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eHI Issues Call for Papers: Share Your Insights on Role of Health IT in Health Reform

eHI December 4-5, 2008 National Conference Will Highlight Review of Health IT Progress Over Last Five Years and Recommendations for 2009 and Beyond

Addressing Financing Issues

Addressing Financing Issues is one of the 6 primary focus areas of The Fifth Annual Conference. Below you'll find papers that have been submitted in this area. We encourage you to submit your own paper or comment on existing papers. Please feel free to leave comments and discuss the topic with others through the website. Your comments may help determine which authors will be asked to present their papers at the Fifth Annual Conference.

The Telehealth Promise: Benefits, Current Challenges and Policy Recommendations (pdf)

Submitted By:
Alexander H. Vo, PhD
Executive Director
AT&T Center for Telehealth Research and Policy

Abstract:
The growing cost of medical care and gaps in coverage are creating enormous pressure on providers and policymakers to identify new strategies for delivering cost-effective and quality care to all citizens. Many health care experts believe that part of the answer lies with telehealth applications made possible by the increasing power of information technology. Indeed, we believe widespread implementation of telehealth could save the U.S. health care system $4.28 billion just from reducing transfers of patients from one location to another. This brief paper summarizes potential financial cost savings associated with a national implementation of telehealth as well as discusses current operational challenges and their corresponding policy recommendations.

All We Are Saying Is Give HIEs a Chance (pdf)

Submitted By:
Robert Steffel
Chief Executive Officer
HealthBridge

Keith Hepp
Chief Financial Officer
HealthBridge

Trudi Matthews
Director of Policy and Public Relations
HealthBridge

Todd Rowland
Executive Director
HealthLINC

Abstract:
While health information technology (HIT) and health information exchange (HIE) are touted as the solution for the nation’s health care problems, other articles and speeches recently have called into question the value of our investments in HIT and HIE. Leadership from one of the nation’s most successful HIEs argues that, despite the hype and the high-profile failures of a few, there are many important reasons to give HIEs a chance to succeed. The authors provide their recommendations for helping HIEs move forward to financial sustainability.

Surviving and Thriving in a Post-CDH World: The Need for Innovative Web-based Solutions to Address the Challenges of Managing Patient Financial Responsibility (pdf)

Submitted By:
Timothy Hargarten
CEO and Chairman
NaviMedix

Abstract:
For physician practices across the country, one “payer” is becoming responsible for a rapidly increasing share of practice revenue: the patient. Where providers historically settled for ultimately collecting less than $.25 of every “self-pay” dollar, that is quickly becoming an untenable business model.

Physician practices need cost-effective tools to help them predict patient and payer financial responsibility, collect efficiently from all sources and understand how to stratify and address patient debt. However, practices typically have little technology infrastructure and limited resources.

What is needed is a multi-payer portal as a web-based “one-stop-shop” solution for physician practices to access a wide range of financial, administrative and clinical workflows and transactions from multiple payers and other sponsoring healthcare organizations.

eHealth: How far have we come in five years? Answer: Not far enough (pdf)

Submitted By:
Dr. Larry Ozeran
Chair
Yuba-Sutter Healthcare Council

Abstract:
Each of us realizes that health information technology implementation and use has not come nearly as far in the last five years as we would have liked. Financial constraints have been a key factor. Finance is not just about revenue, but also about costs and how what you choose to build affects costs. This paper describes three related barriers to eHealth: low revenues, high costs, and challenging specifications and expectations. What might the financial success story look like if we aligned financial incentives, optimized use of open source software, and trusted each other better?

Government Intervention: A Necessary Evil to Increase HIT Adoption? (pdf)

Submitted By:
Alex Alexander
Director of Business and Policy, E-Health and Organizational Development
Advocates for Human Potential Inc.

Abstract:
Implementation of Health Information Technology (HIT) is becoming a necessary evil faster than anticipated. The adoption of HIT from traditional paper records is in a transition stage in the US and other countries, with more and more physicians and practices migrating into the digital world. The rewards take longer than the hurdles faced.

What is the role of the federal government in speeding up the adoption process? Are there other examples that the US can turn to? Private initiatives in several states have reached a ‘tipping’ point where they look up to the government to provide legislative and standards framework along with a roadmap mandating or providing incentives to increase adoption. HIT can add value an improve outcomes through technology, innovation and leadership, but unless the right priorities are set and the key stake holders are engaged , these initiatives will remain a long drawn out process without a closed ending...

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Comments:

Submitted by: Bill Lynch 9/9/2008 9:59:27 AM
I thought the HealthBridge submission is very well done. To-the-point suggestions from one of the most successful and financially sustainable RHIOs in the country. Successful RHIOs are not about technology, they're about delivering value to your stakeholders. Few have done it as well and for as long as HB.
Submitted by: Sallie Milam 9/10/2008 11:44:44 AM
I really like HealthBridge's paper "All We Are Saying is Give HIEs a Chance." They are an exchange that has a track record of nailing their business model and they give really good advice in their paper. I think that presentation of this paper would enable good discussion and get HIEs on the right track. There are still too many trying to eat the whole elephant instead of figuring out which bite their community will pay them to take first, second, etc.
Submitted by: Arvind Cavale, MD 9/20/2008 7:59:21 PM
Dr. Ozeran: As always your thoughts are appreciated. One query - you should have addressed how Medicare/Medicaid should provide incentives for physician practices that have taken the risk and have been utilising IT in providing higher quality care. In all the talk about incentivizing new adoption of IT, the folks that have done it already are almost always forgotten.

Healthbridge: Very pertinant ideas. Again, you could have provided more specific ideas on how to make small practices active participants in HIEs.
Submitted by: Dave 9/23/2008 8:25:20 AM
The HealthBride submission was very well done.
Submitted by: Karen Neal 9/23/2008 8:59:46 AM
Having watched the evolution of health information exchanges for several years, I find the Healthbridge article filled with common sense. I remember having doubts that cell phones would ever become practical but they did - one tower at a time!
Submitted by: Susan Axsom 9/23/2008 10:02:23 AM
HealthBridge article very well done. Very thorough thougt process and common sense went into this writing. I believe that HIE's are the way of the future in healthcare and time and support is what is needed for success.
Submitted by: Dennis Morrison, PhD 9/23/2008 10:07:39 AM
The HealthBridge article offers sound, specific and helpful suggestions. The authors clearly know what they are talking about from experience. It's refreshing to hear from those who have "been there, done that" successfully. One factor that was hinted at but not addressed directly is the importance of the changes in workflow that must occur at all levels of healthcare delivery to successfully implement EHRs, results sending and HIE. Successful implementation means people have to change the way they do things and that, along with the misaligned incentives, create the major barriers to implementation of HIEs. Compared to changing human behavior, implementing technology is a breeze. Great work HealthBridge.
Submitted by: Elizabeth 9/24/2008 10:56:44 AM
The article "Give HIE's a Chance" is a compelling discourse on the challenges and achievements that faced Healthbridge and how we can use that information to improve existing and fledgling HIE's. Great article.
Submitted by: Laura 10/17/2008 4:23:18 PM
HealthBridge has HIE experience from "where the rubber meets the road". They provide solid, useable advice on HIE development and sustainability.
Submitted by: Lee 10/23/2008 5:26:47 PM
The NaviMedix "Surviving and Thriving in a Post-CDH World" paper thoughtfully addresses the growing need for physicians to have tools to help them predict patient and payer financial responsibility. The idea of using a one-stop, multi-payer portal to do so could effectly change the workflows of physician nationwide. This is a very compelling topic and abstract.
Submitted by: Shaela Collins 10/24/2008 3:20:28 PM
For me, the issue of how the industry deals with consumers increasingly paying for their own care represents one of the biggest challenges for the American healthcare system. So, I would be most interested in the "Surviving and Thriving in the Post-CDH world" presentation by far.
Submitted by: Shelley 10/24/2008 4:01:52 PM
"Surviving and Thriving in a Post-CDH World" from NaviMedix is a timely topic. I'd like to hear more about bringing the one stop shopping, multi-payer model to providers. Streamlining workflows for practices is absolutely critical.

 

 
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