Posts Tagged ‘health_plans’

Health Populi: Corporate reputation: pharma, gas and finance tie for the penultimate position

July 22nd, 2008 | Popularity: 20%
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AHIP Board of Directors Statement on Patient Centered Medical Home

July 18th, 2008 | Popularity: 14%
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PCPCC Stakeholders Working Meeting – Misc Notes

July 16th, 2008 | Popularity: 28%
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(presentations online here)

Paul Grundy, MD – “Think huge”

Purchaser guide – there have been many of these, but the first time one prepared with consumers and providers

Health Information Technology – help educate, advocate, demonstrate around PCMH the technology that will be necessary to help physicians make the transformation

Panel – What Does it Cost to Become a Patient Centered Medical Home?

Bob Berenson, MD, Senior Fellow, The Urban Institute

“A good medical home”- patient with superficial phlebitis treated via one office visit, 6 phone calls, 6 e-mails, including hematologic consultation, one reimbursement for in-office care

Julia Pillsbury, DO, Alternate RUC Representative, American Academy of Pediatrics

New G codes for Medical Home-type work. Crosswalked to currently existing codes, some subsume current G codes, some do not. Tier 1, 2, and 3, between 6.5 to 9.2 minutes per patient per month, may be around $50/member/month.

Patient Partnership

Sabrina Corlette, Director of Health Policy, The National Partnership for Women and Families

Grant from the Wellpoint Foundation to introduce consumer advocates to PCMH and involve them and shaping it. Environmental scan, Focus Groups, Develop consumer/patient principles

Debbie Peikes, Ph.D., Mathematica Policy Research

We should involve patients and providers in primary care assignment, using claims retrospectively is expedient perhaps but has difficulties

Blues Plan Joins Google Health

June 17th, 2008 | Popularity: 12%
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Aetna Clinical Policy: Automated Ambulatory Blood Pressure Monitoring

June 4th, 2008 | Popularity: 23%
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  • Aetna Clinical Policy: Automated Ambulatory Blood Pressure Monitoring – Rules for ambulatory blood pressure monitoring, which is different from "home" blood pressure monitoring. Useful to know when thinking of connectivity in the California Healthcare Foundation project work. Because health plans and CMS already pay for this type of monitoring, there’s precedent for looking at home blood pressure monitoring. This type of monitoring (ambulatory) pays for itself because it can establish the presence of “white coat” hypertension, which is high blood pressure that only occurs in the doctor’s office. In that situation, it’s better for the patient not to undergo treatment, which saves them (and the system) time and money in unnecessary health care.

Aetna’s CEO Again Attacks 3rd Party PHRs « Chilmark Research

June 2nd, 2008 | Popularity: 20%
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The RUC Speaks of Medical Home;Gathering Data on Hypertension;HealthPlan-Hospital Conflict in Arizona

May 13th, 2008 | Popularity: 55%
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May 6th through May 7th:

Efficiency Improvers for Mac users; Aetna’s Smartsource Demo; Wordpress upgrade on the way

April 1st, 2008 | Popularity: 79%
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Challenging Peer Review (on several fronts); Consumerism in Health Survey 2007; Accepting suggestions from Customers using Web 2.0 at Starbucks

March 30th, 2008 | Popularity: 77%
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March 28th through March 29th:

  • WordPress ? Search and Replace « WordPress Plugins – Wordpress 2.5 is out. I have a feeling this plugin will be useful to have handy
  • JAMA — Preserving Confidentiality in the Peer Review Process, March 24, 2008, DeAngelis and Thornton 0 (2008): 299.16.jed80000 – With tremendous respect for Catherine DeAngelis’ leadership during a tough situation. I am left wondering if the best place to hide is out in the open – if peer review became more Web2.0 like. What would happen in a situation like this?
  • Findings From the 2007 EBRI/Commonwealth Fund Consumerism in Health Survey – EBRI – About 2 percent of the population is enrolled in a consumer directed health plans. Significant points for me: (1) almost half of the population with a chronic condition reports not filling medications or skipping doses or delaying care due to cost. Sobering reminder that patients can and do choose to do what we doctors prescribe. (2) “There have been no significant gains int he provision of information on provider cost and quality by any health plan type over the three years of the survey. There has been no increase in the share of CDHP or HDHP enrollees who say their health plans provide them with quality and cost information about their providers, and they remain no more likely to receive such information than enrollees in more comprehensive plans.” Okay, one more point – they did not ask about the impact of involvement in care in choosing a health plan – no mention of medical records access or involvement in information sharing at the level of the encounter.
  • My Starbucks Idea – How about doing this for a health care org?
  • Bronson Beta – Mail.appetizer – Nice Mail notification tool, Leopard

Your Voice Video

March 11th, 2008 | Popularity: 30%
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This video was posted on the Mayo Clinic Health Policy Center Blog and includes the voices of people and their views on health care. There’s one in the middle that I found powerful. See if you agree.

I think more of the discussion should come from those receiving care in general, and I like that YouTube and Web2.0 in general is making that a reality.

There’s an associated slide presentation with data about patient access, and I liked the wording of the question, which was “Patients should be able to obtain accurate and complete information on their own health conditions so they can actively participate in making treatment decisions.” 79 percent said this was Very/Extremely important.

Steve Jobs and Leadership Philosophy; Health Plans and AMA less EHR supportive?; Two Health2.0 Services

March 10th, 2008 | Popularity: 62%
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March 4th through March 6th:

Patient-driven interoperability is promising;Consumers want access to their own health information (Deloitte)

February 28th, 2008 | Popularity: 22%
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PCHIT links for February 26th through February 27th:

Toyota misunderstood by Businessweek; Enterprise 2.0 from Google

February 10th, 2008 | Popularity: 30%
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February 7th through February 9th:

Better walking in DC; BIDMC going LEAN?; CEO Blogging; Best Companies 2008

February 7th, 2008 | Popularity: 71%
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February 4th through February 6th:

Groundbreaking reimbursement agreement? ; Some patients don’t want PHRs; Role of the Federal Government in PHR Design

February 4th, 2008 | Popularity: 19%
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PCHIT links for January 30th through January 31st:

IHE Connectation; A Health Plan in Hawaii works to spur EHR Adoption

February 2nd, 2008 | Popularity: 45%
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White Paper – Patient-Centered Applications, Forrester on Health Plans and PHRs

December 28th, 2007 | Popularity: 33%
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PCHIT links for December 26th through December 27th:

Background on health plans and small practices; Working on our special report

December 27th, 2007 | Popularity: 24%
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Today’s links are representative of the fact that we aren’t doing observations right now. Instead, we are preparing our first 90 day interim report for our partners. This means looking back on the last 90 days, and putting together our impressions at the interface between patient and health system, along with relevant background and policy information. We’ll post that here, of course.

PCHIT links for December 24th through December 26th:

iMedix allows patients to share treatment stories; Health Plans and Customer Experience; Handy Tip for Leopard Users; Handy Tip for DC Residents

December 27th, 2007 | Popularity: 42%
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December 24th through December 26th: