• How Apple’s iPhone Reshaped the Industry – BusinessWeek – Discussion of "disintermediation risk". I wonder if there are analogies in health care?

• Insurers Embrace Online Physician Visits, But Doctor Participation Slow To Catch On – iHealthBeat – “Aetna is agressively marketing the tool to its contracted providers” – some information about the support for patient-physician messaging in the fee for service sector. Also some information from Kaiser Permanente’s work. California Medical Association provides a distinctive perspective on change. See what you think. Why isn’t this catching on in the fee for service healthcare community? (Audiocast)

• What’s in *your* MIB?, part 2 – Experience of e-Patient Dave about the MIB. Part of the advantage of participation is ensuring accuracy – when the people responsible for accuracy don't feel the impact of inaccuracy, we should worry. Patients and Families feel the impact.

This blog post, by Andrew Dreyfus, the executive vice president for health care services at Blue Cross Blue Shield of Massachusetts and former president of the Blue Cross Blue Shield of Massachusetts Foundation, caught my eye.

Commonhealth » Blog Archive » A NEW AND DIFFERENT WAY TO PAY FOR CARE by Andrew Dreyfus

At the level the information is presented it sounds promising – that delivery systems might have more lattitude to use all of the tools available today to coordinate care (including patient access to their records online). The details are not listed, though. I wonder what about the plan would enable a more patient centered approach to implementing health information technology. Would a delivery system under this plan be spurred to promote personal health record adoption?

As we found when we visited Boston recently, adoption of relatively robust patient access systems has been less than desired, especially compared to systems where incentives are aligned. Maybe this might help?

I’m posting this as a trackback to the blog post to see if more information might be shared about this, either here or on the original blog. How does this new payment methodology stimulate patient access to health information technology and non-visit based care?