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Commentary

Has the Value-Based Care Train Stalled?

July 19, 2018     Rajiv Leventhal
When pondering the question of if the value-based care train has stalled, the answer will depend on which side of the healthcare stakeholder table you are asking—payers or providers.

Could Last Week’s Proposed-Rule Release Represent an Inflection Point for CMS and for Value-Based Federal Payment?

July 18, 2018     Mark Hagland
CMS’s release of a proposed rule that will impact a range of issues, from physician payment to quality measures, has unleashed a range of reactions from industry leaders—could this prove to be an inflection point?

Aligning Incentives in the Forward Evolution Around Value-Based Payment: Major Obstacles Cited

July 16, 2018     Mark Hagland
The implications of a recent HFMA-sponsored analysis of value-based healthcare are many—and challenging, for the pioneers of VBP in new payment models in U.S. healthcare

Why FDA’s Scott Gottlieb Wants to Create a ‘National Utility’ for Real-World Evidence

July 12, 2018     David Raths
The U.S. Food and Drug Administration is signaling its intent to expand its work to get real-world data from EHRs and other data sources to assess product efficacy and safety.

The Rocky Path to Value for Medicaid Programs—and HIT’s Key Role in Making It All Work

July 11, 2018     Mark Hagland
Medical researchers share some insights on the broad range of challenges facing the pioneers attempting to move Medicaid towards value-based payment incentives, including around the key role that HIT and data analytics will play in success

Vendor vs. Provider: Why the Different Strategies?

June 29, 2018     Joe Marion
Recent vendor spinoffs seem contrary to healthcare provider consolidation

Can We Get to the Next Level When It Comes to Quality Measures for the Care of Patients with Complex Needs?

June 27, 2018     Mark Hagland
A commentary posted online on Tuesday on the Health Affairs website makes important points about the landscape around the measurement of quality in the context of care for patients with complex needs

Self-Congratulation on HIE Advancement Would Be Premature at This Point

June 25, 2018     Mark Hagland
Even as many healthcare IT leaders are helping to facilitate major advances in health information exchange, a recent phone call with a good friend confirms that very major gaps in HIE remain, at the most basic levels

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

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