MACRA/MIPS: Chutes & Ladders 2.0 – #HITsm Chat Topic
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 11/17 at Noon ET (9 AM PT). This week’s chat will be hosted by Jim Tate (@jimtate) from EMR Advocate and MIPS Consulting on the topic of “MACRA/MIPS: Chutes & Ladders 2.0.” As Meaningful Use fades into the sunset we witness the arrival of the MACRA/MIPS program. The most significant change in Medicare Part B reimbursement in a generation has arrived. Fueled by the shift to “pay for value”, this zero-sum legislation guarantees there will be winners and losers. I am reminded of the childhood board game, Chutes &...
Source: EMR and HIPAA - November 14, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Digital Health Healthcare HealthCare IT Healthcare Social Media Patients #HITsm Topics EHR Advocate Jim Tate MACRA MIPS MIPS Consulting Source Type: blogs

The Need for More Research in Provider-to-Provider Telemedicine
A recent article inDark Daily provided me with a useful way to better understand the field of telemedicine by dividing it into three segments (see:Telemedicine Gaining Momentum in US as Large Employers Look for Ways to Decrease Costs; Trend Has Implications for Pathology Groups and Medical Laboratories). Below is an excerpt from it:[A recent article] divides telemedicine technology into three distinct segments:1. Provider-to-provider2. Remote patient monitoring3. Patient-to-providerIn an article...[written[ for MedCityNews (see: Telemedicine: Take a lesson from retail to improve patient adoption),...[the author] call...
Source: Lab Soft News - November 10, 2017 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Electronic Health Record (EHR) Healthcare Delivery Medical Research Quality of Care Telemedicine Source Type: blogs

Fight Aging! Newsletter, October 30th 2017
In this study, the researchers showed a causal link between dynamic changes in the shapes of mitochondrial networks and longevity. The scientists used C. elegans (nematode worms), which live just two weeks and thus enable the study of aging in real time in the lab. Mitochondrial networks inside cells typically toggle between fused and fragmented states. The researchers found that restricting the worms' diet, or mimicking dietary restriction through genetic manipulation of an energy-sensing protein called AMP-activated protein kinase (AMPK), maintained the mitochondrial networks in a fused or "youthful" state. In add...
Source: Fight Aging! - October 29, 2017 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

An Interview with Yuri Deigin of Youthereum Genetics: the Merging of an Initial Coin Offering and Pluripotency Factors
Initial coin offerings (ICOs) are driving most of the light and heat in the blockchain world these days. People are raising enormous sums in cryptocurrencies for ventures with somewhere between little plausibility and ordinary levels of startup plausibility. In many ways it looks a lot like the last years of the internet bubble way back when; there are a lot of parallels. The flows of funding may be driven by some combination of people bypassing Chinese currency controls, early holders of Bitcoins and Ether diversifying their holdings within the blockchain ecosystem, and various large investment concerns whose owners have ...
Source: Fight Aging! - October 27, 2017 Category: Research Authors: Reason Tags: Healthy Life Extension Community Source Type: blogs

Where Patient Communications Fall Short?
The following is a guest blog post by Sarah Bennight, Marketing Strategist for Stericycle Communication Solutions, as part of the Communication Solutions Series of blog posts. Follow and engage with them on Twitter: @StericycleComms We are constantly switching devices to engage in our daily lives. In fact, in the last ten minutes I have searched a website on my desktop computer, answered a phone call, and checked several text messages and emails on my cellphone. Our ability to seamlessly jump from one device to the next affects our consumer behavior when interacting with places of business. Today, we can order coffee and g...
Source: EMR and HIPAA - October 12, 2017 Category: Information Technology Authors: Guest Blogger Tags: Care Management System Digital Health Healthcare Healthcare Communication HealthCare IT mHealth Patients Communication Solutions Series Health Care Communications Patient Communication Patient Experience Sarah Bennight Stericycle Source Type: blogs

Moving from “Reporting on” to “Leading” Healthcare – A Conversation with Dr. Halee Fischer-Wright, President & CEO of MGMA
In Chapter 3 of Dr. Halee Fischer-Wright’s new book Back to Balance, she writes: “People are increasingly being treated as if they are the same. Science and data are being used to decrease variability in an attempt to get doctors to treat patients in predictable ways.” This statement is Fischer-Wright’s way of saying that the current focus on standardization of healthcare processes in the quest to reduce costs and increase quality may not be the brass ring we should be striving for. She believes that a balance is needed between healthcare standardization and the fact that each patient is a unique individual. As pre...
Source: EMR and HIPAA - October 11, 2017 Category: Information Technology Authors: Colin Hung Tags: Healthcare HealthCare IT Medical Economics Practice Management Meaningful Use medical workflow MGMA Physician Practices Source Type: blogs

The 2017 ACO Survey: What Do Current Trends Tell Us About The Future Of Accountable Care?
This article presents an overview of the results from the inaugural 2017 Annual ACO Survey and provides important insights into the current and future state of the ACO industry. Overall, we found that a large number of ACOs are currently considering or have firm plans to participate in future risk-based contracts (47 percent planning for shared savings/shared risk and 38 percent planning for capitation), although care management strategies are largely unchanged. This and the data below suggest that ACOs are slowly becoming willing to accept increased financial risk, but they are largely still learning how to actually manag...
Source: Health Affairs Blog - October 4, 2017 Category: Health Management Authors: Kate de Lisle, Teresa Litton, Allison Brennan and David Muhlestein Tags: Medicare Payment Policy Quality Accountable Care Organizations delivery reform NAACOS Payment Reform Source Type: blogs

CMS Should Play the Role of Virtual Group Matchmaker
By MANU UPPAL and DAVID INTROCASO In the 2018 proposed Medicare Access and CHIP Reauthorization Act’s (MACRA’s) rule, published earlier this year, HHS has again proposed to exclude two-thirds of physicians, or 900,000, from participation in the Merit-based Incentive Payment System (MIPS).  MIPS was created under 2015 MACRA legislation to incent financially Medicare physicians and other Medicare Part B clinicians to improve care quality and reduce Medicare spending growth.  HHS is choosing to exclude smaller-sized physician practices because, it is believed, MIPS reporting requirements place too high a burden...
Source: The Health Care Blog - October 3, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CMS MACRA MIPS Virtual Groups Source Type: blogs

After Death Data Donation – A #hITsm Halloween Horror Chat
We’re excited to share the topic and questions for this week’s #HITsm chat happening Friday, 10/6 at Noon ET (9 AM PT). This week’s chat will be hosted by Regina Holliday (@ReginaHolliday), Founder of #TheWalkingGallery on the topic of “After Death Data Donation.” Since this month is October (which is heavily associated with death and horror in western cultures) and this week is National HIT week, I thought we would combine the two and talk about death and data donation. Since the 1970’s the autopsy rate in the US has plummeted to less than 10%. When the results of the autopsies are evaluated, in 30% cases t...
Source: EMR and HIPAA - October 3, 2017 Category: Information Technology Authors: John Lynn Tags: #HITsm Digital Health Healthcare HealthCare IT Healthcare Social Media HIE #HITsm Topics After Death Data Donation Regina Holliday Source Type: blogs

Why Should Patients Control Their Health Data? Here Are A Few Ideas.
Lately, healthcare organizations have begun working to give patients more access to their personal health data. They’ve concluded that the more control patients have, the more engaged they become in your care, which in turn leads to better outcomes. But patient engagement isn’t the only reason for giving patients the keys to their PHI. In fact, organizational control of patient health data can cause problems for everyone in the healthcare data exchange chain. An item found on the Allscripts blog does a nice job of articulating issues that can arise.  According to the blog item, those issues include the follow...
Source: EMR and HIPAA - September 29, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability HIE Patients Allscripts Health Data Exchange Master Patient Index Medical Records Management Patient Engagement Patient Health Data Source Type: blogs

Interview with Paul Black, CEO, Allscripts
Paul Black is CEO of Allscripts and he’ll be with me at Health 2.0 on October 1-4. Paul has been CEO of Allscripts for about five years, taking over from Glen Tullman who grew the company aggressively by acquisition over the previous decade. Paul has been steering Allscripts through a pretty big transformation for the past few years, and they’ve been the major EMR vendor that has most aggressively reached out to the startup tech community. This is an edited transcript of an interview we had in late August. — Matthew Holt Matthew Holt: Paul thanks for talking with me today, but also we’re going to have ...
Source: The Health Care Blog - September 25, 2017 Category: Consumer Health News Authors: Matthew Holt Tags: Health 2.0 Matthew Holt Tech Allscripts FHIR Paul Black Source Type: blogs

How the Government is Failing Health Tech Startups and What to Do About It
By SUHAS GONDI As the Senate debated the fate of the Affordable Care Act (ACA) in Washington this past summer, healthcare was front and center in newspapers and conversations around the country. While insurance coverage and the affordability of care certainly warrant the level of nationwide attention they received, they comprise only one dimension of the systemic deficits in US healthcare: access to care. Meanwhile, the pressing need to reform our broken delivery and payment structures and address the more than $1 trillion of waste in our system was being overlooked by lawmakers in DC. Luckily, on the other side of the co...
Source: The Health Care Blog - September 24, 2017 Category: Consumer Health News Authors: John Irvine Tags: Tech Source Type: blogs

Public Health Agencies Struggle To Integrate With HIEs
New research by ONC suggests that while public health agencies might benefit from connecting with HIEs, there are still some significant barriers many need to address before doing so. Public health agencies at both the state and local level collect information from providers as part of conducting disease surveillance activities and maintaining data registries. Though some of these registries are common – notably those focusing on childhood immunizations, birth defects and cancer—the agencies’ technical infrastructure and data formats still vary. This makes sharing data between them difficult. One alternative to cumbe...
Source: EMR and HIPAA - September 21, 2017 Category: Information Technology Authors: Anne Zieger Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare Healthcare Interoperability Healthcare Leadership HIE Meaningful Use Clinovations HIE Integration Medicaid Incentives Medicare Incentnives ONC Public Health Source Type: blogs

To Foster Information Exchange, Revise HIPAA and HITECH
We know that when patients are provided with access to their medical records, they feel more in control of their care, understand their health conditions and their care plans better, prepare for their visits, and adhere more to their medications. Despite patient portals’ usability challenges for certain groups of patients and disadvantaged populations, they not only help patients and their care partners but also are a significant means to reducing overhead costs for providers. When physicians are provided with instant electronic access to their patients’ medical data, both quality and efficiency of care radically impro...
Source: Health Affairs Blog - September 19, 2017 Category: Health Management Authors: Niam Yaraghi Tags: Health IT Health Policy Lab Organization and Delivery electronic health records HIPAA HITECH medical data blocking rights to access health data sharing health information Source Type: blogs