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DMAA

The Medicare Health Support Saga: Opacity in Government Going Strong

 Vince Kuraitis and Thomas Wilson, PhD, DrPH

“If you aren’t confused you don’t know what’s going on.”
Jack Welch, former CEO, General Electric

         

Thanks to the continuing opacity of the Centers for Medicare and Medicaid Serices (CMS), we remain confused about the future of Medicare Health Support (MHS).

It’s been over a month since we last commented on MHS. What’s MHS?  It’s JUST the Federal Government’s most significant and visible effort to deal with one of the American health system’s biggest challenges — managing care for patients with […]

Medicare Health Support: “Do not go gentle into that good night”

Vince Kuraitis and Thomas Wilson, PhD, DrPH

“Do not go gentle into that good night.
Rage, rage against the dying of the light”
Dylan Thomas

    

Despite CMS’ recent cocktail hour pronouncement that Medicare Health Support (MHS) is on its last legs, many are fighting to prolong its life.

Recent Developments

DMAA is working with Sen. John Kerry to introduce legislation mandating the continuation of Medicare Health Support (MHS).  Dr. Jaan Sidorov’s Disease Management Care Blog reprints the full announcement from the February 12 issue of […]

$389 M of Healthways’ Market Value Vaporizes After CMS Announcement. What Happened?

Healthways stock price declined today by $10.52 (15.9%) after CMS “announcement” about ending Medicare Health Support (MHS) Phase 1.  This equates to a loss of $389 million in market capitalization…poof!  Gone. Healthways is one of the remaining five participants in the MHS program.

Without pointing fingers, it’s obvious that investors were surprised by the news.  What happened?

Hospital Economics Don’t Reward Chronic Disease Management

My colleague and friend Dr. Jaan Sidorov has recently started a blog — Disease Management Care Blog.  Check it out and add it to your RSS feed.  Jaan is eminently qualified to write on the topic — he spent 25 years at Geisinger Health System in Pennsylvania as a practicing physician and as an executive, and he just ended a term on the board of DMAA—the Care Continuum Alliance (formerly Disease Management Association of America).

Jaan’s sense of humor and articulateness shine […]

POE Award: Linda Magno of CMS Acknowledges the Elephant in the Room with Medicare DM

Just about everybody in the world has been talking about problems that Medicare is having with chronic disease management (DM) demonstration projects…everybody except the folks at Medicare.

Well, that’s finally changing. Today’s POE (plain old English) award is presented to Linda Magno, Director, Medicare Demonstrations at CMS (Centers for Medicare and Medicaid Services).

Here are a couple of slides from Ms. Magno’s presentation at the Patient Centered Primary Care Collaborative Summit on November 7:

Disease Management and the Medicare Health Support (MHS) Project: “Houston, we have a problem.”

Thomas Wilson, PhD, DrPH and Vince Kuraitis, JD, MBA

The conventional wisdom in the disease management (DM) community has been that the Medicare Health Support (MHS) project would provide the evidence to resolve two issues:

First, MHS would once-and-for-all resolve the issue of “does DM have ROI? (return on investment).” It was thought that the randomized control trial process employed in MHS would provide scientific evidence to prove that DM has a positive ROI, clearing the way for unqualified acceptance and widespread […]

Teleconference — New Health Plan Strategies for Disease Management: Lessons Learned From the Medicare Health Support Pilot

Please join me at a live teleconference next Tuesday, August 21 at 1 pm Eastern:

New Health Plan Strategies for Disease Management: Lessons Learned From the Medicare Health Support Pilot

Click the link for details about the agenda and registration.

The faculty includes:

CHRISTOBEL SELECKY, chairman, president and CEO of LifeMasters Supported SelfCare, Inc.  She also is immediate past president of the Disease Management Association of America (DMAA).

JEAN BISIO, CEO of Green Ribbon Health LLC, a joint-venture company created by Humana Inc. and Pfizer Inc.  […]