The 100 Year Shift? Introduction and Overview
by Vince Kuraitis JD, MBA and Jaan Sidorov MD, MHSA, FACP Gazing at the horizon, we foresee the potential for a tectonic realignment among physicians, hospitals and payers. Here’s a quick visual representation: This essay is the first of a seven part series. In this first post we will capsulize our vision of this potential […] The post The 100 Year Shift? Introduction and Overview appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - July 5, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Care Providers & Care Coordination Collaborative Care Management Networks 100 Year Shift payers physician alignment Source Type: blogs

Could Google+ Be Your Platform for Care Coordination?
An earlier post — Could Facebook Be Your Platform for Care Coordination? —  resonated well with folks. Readers and commenters (on e-CareManagement and The Health Care Blog) quickly grasped that a social networking platform could play a very useful role in coordinating our health care, yet also agreed with the conclusion that Facebook wasn’t  “it”. So let’s ask […] The post Could Google+ Be Your Platform for Care Coordination? appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - July 4, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: EHRs/PHRs Information & Communication Technologies (ICT) Circles Facebook Google Source Type: blogs

Patient “Leakage”: Rethinking Two Field of Dreams Assumptions About ACOs
A study released last week by the Massachusetts Attorney General contains surprising data to challenge two commonly held ACO (accountable care organization) “Field of Dreams” assumptions. These assumptions relate to patient “leakage” — out-of-network patient care and referrals. 1) Hospital administrators assume that tighter physician-hospital integration (e.g., through employment of physicians) will result in “captive referrals” by physicians back to […] The post Patient “Leakage”: Rethinking Two Field of Dreams Assumptions About ACOs appeared first on e-CareManagement b...
Source: e-CareManagement - June 27, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Care Providers & Care Coordination accountable care organization ACO leakage Medicare physician alignment Source Type: blogs

Trend Spotting: 1) Medicare ACO Dead-in-the-Water, 2) Payers Awaken to ACO Opportunities
It’s time to call it — the Medicare Shared Savings (SS) ACO is dead-in-the-water. Ironically — at the same time — commercial payers are awakening to ACO opportunities. Please read further. 1) As Currently Configured, the Medicare Shared Savings (SS) ACO is Dead-in-the-Water The pushback from care providers has been loud and consistent. In the past two weeks […] The post Trend Spotting: 1) Medicare ACO Dead-in-the-Water, 2) Payers Awaken to ACO Opportunities appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - May 13, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Health Policy/Reform accountable care organizations ACO hospital Medicare Source Type: blogs

Aetna, Cigna, Wellpoint Recreating Their Business Models
Major U.S. health insurers, including Aetna Inc., Humana Inc. and WellPoint Inc., are retooling to become more than just health plans, in the wake of the federal health-care overhaul that is changing the rules for the industry’s core business. Diversification plans, touted in meetings with investors this year, include stepped up acquisitions and partnerships that […] The post Aetna, Cigna, Wellpoint Recreating Their Business Models appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - May 12, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Companies Health Policy/Reform business model health plan hospital Source Type: blogs

BlogTalkRadio Interview — Is Hospital-Physician Alignment Sustainable?
Why have hospitals increasingly been buying physician practices?  Are these marriages based on true love or convenience? Will these marriages survive? To address these questions, let’s take the long view (50–100 years) and revisit 7 assumptions that have driven us to today’s healthcare non-system: Healthcare payment systems have rewarded piecemeal work. Despite uneasiness, hospital-physician relationships have been cooperative. Physicians […] The post BlogTalkRadio Interview — Is Hospital-Physician Alignment Sustainable? appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - May 10, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Care Providers & Care Coordination health plan hospital Source Type: blogs

“The Top Ten Things You Need To Know About Engaging Patients”…and the Why
Hi all, my name is Howard Rosen (Founder & CEO of LifeWIRE Corp), co-author of the recently published white paper report entitled “Top Ten Things You Need To Know About Engaging Patients.” You can access a copy here through the Institute for Health Technology Transformation (scroll down to “Whitepapers”.) According to the Pew Internet and […] The post “The Top Ten Things You Need To Know About Engaging Patients”…and the Why appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - May 3, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Guest Posts Patient Adherence/Self-Management health reform medical home wellness Source Type: blogs

Is Hospital-Physician Integration Sustainable?
Reprinted courtesy of MCOL. Perspectives on a Selected Key Topic |     April 2011/May 2011     |   Volume Three Issue Two Will a material number of hospitals and their core medical staffs, that are relatively independent, evolve into highly integrated delivery systems during this decade, and why? William J DeMarco MA, CMC President and CEO, Pendulum HealthCare […] The post Is Hospital-Physician Integration Sustainable? appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - May 1, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Care Providers & Care Coordination Health Policy/Reform business model care management EHRs/PHRs health plan health reform HIE hospital integrated delivery system interoperability Medicare population health PPACA readmission Source Type: blogs

Lesson for Healthcare: Disrupt Your Own Business Model Before Someone Does it TO YOU
Healthcare needs positive role models for innovation…and we have a real-time mentor in Netflix. If you have a Netflix subscription, you probably identify with the company as providing a convenient DVD rental service — order on the web, the DVD arrives by mail, send it back in the handy pre-paid envelope when you’re done. Today’s ReadWriteWeb […] The post Lesson for Healthcare: Disrupt Your Own Business Model Before Someone Does it TO YOU appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 25, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Companies Information & Communication Technologies (ICT) business model disruptive innovation Source Type: blogs

Part Deux: A Rebuttal to PHR Luddites
By now most people understand the promise of pharmaceuticals being customized to “YOU” based on your individual genetic code.  While this isn’t prevalent today, we understand that this will be possible in a few years. Let’s take a minute to consider the mechanics of how this will occur. You’ve received a prescription, and it directs the […] The post Part Deux: A Rebuttal to PHR Luddites appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 23, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: EHRs/PHRs Information & Communication Technologies (ICT) Source Type: blogs

A Rebuttal to PHR Luddites
Unlike some of my colleagues, I’m not losing ANY sleep over whether personal health record (PHR) systems ultimately will be adopted and used by patients. In my mind, the issue isn’t WHETHER, but WHEN. Yes, I know that adoption has lagged and that surveys suggest 7% or less of the U.S. population has used a […] The post A Rebuttal to PHR Luddites appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 22, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: EHRs/PHRs Information & Communication Technologies (ICT) platform Source Type: blogs

Through the Lens of Disruptive Innovation: Why Direct is a Hit and PCAST is an Outcast
(click on the graphics to link to original sources) Regular readers know that I find Professor Clay Christensen’s theory of disruptive innovation to be a useful lens to explain industry evolution. Let’s look at two recent health IT initiatives and see why one is working and the other is stalled. Characterizing the Direct Project — […] The post Through the Lens of Disruptive Innovation: Why Direct is a Hit and PCAST is an Outcast appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 19, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: EHRs/PHRs Information & Communication Technologies (ICT) disruptive innovation interoperability Source Type: blogs

Could Facebook Be Your Platform for Care Coordination?
My guess is you’ve probably never asked yourself this question. A quick preview: Technical barriers aren’t the limiting factors to Facebook becoming a care coordination platform. Facebook’s company DNA won’t play well in health care. Could Facebook become the care coordination platform of the future? If not Facebook, then what? 1) Technical barriers aren’t the […] The post Could Facebook Be Your Platform for Care Coordination? appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 9, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Information & Communication Technologies (ICT) business model care coordination EHR integrated delivery system platform privacy Source Type: blogs

List of Top 10 Health Plan Issues — Out of Whack!
Healthcare IT News just published its list of top issues for health plans in 2011: 1. Administrative Mandates (Compliance HIPAA 5010, ICD-10, etc.). 2. Care Management, Data Analytics, and Informatics. 3. Health Insurance Exchanges and Individual Markets. 4. New Provider Payment & Delivery Systems (ACOs, PCMHs, etc.). 5. Bend the Cost Trend. 6. Medicare and […] The post List of Top 10 Health Plan Issues — Out of Whack! appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 5, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Collaborative Care Management Networks Information & Communication Technologies (ICT) EMR health plan HIE HIPAA interoperability Medicare Source Type: blogs

Tire Kickers Need Not Apply: 8 First Impressions of the Medicare ACO Rule
On March 31, CMS released the long-awaited “Medicare Shared Savings Program: Accountable Care Organizations” document (ACO Rule). Read the details here (strong suggestion: unless you’re working on your PhD in ACOs, start with the fact sheets). There are many surprises. Here are eight first impressions on this 429 page tome: The bar has been set […] The post Tire Kickers Need Not Apply: 8 First Impressions of the Medicare ACO Rule appeared first on e-CareManagement blog. (Source: e-CareManagement)
Source: e-CareManagement - April 3, 2011 Category: Technology Consultants Authors: Vince Kuraitis Tags: Health Policy/Reform ACO CMS EHR health plan HIE HITECH hospital meaningful use Medicare population health PPACA primary care readmission strategy Source Type: blogs