Too frequently what gets overlooked in policy making are the regulations that implement or update legislation.As Henry Mintzberg observed over 30 years ago policy is oftentimes formed without being formulated.For example, the Congress did not define the most important provision in MACRA.The Congress simply defined financial risk under an Alternative Payment Model (APM) as monetary losses in excess of a nominal amount.It was CMS that determined via regulatory rule making specific revenue and benchmark-based standards.While the focus has largely been on Congressional Republican efforts to repeal the ACA, three weeks ago the Trump administration recommended regulatory changes, via a proposed “market stabilization” rule, that will likely, should it as anticipated go final this month or next, have a more near term negative effect on state marketplaces.
Don’t get lost amongst the 1,200+ exhibitors that will be fighting for the attention of 38,000 or so health IT professionals at next spring’s HIMSS conference. Make sure your brand is top-of-mind before the attendees descend on Chicago April 12-16.
THCB understands that exhibiting at HIMSS requires a significant financial and time commitment for participating vendors. Our goal is to help organizations maximize their marketing success by sharing their message with the 6,000 THCB readers who visit our site each day.
HIMSS exhibitors wishing to connect with our highly healthcare-centric audience are encouraged to take advantage of one of our HIMSS Specials.
Our sweet marketing packages include:
Unbeatable social media exposure on THCB and Twitter
Awesome THCB front page placement (logo, ad unit, guest blog post)
Networking access to THCB’s healthcare obsessed audience of 650,000 plus healthcare pros
Other slick advantages that will help you stand out during and after the event
A limited number of promotional opportunities remain. Contact Michelle Noteboom for details on options and to reserve your spot.
The American Heart Association is constantly looking for new ways to improve upon our scientific conferences. So, we are proud to announce the new AHA Scientific Meeting tagline: Expect big things from YOUR AHA Scientific Events. You Ask. We Listen. We Deliver.
What does this new tagline mean to the thousands of healthcare professionals who attend our AHA scientific events? It is our promise to the global cardiovascular healthcare community that we are listening to what you have to say. We promise to deliver enhancements that will make our scientific meetings convenient and mobile-friendly, while offering what the American Heart Association has always been known for: presentation and discussion of the very best in cardiovascular science.
So I encourage you to comment on our scientific meetings and we will continue to deliver results. I look forward to seeing you all at Scientific Sessions 2014 in Chicago, from November 15th-19th.
Patient-centric healthcare is all the talk — patients should be able to take an active role in their own healthcare. A big part of that role is the ability to access their entire medical history in one place digitally. Doesn’t that make sense? LinkedMD™ thinks so!
To find out more about the LinkedMD™ app, how you can be one of the first adopters of the new technology and to see our Kickstarter video, click here The LinkedMD Project.
Health information exchange. Connectivity. Interoperability. For the health IT crowd, these words have become staples in our vocabulary. Data exchange and accessibility are critical to improving care delivery and increasing efficiency, especially when patients move from one provider to another.
Patients’ digital expectations are growing too, their health records must be easy to share with other care providers in a secure manner. To keep up with industry demands, regulations and the pace of innovation, the entire healthcare ecosystem must continue to take steps forward in their respective – and collective – interconnectivity journeys.
According to a recent article from Health Affairs, 78 percent of office-based physicians reported adopting some form of EHR system in 2013, however only 14 percent electronically shared data with care providers or hospitals outside their own organization, which is one of the most critical pieces of the interoperability puzzle. The secure transfer of information between each stakeholder group is no longer nice to have, but a necessity – not only for the assurance of high quality care, but also for the improvement of healthcare overall.
Electronic health record (EHR) software vendors aren’t churning out profits like you might expect. You’d think that the Federal subsidies for EHR implementation would create a rising tide that lifted all boats in the EHR software industry. In reality, some vendors are about to capsize.
Based on data points I’ve observed in the market over the past few months, I think some vendors are facing a cash flow crunch. They’re thrilled to have the wind at their backs for once, but the pace is proving hard to maintain as market evolution has accelerated under the unnatural effect of government subsidies.
Here’s the problem.
EHR Vendors Are Spending Money Like Crazy
Most software markets evolve over a twenty or thirty-year period. Consider the enterprise resource planning (ERP) market: the first ERP vendors were founded in the early 1970s, but rapid growth and innovation continued until about the year 2000. The EHR market, however, will mature in the next five years. This is because healthcare providers are buying EHR systems sooner than they otherwise would, to make the most of massive federal subsidies and avoid penalties. Consequently, EHR vendors are in a mad rush to gain market share.
Those that win will own a massive customer base paying recurring support fees. Those that lose will become irrelevant from a market share standpoint and will be ingested into a larger vendor (if they’re lucky; some will just go broke). As a result, EHR vendors are increasing their R&D budgets to develop new features and meet meaningful use criteria. Their marketing colleagues are spending heavily on demand generation and brand building. These vendors have no choice but to win today’s market share battle.Continue reading…
Most of the time I write about the psychology of patient, consumer or provider adoption. This is not an accident. The psychology of adoption is the next big hurdle for connected health to overcome. We have good evidence that connected health solutions can be engaging and sticky for patients, leading to improved self-care. Likewise, we have evidence that enriching data coming from patients to providers can lead to better care decisions and that these decisions, made and delivered in the moment of need, are the other half of the magic of connected health. Further we have a sense that those patients who are not interested in the level of engagement that connected health demands often have worse outcomes and therefore cost the system more.
But today, I want to talk about technology. Most of the time, I write from the perspective of a technology vision that includes continuous (or near continuous) sensing of multiple physiologic signals. These signals are flawlessly transmitted to a computing environment where decision support can be applied to aid in improved communication with patients and improved decision making by providers. The state of the art today is not so elegant.
We use multiple different sensors, both wired and wireless, communicating via a large variety of aggregator devices that then transmit the sensor outputs to us via the Internet. The environment is both user-unfriendly and error prone, which increases the technical support resources required. We have the strong sense that some individuals drop out of programs because the technology is too challenging for them, so we miss them before we can turn them on to the benefits of a connected health experience.
The marketplace for sensors is changing in a number of exciting, dynamic ways. First, a number of sensors are coming to market that have embedded mobile chips right in them. They are sold in the same way as the Amazon Kindle (the wireless connectivity is bundled in the price of the device).
It has become politically incorrect to refer to EHRs as products. Instead, EHRs are now “technologies” as evident in all ONC and CMS published rules and regulations. This subtle change in terminology was intended to encourage, yes you guessed it, Innovation. It was supposed to signal an open market for alternatives to existing EHR products in the form of modular approaches, open platforms, mobile applications and web-based software-as-a-service. Naturally, the industry is obliging and all efforts now are geared towards creating stuff that runs on iPads, preferably “cloud” based and with minimal utility. The new stuff looks very cool and promises to become even cooler, so what’s the problem?
The problem is that these new things do not solve any problems. Traditional product innovation concentrated on identifying problems, designing solutions and then selecting technologies that were capable of enabling those solutions. New technologies were usually born out of the necessity to solve a burning problem and those with enough applicability to larger markets became blockbusters. Every frying-pan today sports technology first invented in the process of creating refrigerants and later used for nuclear destruction (Teflon). Every large enterprise embarking on cost cutting, new markets acquisition, or general improvements, should know all too well that selecting a “cool” technology first, and then attempting to find a good use for it, is recipe for failure.