Wednesday, December 23, 2015

Modern Healthcare: Obama administration's proposed insurance reforms incite industry backlash

Re: The American Academy of Family Physicians asked the CMS to go a step further and build network standards for appointment wait times. found here.

I was the "Wait Times Guy" for Veterans Health Administration and can say this is no easy task. On any given day every Veteran using a VA Hospital had on average 2.5 pending appointments. Some were for that day, some the next day, or week, or month, or months but sorting out the "wait" from when the Vet wanted the appointment, and when the Vet needed to be seen for a followup appointment got very murky.

Make tinkering with those calculations a criminal offence and you've got quite a mess.

Monday, October 12, 2015

Texas Health Physicians Group Leaders Take on the Practical Data (and Process) Challenges of Population Health | Healthcare Informatics Magazine | Health IT | Information Technology

With regard to IT development, strategically speaking, what do you need to do in the next year or two?
Adams: The Holy Grail for an IT-techie person like me—patient attribution remains one of the number-one challenges. People underestimate how hard it is to attribute patients to physicians. I think the Holy Grail is combining EMR and claims data. Because right now, we’re still in the world of, here are your gaps in care, but it’s in the EMR. So I may already have had a colonoscopy and Dr. Parsley if he’s my physician wouldn’t know it. So it’s combining outside claims data with EMR data, to provide a true picture of things. And claims data is 30-45 days behind. And in the next two to three years, it’s going to be real-time notification. We don’t have all those things in place yet. So for the next year, we’ve got to get better at patient attribution and risk stratification, and then be able to combine EMR and claims data.
Parsley: I agree: if there’s a report in an old file somewhere that shows the patient did get their colonoscopy in the timeframe needed, and if we had the payer data in a timely way.

Tuesday, August 25, 2015

Rick Wicklin:The relationship between toothlessness and income

Interesting post on the relationship between toothlessness and income.  Rick ought to throw smoking prevelance into the mix because I expect it will explain more than income would.

And of course the graphs are nice!  

Friday, August 07, 2015

Join Us At Valence Health’s Value-Based Care Conference

Needless to say, my blogs represent my views and not those of my employers past or present, but below is a plug from my current job about what I think will be a very useful conference.
 Please join us for further 2015, our annual industry conference dedicated to value-based care and reimbursement models. From clinical integration, to shared risk, to provider-sponsored health plans, further 2015 explores the financial, operational and clinical aspects of all types of value-based care and “risk-based” contracting.  Learn more about the expert-led discussions designed for provider-organization executives here: