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News 6/13/16

June 13, 2016 News No Comments

Top News

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CMS announces that it will dole out $10 million in technical assistance grants over three years to help practices affiliated with Support and Alignment Networks or Practice Transformation Networks transition to new payment models under MACRA and MIPS. Applicants must have received signed commitments to enroll 5,000 or more eligible clinicians and their practices that are in advanced states of readiness (including EHR utilization). Letters of intent are due July 1; applications, July 11. 


Webinars

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June 28 (Tuesday) 2:00 ET. “Your Call Is Very Important.” Sponsored by West Healthcare Practice. Presenters: Cyndy Orrys, contact center director, Henry Ford Health System; Brian Cooper, SVP, West Interactive. The contact center is a key hub of patient engagement and a strategic lever for driving competitive advantage. Cyndy will share how her organization’s call center is using technologies and approaches that create effortless patient experiences in connecting them to the right information or resource. Brian will describe five key characteristics of a modern call center and suggest how to get started.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Acquisitions, Funding, Business, and Stock

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A Merritt Hawkins report based on recruiting data over the last two years shows that 90 percent of its search assignments were for employment, while just five percent were for solo practice settings, many of which were for concierge or direct pay models. Starting salaries have spiked over the last year, especially for family medicine, psychiatry, obstetrics-gynecology, and dermatology.


Announcements and Implementations

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Midwest Orthopaedic Consultants (IL) selects care coordination technology from PinpointCare to assist in care navigation for Medicare patients managed under the Bundled Payments for Care Improvement initiative.

Raintree Systems adds MedBridge educational material to its TherapyRehab Plus and PediatricTherapy Plus EHRs.

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The Pennsylvania Dept. of Health, Athletic Trainers’ Society (PATS), and Medical Society develop a consumer-facing online database of physicians who have completed an educational training program focused on concussion evaluation and management.


People

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Amar Desai, MD (University of Southern California Medical Group and Ambulatory Services) returns to DaVita Healthcare Partners as president of its HealthCare Partners California Coastal region.

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Justin Barnes joins IHealth as partner and chief growth officer. Atlanta-based RCM technology vendor IHealth was formed when IHealth Solutions acquired DNA Healthcare in late May.


Telemedicine

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Charleston, SC-based pediatrician Chad Hayes, MD warns parents away from telemedicine services, especially those that offer to treat strep throat, ear infections, UTIs or pneumonia without first performing necessary testing. “As a pediatrician,” he adds, “I’m obviously biased [he is, in fact, opening a new practice next month], but my advice is to find a doctor you trust, hopefully one with some after-hours and weekend availability, and maybe even one who offers some supplementary care by smartphone, text, or email.”

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Colorado becomes the 17th state to enact the Interstate Medical Licensure Compact.

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Fred’s Pharmacy will install another nine TelehealthOne telemedicine kiosks at stores in Mississippi. The retail pharmacy chain installed its first kiosk last fall.

The Arkansas State Medical Board approves a regulation allowing first-time physician visits to take place through audio-visual technology. The board stipulated, however, that sending a patient’s online medical history to a physician doesn’t count as a valid patient-physician relationship and doesn’t qualify as "store-and-forward" technology.


Research and Innovation

A survey of 1,300 medical groups of five or fewer physicians finds that 67 percent believe MACRA is the root of all evil that will drive them to either close up shop or become employed. Nearly 90 percent of surveyed solo physicians expect to decrease Medicare patient volumes so they won’t have to report on quality and clinical practice improvement activities. Just over 75 percent of small practices identify as “financially struggling” due in part to less-than-adequate billing software. Surprisingly, a combined 63 percent of practices haven’t yet settled on software products that meet their myriad needs. Of those that have, EHRs from SRS Soft, ADP AdvancedMD, and Practice Fusion earned top rankings.


Government and Politics

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HHS Secretary Sylvia Burwell and Cuban Minister of Health Roberto Tomás Morales Ojeda, MD sign a healthcare collaboration agreement that will  prompt the two countries to work on health issues including global health security, communicable and non-communicable diseases, research and development, and information technology.

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Don’t forget …


Other

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The local paper highlights the success nine Albany, GA-based primary care practices are seeing through participation in Blue Cross Blue Shield of Georgia’s Enhanced Personal Health Care program. The program, which incentivizes participating PCPs to improve quality and value, has prompted several practices to tweak their EHRs for improved care coordination.

 

Steven Stack, MD gives his final address as president of the American Medical Association during the AMA’s annual meeting in Chicago. He kept his remarks light (with just the right amount of gravitas), encouraging his colleagues to persevere in light of the many challenges they face on a day-to-day basis. CMS Acting Administrator Andy Slavitt also made an appearance to talk with AMA delegates about MACRA and physician burnout.


Sponsor Updates

  • Black Book names E-MDs the top ambulatory EHR for thoracic and vascular surgery specialties.

Blog Posts


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

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News 6/9/16

June 9, 2016 News No Comments

Top News

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Practice Fusion settles with the FTC over charges that it misled consumers by asking for reviews of their physicians without adequately disclosing that those reviews would be posted publicly online. The reviews were published in 2012 as part of the company’s efforts to develop a public-facing healthcare provider directory. “Practice Fusion’s actions led consumers to share incredibly sensitive health information without realizing it would be made public,” says FTC Bureau of Consumer Protection Director Jessica Rich. “Companies that collect personal health information must be clear about how they will use it – especially before posting such information publicly on the Internet.” The settlement, which doesn’t seem to carry a fine, prohibits Practice Fusion from “misrepresenting the extent to which it uses, maintains, and protects the privacy or confidentiality of data it collects.”


Webinars

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June 28 (Tuesday) 2:00 ET. “Your Call Is Very Important.” Sponsored by West Healthcare Practice. Presenters: Cyndy Orrys, contact center director, Henry Ford Health System; Brian Cooper, SVP, West Interactive. The contact center is a key hub of patient engagement and a strategic lever for driving competitive advantage. Cyndy will share how her organization’s call center is using technologies and approaches that create effortless patient experiences in connecting them to the right information or resource. Brian will describe five key characteristics of a modern call center and suggest how to get started.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Announcements and Implementations

HealthFusion adds ZocDoc’s appointment-booking technology to its MediTouch YourHealthFile patient portal.

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Definitive Healthcare adds data on over 23,000 FQHCs, renal dialysis clinics, and rural health centers to its line of market intelligence solutions.

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DJO Global develops claims management and inventory dispensing software for orthopedic clinics.

Medfx and Falcon Physician partner to develop EHR, PM, and RCM software for nephrology practices.


Acquisitions, Funding, Business, and Stock

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Austin, TX-based EPatientFinder raises $8.2 million in Series B financing, bringing its total raised to $11 million. The company will use the latest round of financing for further development of its Clinical Trial Exchange software, which helps physicians connect patients with clinical trials and

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New York City-based Klara Technologies shift gears, pivoting from a teledermatology software company to instead focus on secure messaging for physician practices.


Telemedicine

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FastMed Urgent Care rolls out TouchCare telemedicine services at its 57 clinics in North Carolina. The Durham, NC-based urgent care company plans to waive the telemedicine exam fee if in-person follow-up care is needed. FastMed will expand the new service to its locations in Arizona and Texas by the end of the year.

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Atlanta-based MedZed offers a new house call service that combines its EHR-friendly telemedicine capabilities with home visits from medical assistants, nurses, and paramedics.

Missouri lawmakers pass SB621, which authorizes the use of telemedicine yet (if my legalese-reading capabilities are up to par) precludes the prescribing of medication unless a provider-patient relationship already exists.


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 6/8/16

June 8, 2016 News No Comments

Top News

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Xerox launches Virtual Health Solutions, a new service line that will offer providers telemedicine consulting, interface design and development, and virtual clinic services. The company will no doubt apply lessons learned during its relationship with the now-defunct HealthSpot, which filed for bankruptcy early this year. The company’s move into telemedicine isn’t surprising and makes good on Xerox Chief Innovation Officer of Commercial Healthcare Tamara StClaire’s new-year prediction that the company would remain committed to supplying telemedicine services powered by Xerox infrastructure.


Webinars

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June 28 (Tuesday) 2:00 ET. “Your Call Is Very Important.” Sponsored by West Healthcare Practice. Presenters: Cyndy Orrys, contact center director, Henry Ford Health System; Brian Cooper, SVP, West Interactive. The contact center is a key hub of patient engagement and a strategic lever for driving competitive advantage. Cyndy will share how her organization’s call center is using technologies and approaches that create effortless patient experiences in connecting them to the right information or resource. Brian will describe five key characteristics of a modern call center and suggest how to get started.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Announcements and Implementations

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Secure messaging startup OhMD releases a free version of its messaging app for physicians. The company, a graduate of the Blueprint Health Accelerator, offers a subscription version with more bells and whistles including EHR integration.

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The Consortium of Independent Physician Association, a network of 1,200 physicians managed by Medical Advantage Group, forms CIPA ACO for physicians in Michigan and Ohio. The new ACO will apply to participate in the Medicare Shared Savings Program next year.


Telemedicine

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Martha’s Vineyard Community Services (MA) will use a $4,500 donation from the local bank to fund telemedicine services at the agency’s Island Counseling Center. MVCS Executive Director Julie Fay adds that the funding will help expand the center’s psychiatric service capacity to reduce wait times for medication management.

Private-practice pediatricians in Delaware take to the local paper to voice their opposition to local hospitals offering pediatric telemedicine services. An excerpt: “Specifically, our patients’ care is being sacrificed for the sake of convenience, and this phenomenon is being supported and encouraged by insurers, employers, Christiana Care Health System, and, most disappointingly, by Nemours/AI duPont Hospital for Children. This subtle but serious threat to our patients’ health comes mainly in the forms of telemedicine and urgent care centers.” While they make a good case for the value of in-person primary care, I can’t help but wonder if their call to save the “pediatric medical home” has more to do with their bottom lines.

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Online healthcare retail marketplace SingleCare rolls out American Well services to its members.

Telemedicine stakeholders in Texas (and their lobbyists) meet behind closed doors to discuss “modernizing [their] telemedicine statutes and reducing the regulatory footprint governing the provision of telemedicine services,” according to an email obtained by The Texas Tribune. The meeting is part of an overall plan on the part of competitors to reach a compromise they can then present to the state legislature by the end of the summer – one that will hopefully ease the state’s fairly restrictive telemedicine policies, which prohibit physicians from treating patients virtually without first establishing an in-person doctor/patient relationship.


Government and Politics

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New York pharmacists and legislators applaud the state’s fairly new I-STOP e-prescribing legislation and corresponding InterConnect program, which enables nearly 40 states states to share prescription information. “Our pharmacists do have to have a sometimes difficult conversation with the patient,” says CVS pharmacist Kasey Gaeta. “[But] most of our prescriptions come in electronically now, which is in and of itself a great add. Between the I-STOP program, electronic prescribing and in combination with our prescribers, we find that most of those prescriptions never even get written now and we’re able to keep excess prescriptions from going out there.”


Research and Innovation

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A Philips survey of 2,006 patients and 209 providers finds that patients have a higher level of confidence than their providers when it comes to managing their own care. Over 80 percent of patients believe they have the knowledge to do so, while 74 percent are confident they have the necessary tools. Only half as many providers feel patients have the requisite tools, and just 41 percent believe patients have sufficient knowledge. Perhaps more interesting is the revelation that only 24 percent of patients surveyed believe they have complete ownership of their health records, and 31 percent find it difficult to obtain their health information in a timely manner.


Sponsor Updates

  • Aprima will exhibit at Sleep 2016 June 13-15 in Denver.
  • Healthwise is honored with a 2016 When Work Works Award for its workplace strategies as part of the national When Work Works project.
  • The latest KLAS advisory report recognizes Nordic as a top performer.

Blog Posts


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.

JennHIStalk

News 6/7/16

June 7, 2016 News No Comments

Top News

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CMS issues a nearly 300-page final rule on MSSP ACOs outlining changes to the program’s benchmarking methodology, a new alternative participation option that encourages participants to enter performance-based risk arrangements sooner, and policies for addressing payment corrections.


Webinars

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June 28 (Tuesday) 2:00 ET. “Your Call Is Very Important.” Sponsored by West Healthcare Practice. Presenters: Cyndy Orrys, contact center director, Henry Ford Health System; Brian Cooper, SVP, West Interactive. The contact center is a key hub of patient engagement and a strategic lever for driving competitive advantage. Cyndy will share how her organization’s call center is using technologies and approaches that create effortless patient experiences in connecting them to the right information or resource. Brian will describe five key characteristics of a modern call center and suggest how to get started.

Contact Lorre for webinar services. Past webinars are on our HIStalk webinars YouTube channel.


Acquisitions, Funding, Business, and Stock

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Fitbit keeps its head up in the midst of legal troubles, announcing the launch of Fitbit Group Health at its inaugural Captivate Summit. The new service line will bring the company’s offerings together for corporate wellness, weight management, and payer programs, as well as health research. The wearables company has also launched corresponding analytics and benchmarking technology to help FGH customers keep track of progress and peers.


Telemedicine

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South Carolina Gov. Nikki Haley signs into law the South Carolina Telemedicine Act, setting up practice standards that “shall adhere to the same standard of care as a licensee employing more traditional in-person medical care and be evaluated according to the standard of care applicable to the licensee’s area of specialty.”


Government and Politics

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Vice President Joe Biden launches the Genomic Data Commons at the University of Chicago with $70 million from the National Cancer Institute. As part of the Cancer Moonshot and Precision Medicine initiatives, the commons will receive, store, and organize clinical and genomic data, and offer it to cancer researchers in user-friendly formats.

North Carolina Gov. Pat McCrory outlines his plans for Medicaid reform, including the establishment of a statewide HIE and Health Transformation Center, which will help physicians and prepaid health plans share quality improvement ideas.


Other

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Montefiore Health System (NY) and the United Hospital Fund publish a guide to integrating behavioral health services into primary care. "While the framework will undoubtedly have relevance for large provider groups,” says Linda Lambert, executive director of the New York Chapter of the American College of Physicians, “we are pleased that this paper and its recommendations were designed with the flexibility to work for smaller practices and physicians who operate independently. If integrating behavioral health care into primary care practices is going to work, it has to work for the smaller practices as well, which the authors clearly understood." The framework gives ample airtime to healthcare technology, advising physicians to take shared care planning beyond hallway conversations and into EHRs.

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The New York Times puts the economics of EHR adoption front and center, highlighting several MDs who have seen their salaries and practice revenue decrease in the post-HITECH era of IT. Peter Sutherland, MD part of a 50-physician HealthStar practice in Morristown, TN, has seen his personal income and group revenue fall then rise since Athenahealth was implemented in 2012. Despite the financial rollercoaster, he has found value in being able to quickly provide better information to patients. “My patients are better served,” he says, “and I’m happier.” 


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.

JennHIStalk

5 Questions with Leslie Saltzman, DO Medical Director, Tandigm Health

June 7, 2016 News No Comments

Leslie Saltzman, DO is medical director at Tandigm Health, a West Conshohocken, PA-based company helping primary care practices transition to value-based care models. The company, which is a joint venture between DaVita HealthCare Partners and Independence Blue Cross, has 380 primary care physicians in its network of 112 practices. It is the one of the only organizations in the Philadelphia market outside of payers that has taken on full risk for its patient population. Tandigm Health launched virtual visits through a partnership with TouchCare last month.

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What was the impetus for implementing telemedicine services? How do you plan on rolling it out to your practices?
One of our main goals at Tandigm Health is to combine tradition and innovation. We are constantly looking for unique ways to innovate around quality care delivery. As such, we recently partnered with mobile health company TouchCare to enable our physicians to connect securely with patients face-to-face by video. This new telemedicine program is one of the many ways we enable our doctors to improve access, engagement and health management for our patients. After completing a successful five-month pilot program in May, we are now in the process of expanding the TouchCare program and making it available to our network of 380 physicians by the end of the year.

How do you hope its utilization will benefit your practices and their patients?
Overall, I believe that the TouchCare model will produce benefits for both the patient and the provider. The unique video appointment platform allows our network of physicians to connect with their patients in an easy, effective, and convenient way. The telemedicine program gives Tandigm’s physicians the tools to improve access, engagement, and health management through telephonic and video support. This platform is one component in Tandigm’s comprehensive effort to lower costs and increase the satisfaction of chronically ill patients by reducing admissions and readmissions, and unnecessary utilization of emergency departments.

What sort of healthcare technology adoption/implementation challenges are unique to practices that partner with an organization like Tandigm?
When implementing new tools and technologies, there are always hurdles to overcome. For example, the TouchCare telemedicine model is not integrated into the physician group EHRs. Therefore, when a doctor uses the TouchCare system, they may still need to refer to their own system to make a note for the visit. Integrating technologies across various platforms can be a challenge, but it emphasizes the importance of coordinating care and unifying documentation.

What’s next on the horizon for Tandigm in terms of new healthcare technologies? Have any timelines been established?
Currently, Tandigm is in the first phase of conducting a pilot program with a HIPAA-compliant texting platform. This unique platform has the ability to enable our physicians to access important patient data, such as details of an ER visit, via a secure app. We’ll be sharing more about this partnership in the coming months.

What has the physician reaction to MACRA been like since the proposed rule was released? How will Tandigm help its physicians navigate this new program?
As the proposed MACRA rule is still incredibly new, we have not received much feedback from our physicians. However, Tandigm makes it a priority to provide our network of physicians with the information and resources they need to navigate any new programs or legislation. 


Contacts

JenniferMr. H, Lorre, Dr. Jayne, Dr. Gregg

More news: HIStalk, HIStalk Connect.

Get HIStalk Practice updates.
Contact us online.
Become a sponsor.

JennHIStalk

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