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News 12/20/17

December 20, 2017 News Comments Off on News 12/20/17

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The FCC identifies  nearly 1 million homes and small businesses across largely rural areas of the continental US that are eligible for up to $2 billion for broadband deployment over the next 10 years as part of its Connect America Fund. That money will be awarded to those companies who bid to install the services at lowest cost. “Closing the digital divide is my number one priority,” says FCC Chairman Ajit Pai (who is still suffering fall out from pushing through repeal of net neutrality), “and through this innovative Connect America Fund auction, we are poised to take the next big step in reaching that goal. In rural America, broadband opens the doors of opportunity by connecting remote communities to global markets, jobs, education, healthcare and information.”


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None scheduled in the coming weeks. Previous webinars are on our YouTube channel. Contact Lorre for information.


Announcements and Implementations

OpenEMR announces availability of its open source Cloud Express EHR on the AWS Marketplace.

B Golden Care Services (TX) selects chronic care management technology from Reliq Health Technologies.


Acquisitions, Funding, Business, and Stock

Veriheal (fka OnePath Medical) will offer online appointment scheduling for its three new medical marijuana offices in Montana. The company, which also has locations in Maryland, New York, and Pennsylvania, also offers a white-label telemedicine solution for providers in telemedicine-friendly states looking to connect patients with appropriate medical marijuana treatment virtually.

PM and EHR vendor ICoreConnect acquires coding and documentation improvement company ICDLogic for an undisclosed sum. This marks the second acquisition for ICoreConnect; it bought IPenMD Solution in 2013 – the same year ICDLogic opened for business.


Government and Politics

As expected, Congress passes the tax reform bill along party lines, including a repeal of the ACA individual mandate. Commonwealth Fund President and former National Coordinator David Blumenthal, MD has penned a summary of the bill’s healthcare implications in the Harvard Business Review.


Telemedicine

Just in time for reading over the holiday break, the Center for Connected Health publishes its annual review of state-based telemedicine legislation. Thirty-five states (seven more than 2016), some with multiple entries, are featured.


Research and Innovation

The American Academy of Pediatrics selects Physician’s Computer Company to assist with its research on childhood obesity. PCC has already recruited 18 pediatric practices for the two-year study, and will also manage data extraction and sharing of health data between the practices and the AAP. “So much of what we have to deliver to pediatricians is about a government or insurance requirement,” says PCC Director of Pediatric Solutions Chip Hart, “so we’re delighted to be able to focus on the patients for once. We were also really impressed with our clients’ reaction to this opportunity – they have to do a lot of free work, but they do it because they are pediatricians.”


Other

Local public radio looks at the way the delivery of mental healthcare is being reimagined in Austin, TX. Travis County’s mental health agency, for example, has redesigned its bipolar disorder clinic to be more patient-centric. After checking in at the front desk, patients forego the traditional waiting room and are instead escorted to a private, almost apartment-like room equipped with chairs, a couch, and television. Staff come to them instead of patients being shuffled around to different exam rooms. The Austin-Travis County Integral Care clinic has partnered with Dell Medical School on the redesign experiment, which the two groups hope will ultimately lead to more mental health services being provided outside of hospitals.

In her letter to Santa, American Council of Science and Health Director of Medicine Jamie Wells, MD laments the lack of truth in medical advertising, pointing to Theranos, the over-utilization (and sometimes disingenuous) use of the word “provider,” the hype around value-based care, the debacle of EHRs, and the “fix” of interoperability: “Now, interoperability is the latest buzzword,” she explains. “Don’t get it twisted, this is not new, nor is it some breakthrough. It is an attempted fix to the nightmare of EMRs without being honest enough to acknowledge that EMRs were supposed to possess it in the first place. While we are at it, proclaim in their current form that they are little more than glorified billing platforms.”


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News 12/19/17

December 19, 2017 News Comments Off on News 12/19/17

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Technology-enabled physician ACO company Aledade raises $23 million in a thus far hush-hush funding round, bringing its total raised to nearly $98 million since launching in 2014.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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ChenMed will expand its primary care services for seniors to four additional cities next year, and welcome back former president Jeffrey Kang, MD as a board member.


Announcements and Implementations

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Chronic disease management technology company Cliexa develops several new behavioral health apps for PCPs and family medicine physicians. The apps, which focus on reproductive health, mental health, and substance abuse, leverage assessment technology from Preventative Technology Solutions.

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Pulse Systems includes real-time billing analytics and enhanced reporting capabilities in the latest version of its PulseCloud EHR/PM/RCM software.

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Northern Ohio Regional Cancer Center selects oncology care coordination technology from Appian360 Healthcare Innovations.

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The Florida Association of ACOs will offer its members patient engagement and management technology from Care Angel, including AI-powered virtual nurse assistant capabilities.


People

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Beth Pausic (Big White Wall) joins InfoMC as VP of clinical solutions.

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Anesthesia and pain management services company PhyMed Healthcare Group hires Stephen Lorenz (Clinicalign) as EVP of operations and strategic development, and Stephen Mason (Managed Care Advisory Group) (not pictured) as VP of operations.

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Health Initiatives Consulting adds Russ Kolski, RN, (Ingham Community Health Centers) as VP of clinical and operational transformation, and Senely Navarrete (SN Health Solutions) as VP of practice transformation.

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Former Acting HHS Secretary and National Coordinator Karen DeSalvo, MD will join Dell Medical School at The University of  Texas at Austin as a professor in the fairly new school’s Primary Care and Value-Based Health Division. Her tenure will include a primary appointment in the school’s Department of Internal Medicine and secondary appointment in the Department of Population Health.


Other

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Two years after a huge natural gas leak, accountant and local activist Andrew Krowne develops an app to help fellow residents of California’s San Fernando Valley report and track symptoms that he believes may be tied to the local underground natural gas storage facility. The Environmental Health Tracker app already has 130 users and 2,000 reported symptoms – data that Krowne hopes will eventually be used to close down the facility.


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News 12/18/17

December 18, 2017 News Comments Off on News 12/18/17

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An Atlanta business paper updates a story it published on Greenway Health’s layoffs last week, clarifying that the EHR vendor is only closing its Atlanta offices but will keep its Carrollton, GA offices open. Five hundred Greenway Revenue Services employees and those with other customer-facing functions will continue their work in Carrollton. The company will also hire another 100 RCM employees for that location in the next few weeks, and is hiring for its Tampa office.

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Not to be deterred by conflicting layoff reports, the company announces top KLAS ratings for ambulatory RCM services among small clinics.


Webinars

None scheduled soon. Previous webinars are on our YouTube channel. Contact Lorre for information.


Acquisitions, Funding, Business, and Stock

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Denver-based house call company DispatchHealth brings its app-initiated services to Las Vegas. The company has raised nearly $35 million since launching as True North Health Navigation in 2013. Co-founders Mark Prather, MD and Kevin Riddleberger both seem to have spent overlapping time at ITriage, a consumer healthcare app acquired by Aetna in 2011.

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Not to be outdone by the mega mergers of their hospital peers, Florida-based Primary Partners and Central Florida Affordable Care merge to form an independent group of 90 PCPs.

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Net Health’s management team will acquire the specialty-focused EHR company alongside financial partners Level Equity and The Carlyle Group. Terms of the deal were not disclosed. Net Health CEO Anthony Sanzo spent 11 years prior heading up TeleTracking Technologies.


Government and Politics

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Texas practices in areas impacted by Hurricane Harvey will not be subject to MIPS penalties thanks to the successful lobbying efforts of the Texas Medical Association.

Per the 21st Century Cures Act, OCR launches several new resources to help providers and patients better understand HIPAA and its role in sharing and protecting a patient’s mental and behavioral health information.


Telemedicine

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An Australian nurse becomes his own patient when he begins experiencing chest pains while manning a telemedicine clinic in the remote area of Coral Bay. After calling an ambulance and prepping his own adrenalin and shock pads, he called in to a physician in Perth using the Emergency Telehealth Service. Bea Scichitano, MD was on her first ER shift when she took the video call. “I think it probably took me a few seconds to cotton on to the fact that he was the nurse and the patient at the same time,” she said, “so that was a bit of a shock.”


Other

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No spoilers please: While I haven’t yet seen The Last Jedi, I am relieved to know that astronauts aboard the International Space Station will receive a digital copy they can watch via laptop or their on-board projector. Fun fact: The ISS has a digital library of over 500 movies (yes, including 2001: A Space Odyssey).

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NHS researchers highlight the need for easy-to-understand patient educational materials when it asks nine year-olds to write up leaflets explaining the before, during, and after of hip surgery. Turns out statements like “Your hip is old and rotten” and “Coca Cola, fries, and chocolate are not allowed before surgery” are easier for patients to understand than the reading proficiency level used to write most patient-facing health pamphlets. Healthcare facilities in the US have also faced their fair share of health literacy miscommunications, with the HHS calling low health literacy levels an ongoing public health priority.

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Bellevue Family Practice (NE) staff members get in the holiday spirit with an office decorating contest. I’d love to highlight more festive office spaces. Email me holiday-themed photos from your or your customer’s practice for inclusion in a post later this week.


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Jenn, Mr. H, Lorre

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Population Health Management Weekly Wrap Up 12/17/17

December 17, 2017 News Comments Off on Population Health Management Weekly Wrap Up 12/17/17

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The Chartis Group adds Carol Chouinard (Deloitte) as director of IT strategy and Tonya Edwards, MD (Impact Advisors) as a principal and member of the company’s Physician Leadership Institute.

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Pennsylvania-based Penn State Health and Highmark Health cite development of advanced population health management capabilities, analytics, and care models as among the reasons they will pursue development of a $1 billion healthcare network that will see Highmark move under the PSH umbrella.

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ApolloMed and Network Medical Management complete the merger they announced in December 2016. ApolloMed CEO Warren Hosseinion, MD and NMM CEO Thomas Lam, MD will become co-CEOs of the combined company, which will operate under the ApolloMed name.

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The Medical Society of Delaware chooses HealthEC’s population health management system and services for its 900-doctor clinically integrated network.

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Social determinants of health-focused care coordination technology vendor Healthify acquires community services software company Purple Binder. Healthify co-founders Eric Conner and Alex Villa graduated the startup from the Blueprint Health accelerator in 2013, and raised $6.5 million in a Series A funding round led by BlueCross Blue Shield Venture Partners last summer.

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Wellness for Life will leverage Vital Incite’s population health analytics to help its workplace health centers and direct primary care clinics better understand and act on patient healthcare utilization patterns.

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Population health management software vendor VirtualHealth raises $7 million in a Series B funding round.

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Philips acquires Netherlands-based, 200-employee population health management software vendor VitalHealth Software, co-founded by Mayo Clinic and Noaber Foundation in 2006. The company expands the informatics work Philips started with its acquisition of Wellcentive in 2016. Philips acquired Netherlands-based interoperability software vendor Forcare last week.

To better serve its Medicaid members, Care1st Health Plan Arizona will leverage Equality Health’s CareEmpower care coordination technology and SDOH-focused services.

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Citing an inability to come to agreement terms, Evolent Health decides not to purchase the insurance arm of Premier Health (OH) as announced last month.

Population health management systems vendor SymphonyCare acquires Influence Health’s Empower patient portal business.

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In Maryland, the Howard County Health Department leverages Healthify’s SDOH-focused care coordination software as part of its new CAREAPP (Community Access to Resources via Enhanced technology Applications for Providers and Public) project.

A six-month chronic disease management pilot study conducted within the Massachusetts General Hospital primary care network finds that care improved more when specially trained population health coordinators with access to clinical registries were a part of the primary care team.


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News 12/14/17

December 14, 2017 News Comments Off on News 12/14/17

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Arizona Attorney General Mark Brnovich’s office will oversee the settlement of a lawsuit against Theranos brought under the state’s Consumer Fraud Act. Over 75,000 Arizona residents who received lab-testing services from the now defunct company between 2013 and 2016 will receive checks for about $60. Theranos will also pay $200,000 in civil penalties, $25,000 in lawyer’s fees, and will be subject to civil penalties. As readers may remember, Theranos went down in flames after a series of Wall Street Journal investigative articles prompted CMS to revoke its operating rights. The company admitted earlier this year that it’s lab didn’t deliver all that was promisedx.


Announcements and Implementations

Coinciding with its first anniversary, mobile health app collaborative Xcertia releases draft guidelines for app quality, safety, and effectiveness. Comments are due by the end of January. I’m still a little fuzzy on the value of such guidelines, other than as a branding/marketing tactic app developers will use in a fashion similar to “Energy Star” (though that at least is backed by a governmental body.) Xcertia seems to be doing its best to avoid using the word “certification.”

Drchrono adds medical inventory management functionality from FlexScanMD to its EHR and PM system.

Mighty Oak Technology adds Solutionreach’s patient reputation management software to its could-based Chart Talk EHR, PM, and billing platform.

Mental health and substance abuse EHR vendor ClinicTracker opts for Kno2 interoperability services to better enable behavioral health customers exchange health data. ClinicTracker plans to take its its interoperability efforts even further with future implementation of the Carequality Interoperability Framework.


People

Cathy White (MultiPlan) joins InfoMC as VP of business development.


Telemedicine

EnSofTek adds telemedicine capabilities to its DrCloudEHR for integrated primary and behavioral healthcare.


Acquisitions, Funding, Business, and Stock

Fresh off the sale of its medical group to Optum for nearly $5 billion, DaVita assures stakeholders of its continued investment in its Physicians Solutions technology division (fka Falcon Physicians and Falcon EHR.) The company anticipates rolling out new nephrology-specific IT products to practices and dialysis clinics over the next 18 months.


Government and Politics

In an effort to combat antimicrobial resistance and overprescribing, the FDA develops a website funded by the 21st Century Cures Act that updates physicians on the effectiveness of antibiotics on certain strains of bacterial or fungal infections.

Illinois Governor Bruce Rauner signs into law a bill that will require prescribers to check the state’s PDMP when writing an opioid prescription for the first time. The law takes effect January 1, and also requires EHRs to connect to the PDMP by 2021.

Despite her lack of direct experience, Kellyanne Conway makes strides in her new role as overseer of President Trump’s opioid epidemic prevention efforts. STAT reports that she has been leading weekly meetings with an “opioids cabinet” made up of government officials from a dozen agencies, and has been in talks with budget director Mick Mulvaney about freeing up funds for future programs. With regard to Conway’s experience, former Congressman and opioid commission member Patrick Kennedy (D-RI) points out that, “Given that there is no DEA head, there is no ONDCP head, and there is no HHS head, bottom line is if she represents the administration on this crisis I’d just assume it’d be someone [Trump] really likes and admires. You can have the person with the best credentials in the world fill one of those spots. But at this stage it’s about hiring the people with the right political will.”


Other

Quartz looks at the sometimes questionable prescription verification practices of Hubble, a subscription contacts startup that has raised over $30 million since launching in August. The company’s online ordering process allows consumers to enter in the most basic of details, promising to follow up with eye doctors on their behalf but not always following through on legitimizing the details. The American Optometric Association has complained to the FTC about Hubble’s practices to little avail.


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Jenn, Mr. H, Lorre

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