Here we go again with the same discussion of antiquated models with way too much math and quantitation. This is a discussion with several hospitals in the Ohio area as the are talking about the future of hospitals and yet still have the noose around their necks with the government on quality reporting and cost. We all know HHS and CMS are dealing with outdated models and it’s making everyone nuts. In addition you have health insurers flipping back and forth on contracts, what they cover, what they don’t cover, what changes today, what won’t be there tomorrow and so forth. 
People are absolutely hating this complexity that has been created just to go get care. Look at the link below, some hospitals can’t eve get the ER doctor groups and the hospital itself with the same insurers, so people get screwed again on balance bills.
In Texas Hospitals Having Issues Employing In-Network Doctors With United Healthcare & Humana-Found One Insurer Still Listing An In-Network “Dead Doctor”…
The article mentions that delivery of care has changed in healthcare and that is true but you’re never going to get away from having hospitals who do have a certain amount of fixed costs that can’t go away either. Hospitals are anticipating a decrease in the demand for care due to both preventive care and other technologies, perhaps like telehealth that will ease a little on expense. The one big bogus item we have seen for years though is the projected savings brought by technology and in fact it’s just the opposite as all of it costs money, even if there’s fewer patients being seen at a hospital.
In the group here is also the Cleveland Clinic and basically they are all saying “we don’t know what’s going to happen” down the road and we don’t know how to measure the quality consistently with all the constant changes. They agree on one thing, risk is ever so present. In California , the CMA is telling United Healthcare their Premium Ratings for Doctors are flawed, so there you go again, but as we all know United thinks you can quantitate everything and that is exactly why some of their models and the ones they helped CMS with are failing.
United “Quantitated” California Doctor Premium Designation Ratings For Consumers, A Few Minor Changes-CMA Still of Opinion Ratings Cause Harm to MDs and Patients With Inaccurate Designations and Flaws…
Here’s yet another example of the United quantitation extremes…how can this push-pull work? Sure there’s obvious workflow predictabilities that are helpful with monitoring disease and care and but again we have read like below about projected savings they state in a proof of concept that never arrive as models expand beyond efficiencies and dive to deep into a non linear type of projection.
United Healthcare Wants to Expand Predictive Modeling for Medicare and Medicaid–Billions in Savings Predicted in Report Only As Good as the Day It Is Published
We are still seeing rural hospitals running out of money and closing up. In the rural area of Virginia here they had to rely on the free clinic from Remote Area Medical to help them as their hospital closed and doctors are struggling in the area.
Remote Area Medical Sets Up At Lee County Airport in Virginia For a Free Clinic–Rural Community Needing Care Where The Hospital Has Closed and Doctors Struggle…
Again, the “scoring” and reporting from hospitals on non relevant data could certainly ease up a bit and CMS take a hard look at what data they “really” need as this push and pull with outdated models is going to drive everyone nuts. As you can read below the hospitals can’t predict and they too say the government tracking is not a true indication of their services so a new more flexible model just might be in order. BD
Health care providers expect to see fewer patients in the future as care, technology and access to treatment improve.
That means less revenue for hospitals — collectively, the country’s largest employers — which find themselves operating in a dramatically changing industry.
“The United States is going through the biggest change in its society, probably since the New Deal, affecting the biggest industry in the United States and affecting 100% of the population,” said Dr. Delos M. “Toby” Cosgrove, president and CEO of the Cleveland Clinic. “And as we do that, we recognize that we have to change the delivery system to go to value, increasing in quality and making care affordable. And that is driving change in a very, very big industry.”
Boutros said the health care industry is undergoing a metamorphosis as hospitals transition from sick care to a more holistic approach based in preventive care, which is creating as many uncertainties as potential opportunities in the delivery of care.
“This whole change from a sick-care model to a well-care model — as you know Akron General has been talking about this for over 20 years — we spent $110 million on that concept. As a doc, I really don’t understand how people are going to judge our individual practitioners in a value-based world,” Stover said. “That sort of calculus of how it’s all going to work out is something I think we’re all struggling with.”
The reasons costs are so high to patients, and vary so greatly between hospitals, range from the difficulty of assigning a value to services, Stover said, to a hospital’s costs for research and staff education. Meanwhile, Zenty pointed out, the antiquated way costs are reported to Medicare “really distorts” the true cost of care.
And as hospitals see fewer patients, Zenty said, the result is a “decrease in demand and an increase in supply.” That spells bad news for hospitals that receive a large portion of their revenue from the federal government in the form of Medicare and Medicaid, which is expected to be cut next year, Zenty said.
http://www.crainscleveland.com/article/20140919/FREE/140919741/hospital-leaders-come-together
don’t like this as consumers as the data gets flawed and removes our dignity. 60 Minutes has a good report on Income Tax Fraud and when companies are buying data, where is the data coming from? This is turning the story around a bit but how much gets recycled? We don’t know.
it’s a fork of Firefox that allows form anonymous browsing and actually the only way the Evolution Market can be browsed. Tor is a legal browser and government agencies, reporters, etc. all use it and it’s just like anything else out there used for the good or the bad. 
Internet. Rather, visitors can only browse the site using Tor, software that helps users disguise their identity by bouncing their traffic between different servers, and by encrypting that traffic at every hop along the way.
and episodes of care, including Symmetry Episode Treatment Groups® (ETG®), Symmetry Procedure Episode Groups® (PEG®), Symmetry Episode Risk Groups® (ERGs®), Symmetry EBM Connect® and 3MTM All Patient Refined Diagnosis Related Groups (APR DRG).”
Actually if you wait long enough the internet with all the flawed data out there today will end up in time giving you some kind of diagnosis:)
which would require licensing and disclosure of what kind of data they sell and to who. You need an index #1 before anything else can happen and I’ve been writing about that fact for 3 years but non data mechanics logic folks can’t get that “fact” through their heads and thus it goes on and on and on. What if we had stock brokers running around with no licenses and heck I even have to get a license to catch a little fish that has virtually no risk involved for me. 
poor county in Virginia. Remote Area Medical is there this weekend to provide free healthcare in a community that has only 3 dentists and where the doctors are struggling. In Texas last week, people showed up to the 
ever you shop. You can't miss them. On top of that, the message is repeated on the PA system, so there’s no escape from entering “the flu shot zone”. 
ook forward to more data selling, more expense with non relevant data being used and of course we pay for all of this as well. Because of all the money spent creating queries and software though, it’s going to be forced upon us to go against the grain of the “real” world and buy in to all of this and we will continue to see one failure after another as our society gets angrier as with time and more failed models, the Algo Duping becomes more apparent. I’m not saying it’s all bad by any means and there’s some really neat stuff going on as well but so much of it gets back burnered anymore as the “junk” hops out in front. I used to write software and thus I have some real admirations for talented people who do create great solutions too, but again that’s not what makes top line news today. 
your data yourself is a joke and is nothing compared to the millions and billions made by banks and corporations selling your data. It’s just a way to use a model to have you say “it’s ok”and give you some chump change to continue to violate your privacy. I do give them a few points for imagination and even Google at one point entertained this idea. I sure do miss the days when nonsense like this was contained in enterprise development as we didn’t have to see and deal with all this nonsense.
These are more of the data novices that really get caught up in all of this as someone selling software can really hype you up on the fact that you need it and thus with that type goes the hacker hype and interest too.
had me teaching her when she had questions but she did good on her own too. This is why I say this is “dummy down” attempt here and it’s like saying “we know you’re not very smart so we created a real “dummied down” solution for you.
Everything they are collecting and using today does not put money to the bottom line and has doctors and patients jumping through hoops, like we are numbers on a spreadsheet moved around to save money. Sure there’s some of that with every business but not to the extent of what we are seeing today as it’s insane.
elements to helping the obesity problem, doctors are bashed beyond belief on the internet day in and day out. So big business should maybe take a look at what they are doing as it doesn’t work. 
