Barack Obama’s address to the annual meeting of the American Medical Association

health care,AMA,American Medical Association

President Barack Obama’s address to the 158th annual meeting of the American Medical Association today attempted to assure doctors and their patients that his prescription for overhauling the health care system would be good for them. Obama cited the need for doctors to cut health care costs by reducing the number of unnecessary tests and procedures that are performed to reduce the risk of malpractice claims. Such reductions might require restrictions on malpractice liability to protect doctors.

". . .The first thing we need to do is protect what’s working in our health care system. Let me repeat – if you like your health care, the only thing reform will mean is your health care will cost less. If anyone says otherwise, they are either trying to mislead you or don’t have their facts straight.

If you don’t like your health coverage or don’t have any insurance, you will have a chance to take part in what we’re calling a Health Insurance Exchange. This Exchange will allow you to one-stop shop for a health care plan, compare benefits and prices, and choose a plan that’s best for you and your family – just as federal employees can do, from a postal worker to a Member of Congress. You will have your choice of a number of plans that offer a few different packages, but every plan would offer an affordable, basic package. And one of these options needs to be a public option that will give people a broader range of choices and inject competition into the health care market so that force waste out of the system and keep the insurance companies honest."

President Obama said that limits on medical malpractice lawsuits could be a necessary part of overhauling the nation's ailing health care system.

"I'm not advocating caps on malpractice awards, which I personally believe can be unfair to people who've been wrongfully harmed, but I do think we need to explore a range of ideas about how to put patient safety first, how to let doctors focus on practicing medicine, how to encourage broader use of evidence-based guidelines," he said

Obama's Health Care Town Hall

The President’s health care town hall, context and opening remarks: “fix what’s broken, build on what works” appears here: http://bit.ly/YDfay

The President just concluded a town hall at Southwest High School in Green Bay, Wisconsin, with a focus on one of the President’s top priorities for his entire presidency.

Over the past two weeks, the President has spelled out his vision for health care reform, met with key Members of Congress, and dedicated his Weekly Address to discussing the urgency of getting reform done and the unprecedented coalition that has formed to support that goal.

HIT Policy and Standards Committees Commence Work on National Health Information Infrastructure HITSP

HIT Policy and Standards Committees Commence Work on National Health Information Infrastructure HITSP (Health Information Technology Standards) updated to the National eHealth Collaborative in early June 2009. Here are a few highlights:

HITSP has moved rapidly to focus on meaningful use and ARRA's 8 priorities:
1. Encourage technology that protects the privacy of health information
2. Nationwide health information technology infrastructure
3. Utilization of a certified electronic record for each person in the US by 2014
4. Technologies that support accounting of disclosures made by a covered entity
5. Electronic records to improve quality
6. Technologies that enable identifiable health information to be rendered unusable/unreadable
7. Demographic data collection : race, ethnicity, primary language, and gender
8. Technologies that address the needs of children and other vulnerable populations

HITSP has embraced a service-oriented architecture, which enables reuse of capabilities instead of requiring new value cases for each novel requirement. Initial services include:
• Issue Ambulatory Prescriptions
• Query for Medication History
• Communication of Structured Documents
• Communication of Unstructured Documents
• Clinical Referral Request
• Retrieval of Medical Knowledge
• Return Laboratory Results Message
• Communication of Laboratory Reports
• Communication of Imaging Information
• Quality Measures for Hospital based Quality Information Collection and Reporting
• Quality Measures for Clinician Quality Information Collection and Reporting
• Immunization Registry Update
• Immunization Registry Query
• Communication of Immunization Documents
• Vaccine and Drug Inventory Reporting
• Public Health Case Reporting
• Emergency Common Alerting
• Send and Receive Relevant BioSurveillance Data
• Communicate Resource Utilization
• Exchange Administrative Benefits/Eligibility Transactions
• Exchange Administrative Referral/Authorization Transactions
• Provider Directory

HITSP is moving to an electronic publication approach for all its implementation guidance.

HITSP has embraced USHIK as a repository for its harmonized standards and code sets

The July 15 deliverables will directly support the needs of the HIT Standards Committee and its workgroups to identify standards, implementation guidance, and certification criteria in support of meaningful use.

Interview with TriZetto's Rob Scavo (AHIP)

While at the America's Health Insurance Plans conference in San Diego (AHIP) we met with Rob Scavo, President of Product Management and Core Administrative Solutions at TriZetto.

We asked Rob to provide TriZetto's view on what the new HIPAA standards, X12 5010 and medical coding standard ICD-10 mean in terms of not only compliance but opportunities to innovate and improve operations for both payors and providers.

Click play below to view the interview.

EDI Watch (AHIP) - Fraud detection system for health care

While at the America's Health Insurance Plans (AHIP) conference in San Diego, we interviewed Carl Scarabelli from EDI Watch. The company's solution promises to reduce a huge problem for health insurance companies, estimated according to EDI Watch at 10% of the total cost of health care in the U.S. The company's solution is easy to get up and running, with a quick ROI for health plans, according to Scarabelli.

Click play below to watch the interview.

Market for EMRs pegged at $1.6 billion by 2013

Market for EMRs pegged at $1.6 billion by 2013 http://ping.fm/WrpmS

NEW YORK – The market for electronic medical record data transfer equipment and applications, valued at $575 million in 2008, is forecast to reach $1.6 billion in 2013, according to a study by research firm Kalorama Information.

Driven by the growing use of EMRs in hospitals and physician offices, this segment of the patient monitoring market will grow 23.3 percent annually through 2013, notes the report, "High-Tech Patient Monitoring Systems Markets (Remote and Wireless Systems, Data Processing, EMR Data Transfer)."

Increased use of EMRs and high-tech patient monitoring systems is a key piece of President Barack Obama's plan to fix the ailing healthcare system, the report notes, because they have the potential to improve patient outcomes and satisfaction, provide cost savings and more efficient use of healthcare resources and reduce hospitalizations.

HCI addresses fraud, other health care cost issues - AHIP

While at the San Diego AHIP conference we interviewed HCI Insight, a company that promises to reduce the cost of health care by addressing fraud. HCI's loss calculators indicate that a health insurance firm with 3,000,000 (3 million) lives insured stands to lose $381 million over a specified period of time, and their solution is designed to address this issue, according to HCI executives.

We'll post our video interview in an update to this blog later today.

Protests outside AHIP Conference, San Diego

Today while entering the AHIP conference we encountered demonstrators who want the health care industry to change. We intereviewed Kathy Rallings, an employe at California Techers Association. The people *inside* the conference were a bit more subdued in their approach, but we believe that both the demonstrators and those exhibiting inside the conference are interested in improving health care. See our blog and twitter enteries (www.twitter.com/marrigo) for a balance of perspectives from both groups.

Click the play button below to view this video.

AHIP Day One - Passion in the Streets

Fresh blog from the floor of AHIP San Diego.  AHIP (America's Health Insurance Plans) is having their annual meeting in San Diego this week.   Here is a recap of June 3, 2009 the first day.

Last year at AHIP, health care reform was discussed, but most political commentators didn't think much would happen: there was interest, but not passion.  This year the passion has spilled onto the streets.

January 2009, the OMB made a statement that has remained at the center of where we are today- we cannot fix the economy unless we fix health care.

Of the significant debt we are now assuming with the new budget- $35 trillion of that debt is Medicare. We can't fix the economy if we don't fix health care.

One vendor’s health care reform includes four components developed sequentially. First is establishing a solid health information technology structure that we don't have today. Second is focusing more intently on comparative effectiveness and evidence-based service delivery, third is coordinating care, and fourth is consumerism. All of these components are being discussed.  Will we have time execute sequentially as opposed to combining these into a parallel path? The group estimated that this would take six to ten years to put the model in place, but do we have the time?

At a completely different end of the spectrum, there are also protests being organized, to show the angst developing in the industry.   Nurses from the  California Nurses Association and allies from groups like Physicians for a National Health Program and Progressive Democrats of America will be there to greet health plan executives.  Their tone is extremely hostile in some cases, calling the insurance industry some surprisingly caustic names.

Our view: HIPAA standards promise to improve health care, but we cannot wait.  Embracing the standard, technology, people and process must proceed briskly.  This is a challenge as member premiums have declined with unemployment ranks rising.   Click here four our recent update: mentoring health payers and providers on how to embrace HIPAA standards and improve process.

The exhibit hall is smaller this year given budget constraints.  However, we will spend more time there on day two.