Saturday, June 5, 2010
What's driving the cuts?
* High federal budget deficit is putting pressure on federal government to cut MD reimbursement (Remember: Government is THE largest healthcare payer)
* Inclination of state governments to regulate (limit) insurance premium increases on individuals will likely drive lower payment by state government to hospitals and doctors
* Private insurers will likely renegotiate contracts with providers to cut reimbursement rates if both federal and state governments cut MD reimbursement rates
Are there other drivers?
Sunday, February 14, 2010
"Human beings, who are almost unique in having the ability to learn from the experience of others, are also remarkable for their apparent disinclination to do so." Douglas Adams
Saturday, February 6, 2010
Wednesday, January 13, 2010
Sunday, November 22, 2009
Saturday, October 31, 2009
Came across a great article on plug-and-play modular EHR by David C. Kibbe, MD, MBA, senior advisor to the AAFP’s Center for Health Information Technology. The author questions the push for adoption of comprehensive EHRs when in fact that the needs of a practice (market) might be for some its components such as e-prescribing or a registry function. He proposes a shift from vendor-centric approach to platform-centric one where the practices are able to purchase and adopt EHR "modules" that follow industry standards.
This idea is certainly not new, consider this blog post by John Halamka where he states that Partners Healthcare and Beth Israel Deaconess are using a platform-centric approach for EHR and quality reporting, and are on their way to meet the meaningful use criteria.
Interoperable plug-and-play modules make sense to me. Buy components (modules) you need, connect new components with ones you already have on the platform.