Before ACOs, CMS ran the Medicare Physician Group Practice demonstration, which showed minor cost savings and quality improvements.
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A study in Medical Care finds that for small community medical practices, providing incentives for improvement on certain quality measures, coupled with technical assistance, did lead to significant increases in performance on those measures, but also led to lower performance on other, unincented, quality measures. This demonstrates the oft-feared unintended consequence of pay-for-performance, it diverts attention from overall care quality.
http://journals.lww.com/lww-medicalcare/Abstract/2014/09000/The_Intended_and_Unintended_Consequences_of.10.aspx?utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_source=hs_email&utm_medium=email&utm_content=13960954&_hsenc=p2ANqtz-8R-IQTu4G4PLgBsFZRz2zY9bj-XZNJ8Wd95njtcu8H5S1Qco5YHgwwm6awrbB4305uqpBcYAlr2eM-i7WM3M-chkydLQ&_hsmi=13960954E-prescribing plus formulary decision support did not have a significant effect on medication non-adherence, according to a new paper.
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Here is an example of a stupid regulation solely designed to protect the interests of existing providers. Georgia's proposed telemedicine rule requires a face-to-face consultation before use of telemedicine and you have to have a Georgia license. Telemedicine could significantly reduce spending by decreasing unit costs, but not if it has to cope with this kind of lunacy.
http://ehrintelligence.com/2014/08/25/updated-ga-telemedicine-guidelines-require-in-person-visit/Medtronic is not only seeking to lower its taxes by acquisition activity, but is also continuing to move into services, most recently by acquiring NGC Medical, which operates cath labs in Italy and hopes to expand to other European countries. The purchase price was $350 million.
http://www.fiercemedicaldevices.com/press-releases/medtronic-acquires-ngc-medical-strengthen-its-integrated-health-solutions-p?utm_medium=nl&utm_source=internalResearch published in Health Affairs finds that giving patients comparative cost information for MRI services led to reduced spending and more intense price competition among providers.
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Airstrip, which makes clinical data available on cell phones and other mobile devices, has raised another $25 million, ostensibly to support a move into home health. The company must be burning cash at a pretty good rate and likely has modest revenue at best.
http://medcitynews.com/2014/08/two-airstrip-customers-support-25m-fundraise-to-move-into-home-health-market/?utm_source=MedCity+News+Subscribers&utm_campaign=21e6a9e5f5-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_c05cce483a-21e6a9e5f5-67648197Another firm selling buzzwords, Lumiata, is seeking to raise $6.3 million for its predictive analytics platform aimed at hospitals.
http://medcitynews.com/2014/08/predictive-health-analytics-startup-lumiata-raising-6-3m/?utm_source=MedCity+News+Subscribers&utm_campaign=21e6a9e5f5-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_c05cce483a-21e6a9e5f5-67648197Its not just in the US that people are looking for more convenient and cheaper ways to access clinicians. China's Chunyu has raised $50 million to support its service of connecting patients to doctors through phone or internet communications.
http://www.techinasia.com/doctor-consultation-app-chinas-biggest-investment-healthcare-startup/A program to provide home-based primary care for Medicare recipients resulted in lower spending, according to a study published in the Journal of the American Geriatrics Society.
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