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Morning Headlines 8/18/14

August 18, 2014 News 1 Comment

Health IT Policy Governance Subgroup

Epic President Carl Dvorak testifies on the company’s position and progress on interoperability.

M*Modal Announces New Board

MModal CEO Duncan James resigns and a new board is named two weeks after the company emerges from Chapter 11 bankruptcy

Pervasive Medicare Fraud Proves Hard to Stop

A New York Times article says HHS’s fraud prevention efforts are minimally effective because the agency doesn’t manage private contractors well and provider appeals have overwhelmed the system.

Variation in charges for 10 common blood tests in California hospitals: a cross-sectional analysis

A study of 2011 California data finds that hospitals charged between $10 and $10,169 for the same lipid panel lab test. The same author previously found that the list price for an uncomplicated appendectomy prices ranged from $1,500 to $187,000.

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Currently there is "1 comment" on this Article:

  1. Here’s an idea to assist interoperability: Give the permission for what to share, with whom, to the patient. As Carl Dvorak points out http://www.healthit.gov/facas/sites/faca/files/GSG_Testimony_CarlDvorak_2014-08-15.pdf , a major roadblock for sharing PHI is the trust network, which becomes nearly impossible to manage at the third-party level. Every PHI steward is terrified they will make a sharing error. If we change our model so that the patient herself gets custody of what amounts to a permission-sharing token, we can solve that issue. The mechanics of doing so are beyond a simple comment here, but the technical ability to do so is not difficult once the paradigm changes from “I the healthcare provider am the steward of who sees your information,” to “You the patient are the steward of who sees the information.”







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Reader Comments

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  • Sam Lawrence: Except in this case, coding = medical billing, not development. Though the same warning may be true...
  • BeenThere: Partners will find the savings from their cuts of coders as fools gold. There are a lot of hidden costs running an outs...
  • JC: If there is not there can be. VistA has a reference lab interface that can create the manifests/labeling and such as we...
  • Tom Cornwell: Great stuff from Dr. Jayne as usual. One small typo, last sentence of second-to-last paragraph: should be 'who's' not 'w...
  • HIT Observer: What I find most interesting here, is people defending their common practices rather than truly taking this as invaluabl...
  • Bob: There's no incentive for the provider to spend time doing a price comparison for the patient. Nor is it a good use of th...
  • Peppermint Patty: Veteran - can you clarify what was "fake "? Was something made up (definition of fake) or did you disagree with Vapo...
  • Pat Wolfram: Such a refreshing article. Thanks -- there really can be a simpler version of an acute HIT implementation. But I do ...

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