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Comprehensive Primary Care Plus – Medicare Doubles Down

CMS, through its Centers for Medicare and Medicaid Innovation (CMMI), is rolling out a refined version of an innovation model that is just winding down its four-year run. Per CMMI, the Comprehensive Primary Care (CPC) initiativeis a four-year multi-...

Posted April 30, 2016    

Physician-Patient Collaboration: A Conversation With Dr. Danny Sands

Danny Sands joined me recently to discuss the state of physician-patient collaboration, the nudge forward given to this notion by value-based purchasing trends in health care, and the need to focus on what happens in between office visits as the key...

Posted March 27, 2016    

Narrow Networks in California?

In the nothing new under the sun department, Covered California, the California health insurance exchange is “threatening to cut hospitals from its networks for poor performance or high costs.” Kaiser Health News reports that Covered California’s...

Posted March 24, 2016    

Nick Marko and Geisinger’s Health Data Journey

Geisinger Health System’s Chief Data Officer, Nicholas Marko (he is also a practicing physician, the director of neurosurgical oncology at Geisinger), joined me recently to speak about the points of contact between clinical care and health IT. We...

Posted March 21, 2016    

All Payor Claims Databases: ERISA Pre-emption and the Tragedy of the Commons

The Supreme Court handed down its decision in Gobeille v. Liberty Mutual on March 1, holding that ERISA pre-empts Vermont’s all-payor claims database statute to the extent that it relates to self-insured plans. In other words, self-insured health...

Posted March 8, 2016    

Patients’ Health Data Rights and Precision Medicine

The recent Precision Medicine Initiative Summit at the White House saw dozens of private entities committing to join with the administration in supercharging the effort to enroll one million patients into precision medicine research programs,...

Posted February 26, 2016    

Is Time Running Out for CO-OPs?

Consumer Operated and Oriented Plans (CO-OPs) — the stealth public option under Obamacare — were to be founded by providers, with control passed to members within a year of beginning member enrollment.  There was supposed to be one in each...

Posted February 26, 2016    

Future Outlook: Medicare Advantage Plans & Risk Adjustment

All aspects of health care delivery and financing are undergoing change at breakneck speeds. Even federal health care financing programs, not known for nimble maneuverability, are exploring future changes.Over the past couple of decades, the federal...

Posted February 5, 2016    

Patients Believe Partnership With Clinicians Will Improve Health

The Society for Participatory Medicine released a report of a national survey today finding that a significant majority of Americans seem to consider themselves engaged patients, with positive views of collaborative relationships with providers,...

Posted February 4, 2016    

Individuals’ Rights to Their Health Information: The Federales Awaken

HHS is taking a cue from Horton (via Dr. Seuss): “I meant what I said, and I said what I meant.”A long time ago (in internet years), the original HIPAA regulations were promulgated. (The final Privacy Rule was published in 2000.) They’ve been...

Posted February 3, 2016    

Medicaid Expansion Under the Affordable Care Act: The "Before" Picture

Financial Burden of Medical Spending by State and the Implications of the 2014 Mediciaid Expansions is the latest report from the Affordable Care Act implementation monitoring and tracking initiative funded by the Robert Wood Johnson Foundation. (...

Posted April 5, 2013    

Electronic Exchange of Lab Results

The final question posed in the recent request for information posted by ONC reads as follows:What specific HHS policy changes would significantly increase standards based electronic exchange of laboratory results?Keith Boone, aka @...

Posted March 18, 2013