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Commentary

Researchers Find a Bundle of Complications Around Bundled Payment Outcomes

June 14, 2018     Mark Hagland
An article published in the current issue of Health Affairs uncovers some of the complexities of mandatory and voluntary bundled payment programs, and some of the implications for their policy and payment future

Academic Medical Center, Tear Down That Wall (Between Research and Care)!

June 11, 2018     David Raths
Clay Johnston, M.D., Ph.D., M.P.H., dean and vice president for medical affairs at the brand-new Dell Medical School at the University of Texas at Austin, makes the case for rethinking how academic medical centers define research and care.

Editor's Notes: When Will We Be Able to Nail the “Golden Spike” in the Foundation of the New Healthcare?

June 8, 2018     Mark Hagland
Some of the challenges of the present moment in U.S. healthcare, as our healthcare system struggles forward in its journey into value-based care delivery and payment, brought to my mind the construction of the First Transcontinental Railroad in the 19th Century.

Shifting from an Interim CIO to a Permanent Role: Five Keys

June 8, 2018     Tim Tolan
Many C-level executives are lured into an interim role while they look for something more permanent. And, it’s actually more commonplace than you might think. There are multiple ways you can turn this into a positive experience for you and your future employer.

FHIR DevDays to Provide Snapshot of Interoperability Progress on Several Fronts

June 5, 2018     David Raths
Wayne Kubick, HL7’s chief technology officer, gives us a preview of developments to be discussed at the upcoming FHIR DevDays meeting in Boston.

Does Healthcare Need a New Job Title: Digitician?

June 4, 2018     David Raths
Dale Sanders, president of technology at Health Catalyst, is advocating for the creation of a new health system role, which he is calling a “digitician.” What trends is he responding to and what would this person do?

Rethinking Observation Stays and Readmissions: Experts Study the Issue

May 31, 2018     Mark Hagland
As medical researchers writing in The New England Journal of Medicine are documenting, shifting some patients from normal inpatient stays to observation stays, is turning out to be a far more complicated proposition than meets the eye

Is It Time to Totally Rethink the Concept of Patient Engagement?

May 30, 2018     Mark Hagland
It was fascinating to listen to Dr. Katherine Schneider’s keynote presentation in Philadelphia, “Patient Engagement Is Not an App”—and to ponder the implicit challenge she posed to her audience

Healthcare’s Patient Access Problem is Big—But There's a Fix

May 23, 2018     Rajiv Leventhal
There is significant potential for health IT to prove beneficial in medical record access and cut the exorbitant costs that patients are currently paying for their health data.

Intellectual Property: Lessons from Shark Tank & Seinfeld

May 23, 2018     Dave Levin, M.D. and David Hyams
One thing healthcare entrepreneurs and investors have in common is that their businesses may be generating assets that are more valuable than they realize. And, they may also be creating valuable intangible assets known as intellectual property (IP).

Advantage: Interoperability

May 22, 2018     Joe Marion
Recent discussions emphasize the advantages of interoperability within and between healthcare providers.

Are Federal Health Officials Fed Up With Providers’ Unwillingness to Take on Downside Risk?

May 14, 2018     Mark Hagland
A series of tough public statements by senior federal healthcare officials point to an underlying problem: the federal experiment with accountable care isn’t moving the needle fast enough to really bend the overall healthcare cost curve

Digital Health Innovators are Setting their Sights on Medicaid—Can the Private Sector Improve Healthcare?

May 11, 2018     Heather Landi
Digital health innovators and entrepreneurs are setting their sights on the Medicaid market. Can private sector-led innovation significantly improve care for vulnerable and complex patients?

One CIO’s View of the Path to Precision Medicine

May 10, 2018     David Raths
John Halamka, CIO at Beth Israel Deaconess Medical Center in Boston, has some strong opinions about the future of precision medicine and can share some concrete examples of transitions already under way at Beth Israel.

Norman Doors and Healthcare IT

May 7, 2018     Dave Levin, M.D.
Evidence suggests mixed results when it comes to overall EMR use and functions like clinical decision support providing concise, actionable information, and leveraging AI and predictive analytics. Is there a prescription for provider-centric HIT?

HHS Secretary Alex Azar Gives Industry Leaders a Map of the New Healthcare

May 4, 2018     Mark Hagland
On Wednesday at the World Health Care Congress in Washington, D.C., HHS Secretary Alex Azar offered attendees a conceptual map of the new healthcare, at least from the standpoint of federal healthcare policy

Straight Talk About FHIR

April 30, 2018     Dave Levin, M.D.
Have you noticed the hype around FHIR? It was hard to miss at HIMSS2018, where enthusiasts proclaimed that FHIR will solve our interoperability woes. It will not, and it is essential we dispel the misconceptions and hype.

Interoperability Oxymoron

April 27, 2018     Joe Marion
Interoperability is getting more attention, but it all depends on how it is defined

Might CMS Move to Implicitly Mandate Health Data Exchange at Discharge, at the Federal Level?

April 26, 2018     Mark Hagland
Embedded in the release of a new proposed rule around what has been known as the meaningful use program, CMS officials have indicated the possibility that they might mandate electronic sharing of discharge data at the point of discharge

In Asking for MIPS Flexibilities, Providers Make Legitimate Points

April 23, 2018     Rajiv Leventhal
I was quite intrigued to see the specifics in the recent letter that healthcare provider groups sent CMS about reducing the burden that MIPS requirements have put on clinicians.

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