For years, Medicare Advantage plans have benefited from a regulatory structure that pays them more than the average Medicare fee for service cost for parallel populations and asks the plans to provide some addtional services to beneficiaries in return for the bonus payments. The reimbursement has been attractive enough to keep numerous insurance companies involved in Medicare Advantage.
I am proud to be a member of The Walking Gallery. If you are not familiar with Regina Holliday and her unique brand of health care activism, you should be. See her blog, and follow the links in the sidebar to more Walking Gallery details. By way of example, she has written a blog post describing each hand-painted jacket in the gallery and its connection to the wearer's health care story and his or her connection to health data liberation. You can start with her post about my jacket, Friendship Pins.
Check out the newly-released video about this ongoing project below, and join the movement:
Much has been said and written about the dearth of new commercial health insurance plan enrollees on the federal and state exchanges and, by contrast, the excessive numbers of Medicaid expansion enrollees, the death spiral signified by the absence of Young Invincibles from the exchanges, etc.
HealthCare SocialMedia Review is the blog carnival for everyone interested in health care social media. It is a peer-reviewed blog carnival; the host of each edition decides which of the posts submitted for consideration are suitable for inclusion.
Our mission is to serve as a hub for posts from the best and the brightest health care social media writers, thinkers, users and proponents worldwide, to contribute to better understanding and adoption of social media in health care. This carnival is intended to showcase posts about health care social media use, best practices, guides, resources, case studies, experiences, new techniques and technologies and new social media communities and tools. We seek to spread the word that the use of social media in health care is becoming unavoidable and is of critical importance to both patients and providers worldwide.
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Over time, the app maturity model will see apps progress from being recommended on an ad hoc basis by individual physicians, to systematic use in healthcare, and ultimately to an end goal of being a fully integrated component of healthcare management. There are four key steps to move through on this process: recognition by payers and providers of the role that apps can play in healthcare; security and privacy guidelines and assurances being put in place between providers, patients and app developers; systematic curation and evaluation of apps that can provide both physicians and patients with useful summarized content about apps that can aid decision-making regarding their appropriate use; and integration of apps with other aspects of patient care. Underpinning all of this will be the generation of credible evidence of value derived from the use of apps that will demonstrate the nature and magnitude of behavioral changes or improved health outcomes.
We are nowhere near this endpoint -- integration of the use of health apps into health care management -- right now, due to a number of factors.
Often, when we think about innovation, we immediately think of hi-tech devices, software or platforms.
In the midst of this year's Joslin Diabetes Center's Diabetes Innovation
conference, even acknowledging that many people with diabetes are
joined at the hip (literally) to some pretty hi-tech tools, it was worth
slowing down for a moment to consider the value and efficacy of
decidedly low-tech solutions.
Earlier this year, Susannah Fox (a
speaker at this year's conference) coauthored a report published by the
Pew Research Center entitled Tracking for Health.
This report collects survey data showing that while 60% of U.S adults
track diet or exercise, and 33% track their own health -- 49% track only
in their heads, 34% use paper and only 21% use technology (web, app,
device) for personal tracking.
"Serve a paper and sue me ...." Is this really the only way to get HHS to agree to promulgate long-promised guidance for medication adherence contractors and others that face "restrictions on remunerated refill reminders and other communications." under the HIPAA Omnibus Rule?
Apparently it is.
The final rule was promulgated eight months in advance of the compliance date coming up on September 23, yet Adheris (great name, eh?) found it necessary to seek an injunction earlier this month barring HHS/OCR from enforcing the Omnibus Rule insofar as it would infringe on the company's constitutionally-protected right of free (commercial) speech.
There's a new index in town. Today's entrant is the EveryMove 100, a ranking of health plans across the US "based on how they engage with and empower consumers to manage their own health." according to the presser. (EveryMove is a health rewards based marketing and incentives company that provides opportunities to consumers to earn benefits by engaging in healthy behaviors.)
Consumer engagement and empowerment in the health care sphere are a good thing, so I asked EveryMove CEO Russell Benaroya for a little more information on these rankings, as the website was short on detail. He filled me on on the initial metrics, and suggested that the metrics will be revisited on a quarterly basis by the team and advisory board (which at present includes Matthew Holt, Aman Bhandari and Garrison Bliss).
At the outset, health plans are ranked by these five categories of consumer engagement and interaction: