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...
View ArticlePorter/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...
View ArticleAARP 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...
View ArticleOne 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...
View ArticleDespite Limited Penetration, Integrated Delivery Systems Have Advanced...
The 1990’s experiment around development of integrated delivery systems (IDSs) mostly did not take root. This experiment was primarily about financial integration — doctors joining with hospitals so...
View ArticleA 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...
View ArticlePodcast: The 20 Minute Version of “DM Megatrends”
Over the past week I’ve been doing a major tune-up of my presentation on Disease Management Megatrends for the annual MCOL Future Care Web Summit. More typically, DM Megatrends is 45–90 minute...
View ArticleHospital 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...
View ArticleThe PowerPoint — DM Megatrends 2008
Last week I did the major annual tune-up of my presentation on Disease Management Megatrends for the MCOL Future Care Web Summit. I’m pleased to share a copy of the PowerPoint presentation with you,...
View ArticleHealthSpring “Gets” Physician Engagement.
I’ve written a lot recently about Medicare Health Support (MHS). We are learning a lot from MHS about what DOESN’T work with the frail, elderly Medicare population. But, what DOES work? One key...
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Spider Webs of Care Coordination Networks
We have learned that coordinating care of patients — particular care of Medicare patients — is complex and time consuming for physicians. A breakthrough study quantifies just how complex and...
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“Meaningful Use” Criteria as a Unifying Force
by Vince Kuraitis, Steve Adams, and David C. Kibbe MD, MBA Over the past several years, many diverse initiatives have arisen offering partial solutions to systemic problems in the U.S. health care...
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Walled Gardens vs. the Open Web: A Central Debate in Tech Finally Coming to...
The September issue of Wired magazine and an article in last Sunday’s New York Times illustrate a central debate in technology circles. The debate is not new — it’s being going on for two decades — but...
View ArticleA One in a Hundred Whitepaper: “Better to Best” Transcends PCMH, Care...
Let me try to get you in the right frame of mind to read one of the most remarkable white papers in a long time: Better to BEST: Value Driving Elements of the Patient Centered Medical Home and...
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Testing Technology vs. Enabling a System of Chronic Care – Results of the NIH...
by Randy Williams, MD FACC, CEO of Pharos Innovations The results from the National Institutes of Health (NIH)-sponsored Tele-HF trial are in, and the findings are worth considering . The results are...
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Is “CMS Innovation Center” an Oxymoron?
A press release earlier this week announced the new CMS Center for Medicare and Medicaid Innovation. If you went to their Twitter feed today, here’s what you’d see: This struck me as a great pictorial...
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Is Physician EHR Adoption Getting Past the Penguin Problem?
Remember the penguin problem described by economists? No one moves unless everyone moves, so no one moves. Overcoming the penguin problem has a lot to do with creating expectations. A recent writing...
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Things we are grateful for this year
This post was written by Alexandra Drane and the Engage With Grace team. To learn more please go to www.engagewithgrace.org. For three years running now, many of us bloggers have participated in what...
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MGH Medicare Disease/Care Management Demo Shows Home Run Results!
Medicare has (finally) recently released a report showing home run results for a disease/care management demonstration project! Evaluation of Medicare Care Management for High Cost Beneficiaries...
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Summarizing Early PCAST HIT Critiques: “Brilliant, but they didn’t do all...
Last week PCAST (The President’s Council of Advisors on Science and Technology) issued a major report — “Realizing the Full Potential of Health Information Technology to Improve Healthcare for...
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