Population Health POV — “ It ’ s About Patient Data ”
As a member of the Editorial Board of Population Health News,  I was asked to provide some personal perspectives for the October 2014 issue. Here’s a quick sample: Optimal population health will depend on obtaining and applying the “right” data — data to analyze individuals and populations, discern patterns, predict high risk/cost patients, enable needed behavior change or interventions and measure and monitor progress. You can read the full interview by clicking here. Editorial Advisory Board–Population Health News Peter Edelstein, M.D. Chief Medical Officer LexisNexis Risk Solutions, Atlanta, G...
Source: e-CareManagement - October 29, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Chronic Care Challenges Information & Communication Technologies (ICT) population health Source Type: blogs

Population Health POV — “It’s About Patient Data”
As a member of the Editorial Board of Population Health News,  I was asked to provide some personal perspectives for the October 2014 issue. Here’s a quick sample: Optimal population health will depend on obtaining and applying the “right” data — data to analyze individuals and populations, discern patterns, predict high risk/cost patients, enable needed behavior change or interventions and measure and monitor progress. You can read the full interview by clicking here. Editorial Advisory Board–Population Health News Peter Edelstein, M.D. Chief Medical Officer LexisNexis Risk Solutions, Atlanta, G...
Source: e-CareManagement - October 29, 2014 Category: Technology Consultants Authors: Vince Kuraitis Tags: Chronic Care Challenges Information & Communication Technologies (ICT) population health Source Type: blogs

What Types of Business Models are Commanding the Highest Valuations? Implications for Healthcare? [Snippet]
What Types of Business Models are Commanding the Highest Valuations? Implications for Healthcare? Q. What Types of Business Models are Commanding the Highest Valuations? A.  “Network Orchestrators” Source: Dion Hinchcliffe, presentation at Salesforce Dreamforce conference, October 14, 2014 Where are there opportunities for “network orchestrators” in healthcare? • ACOs • Patient centered medical homes • High-value health insurance networks • Care management/population health management vendors & implementers • Health information exchange networks • …many others Post permalin...
Source: e-CareManagement - October 15, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) International Source Type: blogs

BCBSIL Refuses to Negotiate Jointly With “ Affiliated ” Providers. Now What?
Tensions between health plans and care providers have taken an fascinating turn in Chicago. Blue Cross Blue Shield of Illinois (BCBSIL) is refusing to allow care providers “affiliated” through a clinical integration agreement to negotiate contracts jointly. The ramifications for future network contracts are significant and could play out very differently in other health care markets. Background In February 2014 Advocate Health Care and Silver Cross Hospital announced a clinical integration affiliation agreement. Advocate is the state’s largest hospital network and Silver Cross is an independent, suburban ...
Source: e-CareManagement - October 14, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Care Providers & Care Coordination Integration accountable care ACO contracting health plan hospital pricing Source Type: blogs

BCBSIL Refuses to Negotiate Jointly With “Affiliated” Providers. Now What?
Tensions between health plans and care providers have taken an fascinating turn in Chicago. Blue Cross Blue Shield of Illinois (BCBSIL) is refusing to allow care providers “affiliated” through a clinical integration agreement to negotiate contracts jointly. The ramifications for future network contracts are significant and could play out very differently in other health care markets. Background In February 2014 Advocate Health Care and Silver Cross Hospital announced a clinical integration affiliation agreement. Advocate is the state’s largest hospital network and Silver Cross is an independent, suburban ...
Source: e-CareManagement - October 14, 2014 Category: Technology Consultants Authors: Vince Kuraitis Tags: Care Providers & Care Coordination Integration accountable care ACO contracting health plan hospital pricing Source Type: blogs

Penguins are Jumping … Payment Reform is Leaping!
…(The) 2014 National Scorecard on Payment Reform tells us 40 percent of commercial sector payments to doctors and hospitals now flow through value-oriented payment methods, defined as payment methods designed to improve quality and reduce waste. This is a dramatic increase since 2013 when the figure was just 11 percent. Suzanne Delbanco, Executive Director of CPR, in the Health Affairs blog. I’ve written before about what economists call “The Penguin Problem” — No one moves unless everyone moves, so no one moves. The healthcare Payment Penguin Problem goes something like this: Care Providers: “We&#...
Source: e-CareManagement - October 1, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Health Policy/Reform payers payment penguin problem providers Source Type: blogs

Penguins are Jumping …Payment Reform is Leaping!
…(The) 2014 National Scorecard on Payment Reform tells us 40 percent of commercial sector payments to doctors and hospitals now flow through value-oriented payment methods, defined as payment methods designed to improve quality and reduce waste. This is a dramatic increase since 2013 when the figure was just 11 percent. Suzanne Delbanco, Executive Director of CPR, in the Health Affairs blog. I’ve written before about what economists call “The Penguin Problem” — No one moves unless everyone moves, so no one moves. The healthcare Payment Penguin Problem goes something like this: Care Providers: “We&#...
Source: e-CareManagement - October 1, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Health Policy/Reform payers payment penguin problem providers Source Type: blogs

Penguins are Jumping…Payment Reform is Leaping!
…(The) 2014 National Scorecard on Payment Reform tells us 40 percent of commercial sector payments to doctors and hospitals now flow through value-oriented payment methods, defined as payment methods designed to improve quality and reduce waste. This is a dramatic increase since 2013 when the figure was just 11 percent. Suzanne Delbanco, Executive Director of CPR, in the Health Affairs blog. I’ve written before about what economists call “The Penguin Problem” — No one moves unless everyone moves, so no one moves. The healthcare Payment Penguin Problem goes something like this: Care Providers: “We&#...
Source: e-CareManagement - October 1, 2014 Category: Technology Consultants Authors: Vince Kuraitis Tags: Health Policy/Reform payers payment penguin problem providers Source Type: blogs

Will Apple ’ s Strategic Beachhead Be Doctors, Not Patients?
Last week Apple held a huge media event to announce forthcoming products, including the iPhone 6, 6+ and Apple Watch.  Many of us in the healthcare world had been sitting on the edge our seats, hopefully awaiting news detailing Apple’s broader strategy in entering healthcare.  We were disappointed — no mention of Apple HealthKit, no doctors on the main stage, only a few teasers about how the Watch might be used in fitness and health monitoring. Apple is a consumer technology company, and it’s natural to think that their efforts in healthcare will be aimed directly at patients.  However, I’ve been...
Source: e-CareManagement - September 16, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) Apple healthcare HealthKit smartphones strategy Source Type: blogs

Will Apple ’s Strategic Beachhead Be Doctors, Not Patients?
Last week Apple held a huge media event to announce forthcoming products, including the iPhone 6, 6+ and Apple Watch.  Many of us in the healthcare world had been sitting on the edge our seats, hopefully awaiting news detailing Apple’s broader strategy in entering healthcare.  We were disappointed — no mention of Apple HealthKit, no doctors on the main stage, only a few teasers about how the Watch might be used in fitness and health monitoring. Apple is a consumer technology company, and it’s natural to think that their efforts in healthcare will be aimed directly at patients.  However, I’ve been...
Source: e-CareManagement - September 16, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) Apple healthcare HealthKit smartphones strategy Source Type: blogs

Will Apple’s Strategic Beachhead Be Doctors, Not Patients?
Last week Apple held a huge media event to announce forthcoming products, including the iPhone 6, 6+ and Apple Watch.  Many of us in the healthcare world had been sitting on the edge our seats, hopefully awaiting news detailing Apple’s broader strategy in entering healthcare.  We were disappointed — no mention of Apple HealthKit, no doctors on the main stage, only a few teasers about how the Watch might be used in fitness and health monitoring. Apple is a consumer technology company, and it’s natural to think that their efforts in healthcare will be aimed directly at patients.  However, I’ve been...
Source: e-CareManagement - September 16, 2014 Category: Technology Consultants Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) Apple healthcare HealthKit smartphones strategy Source Type: blogs

Health Data Privacy Shouldn ’ t Mean “ Stuff your health information in your mattress ” [Quote]
Our focus has been to figure out how to accommodate the 5% of patients that get their peace of mind knowing that they have absolute control of every piece of their data. Our focus really should be on the 95% that get their peace of mind knowing that when they show up in the ER, all of their data will be there. Lawrence Garber MD, Internist/Medical Director for Informatics, Reliant Medical Group. Comment at ONC JASON Task Force, July 2014. Permalink: e-caremanagement.com/?p=3815   The post Health Data Privacy Shouldn’t Mean “Stuff your health information in your mattress” [Quote]...
Source: e-CareManagement - September 2, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) Source Type: blogs

Health Data Privacy Shouldn ’t Mean “Stuff your health information in your mattress” [Quote]
Our focus has been to figure out how to accommodate the 5% of patients that get their peace of mind knowing that they have absolute control of every piece of their data. Our focus really should be on the 95% that get their peace of mind knowing that when they show up in the ER, all of their data will be there. Lawrence Garber MD, Internist/Medical Director for Informatics, Reliant Medical Group. Comment at ONC JASON Task Force, July 2014. Permalink: e-caremanagement.com/?p=3815   The post Health Data Privacy Shouldn’t Mean “Stuff your health information in your mattress” [Quote]...
Source: e-CareManagement - September 2, 2014 Category: Information Technology Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) Source Type: blogs