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home > Future of Managed
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The Future of Health Care
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Top
Issues Facing Health Care
over the next 5 years
(includes Defined Contribution/Benefit Plans)
Connectivity.
EDI is now in > 1/3 Medical Practices; "Technology
Usage in Physician Practice Management."
A
Lexicon for Information Flow
E.G., Dashboard? The
more relevant Codes (CPT, ICD care, etc. Site of Service, and other
related codes)? What does HIPAA say about electronic
coding standards? Also, see Medscape
who excels on clarity on coding issues.
Disease
Management Without Disease Managers by Al Lewis as
published 10/01/2001 in Managed Care Interface "In the
last 24 months, the classic skeptic's question about disease management
has shifted from: "Does it work?" to "Sure, it works, but is it
cost effective?" The skeptics observe that the telephone banks operated
by nurses cut deeply into the gross savings and utilization reduction
generated by patient education and monitoring. True believers have
countered with, "Just wait until you see the results of the Web-based
systems. They can monitor and educate without phone banks."
Click on Health
Hero to see the HealthBuddy--:The Industry Leading Technology
Platform for Remote Communications, Monitoring and Care Management.
To order, please contact Marie
Mann and tell her Dr.
Jeff Kaplan sent you for special attention.
Filing
Appeals Doctors: Want to
eliminate a headache? (Note: If this link does not work, please
see the Integrated Healthcare News,
page 2). MCOs: Need to be incompliance with regulation about denials,
appeals and clinical record evaluations (DARE)
Informatics,
Medical
Handling
health information in Practice
Healthcare
Information and Management Systems Society (HIMSS)
Healthcare
Information Technology Yellow Pages
Healthwave, Inc.
- Integrative information technology technology
Internet
Healthcare Coalition
NIH's Center
for Information Technology
Compare
and select a hospital using
It enables health paln members or employees to using evidence-based
comparisons. They report the "top" hospitals for over
50 specific diagnoses and procedures (parameters include patient
volume, mortality rates and unfavorable outcomes). SQC is seamlessly
integrated with member portals or employee intranet and can be viewed
online, printed, or saved.
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Reports
Reports
What if you had a reliable report
that encouraged those reviewed to improve their performance? What if the
same method helped pay practitioners fairly, realigned the incentives,
improved the quality of data and served as the basis of case, demand,
and disease managment?
SmartCare,
the most important managed care information tool of our time also happens
to be the fairest. And, it can be installed nearly painlessly, complementing
virtually any health care or claims information system; Amazing results
can be yours with
3M
HIS's CRGs
The birth of Clinical Risk Groups (Move your cursor to the pregnant lady.
Gently Click on the babe . . . . Be patient; it's loading a
31 slide PowerPoint show
To see best
of breed
reporting (MS
Word Version).
Visualize how they fit, e.g.,
with Asthma
and Diabetes
To get the free Adobe Acrobat 5.0 Reader, click here)
An open letter describing my experience
with CRGs. You may qualify for a free
install and 6-month trial.
For further information, please go to "Current I.T."
Please
contact Dr. Jeffrey G. Kaplan for further information.
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