappointing: Please Answer the Challenges About Why Your Theory isn’t Workable
Unrealistic: Money Does Matter a Lot
Dangerous: Measuring Process in Health Care Does Add Value
What’s so seductive about their writing is that about 90% […]
Today’s BFO: How can P4P Work W/O a QB?
Translation Todays blinding flash of the obvious (BFO): How can you expect pay-for-performance (P4P) programs in Medicare to work with out a designated physician quarterback (QB)?
Please allow me to elaborate.
P4P programs are based on two assumptions:
Patients are assigned to a physician or a practice that will have primary responsibility for their care, and
That a meaningful fraction of the care physicians deliver is for patients from whom they have primary responsibility
Wouldn’t you expect that this would be problematic for older (Medicare) […]
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