Morning Headlines 2/1/16

New Proposal to Give Providers and Employers Access to Information to Drive Quality and Patient Care Improvement

A proposed rule by CMS will allow qualified entities to sell de-identified Medicare and private payer claims data to providers, employers and other groups interested in using the data to support quality improvement projects.

Flint doctor used Epic Systems records to expose lead crisis

The pediatrician who brought the water crisis in Flint, MI credits EHRs for allowing her to quickly calculate the recent rise in lead poisoning among local children, noting “If we did not have Epic, if we did not have (EHRs), if we were still on paper, it would have taken forever to get these results.”

Meditech Form 10-K Annual Report

Meditech reports its 2015 year end results: total revenue was $475 million, down eight percent from 2014, driven down by decreased product revenue. Net income was $70 million.

Quality Systems Beats Q3 Earnings, Lags Revenue Estimates

Quality Systems, parent company of NextGen, reports Q3 results: revenue fell 1.6 percent to $117 million compared to the same quarter last year, adjusted EPS $0.16 vs. $0.16.

Morning Headlines 1/29/16

2015/2016 Best in KLAS Winners: Software and Services

KLAS publishes its annual list of Best in KLAS winners. Epic takes the Acute Care EMR category. Cerner wins Acute Care EMR for community hospitals, while MEDITECH wins the community HIS category.

No patient records involved in possible NCH computer breach

NCH Healthcare System (FL) notifies its employees that two servers being hosted at Cerner’s Kansas City data center have been breached, exposing employee and medical staff credentialing information.

CPSI Announces Fourth Quarter and Year-End 2015 Results and 2016 Guidance

CPSI announces Q4 and year-end results:revenue of  $44 million for the quarter, down 4.5 percent from last year, EPS $0.30 vs. $0.60, missing estimates on both.

MidMichigan Health investing $55M for electronic medical record system

MidMichigan Health selects Epic to replace its existing Cerner and Allscripts EHRs, for a total project cost of $55 million that the health system expects will pay for itself within six years.

Morning Headlines 1/28/16

Theranos’ Deficiencies Put Patient Safety In “Immediate Jeopardy”

CMS has issued a public letter to lab test vendor Theranos warning that deficiencies found during its CLIA recertification and compliance inspection put patients in “immediate jeopardy.” Theranos has 10 days to submit proof that the deficiencies have been corrected, or it could lose its CLIA certificate. 

McKesson Reports Fiscal 2016 Third-Quarter Results

McKesson reports Q3 results: total revenue up three percent to $47.9 billion, EPS $2.71 vs. $2.04. Technology Solutions revenue was down eight percent, to $694 million, compared to the prior year.

Some States Look to Avoid Federal Obamacare Payments

State officials discuss sharing state insurance exchanges after CMS published new rules last year requiring states to pay a three percent user-fee per policy issued over Healthcare.gov.

Adoption of Certified Electronic Health Record Systems and Electronic Information Sharing in Physician Offices: United States, 2013 and 2014

The CDC publishes data from its 2014 National Electronic Health Records Survey, finding that 74 percent of office-based physicians are now using certified EHRs, while 32 percent are sharing patient health information with external providers.

Morning Headlines 1/27/16

Leidos To Combine With Lockheed Martin Information Systems & Global Solutions Business

Leidos will acquire the Information Systems and Global Holdings business units of Lockheed Martin, including its health IT business, for $5 billion.

Centene Announces Internal Search of Information Technology Assets

Insurance provider Centene Corporation announces that it has lost six hard drives containing the personal health information of 950,000 patients. The loss was discovered during a recent IT assets inventory.

Design Considerations and Pre- market Submission Recommendations for Interoperable Medical Devices

The FDA publishes draft guidance outlining interoperability standards for medical device manufacturers.

Scripps Trial Fails Where Geisinger Succeeded

Forbes covers the recent Scripps Translational Health Institute study on remote patient monitoring, highlighting the reasons it failed to demonstrate reductions in cost and utilization or improvements in outcomes.

Morning Headlines 1/26/16

Deficiencies Found at Theranos Lab

The Wall Street Journal reports that a damaging inspection report on Theranos’ California lab testing facility will be made public soon. The article says that investigators found “serious deficiencies” that could compromise its standing with Medicare and existing corporate clients.

Cerner CEO Neal Patterson being treated for cancer

Cerner CEO Neal Patterson files an SEC update announcing that he has been diagnosed with a “treatable and curable” soft tissue cancer. He reports that he will reduce his travel and work schedule while he receives treatment, but notes that “it will not be a big change compared to how we run Cerner day to day already.”

Kaiser Permanente says website woes, now on third day, weren’t caused by cyber attack

Kaiser Permanente’s website, including its patient portal, went down last week due to server issues. Kaiser has confirmed that the outage was not the result of a cyberattack, and has confirmed that all systems are back up.

Morning Headlines 1/25/16

Hurley Medical Center Confirms ‘Cyber-Attack’ as Anonymous Hacking Group Threatens Action Over Flint Water Crisis

Hacker group Anonymous is suspected of a cyberattack on a hospital in Flint, MI after the group posted a YouTube video promising realization for the city’s recent water crisis. Hospital administrators report that the attack was detected on January 21, but that patient care was not companied.

athenahealth Partners With University of Toledo Medical Center to Accelerate Development of Inpatient Electronic Health Record

Athenahealth will work with the University of Toledo Medical Center to develop its inpatient EHR, The University of Toledo Physician Group has been on Athena since 2014.

Data Sharing

A NEJM editorial raises concerns about medical research based on big data when combining data sets is often an imprecise endeavor, asking “Can it be assumed that the differences in study populations, data collection and analysis, and treatments, both protocol-specified and unspecified, can be ignored?”

Morning Headlines 1/22/16

Virus hits TRMC computers

Ransomware has been blocking EHR access at Titus Regional Medical Center (TX) since January 15, sending all hospital operations back to paper. “It’s just like in the 1970s, before electronic medical records. Everything is on paper and people are serving as runners. There’s no automation,” explains the hospital’s public information officer. There is currently no estimate for when the system will be back online.

VA chief to Congress: You can’t fire your way to excellence

VA Secretary Robert McDonald testifies before Congress that he has fired 2.600 VA employees since he took office 18 months ago, and that he is now working to turn the organization into the number one customer-service agency in government, primarily through new IT projects

Clarifying, Eliminating and Enforcing Special Enrollment Periods

CMS updates its rules on special enrollment periods for insurance exchanges to crack down on those that “remain uninsured and then decide they need health insurance when they get sick.”

Time for a Patient-Driven Health Information Economy?

An NEJM opinion piece calls for APIs that could help establish a patient-controlled health record infrastructure, citing reluctance of providers to share medical records with patients, despite HIPAA and HITECH mandates.

Morning Headlines 1/21/16

Postmarket Management of Cybersecurity in Medical Devices

The FDA publishes cybersecurity guidelines for medical devices, outlining requirements for manufacturers to conduct postmarket risk analysis, and conduct timely corrective and preventative action.

Senate won’t take up House’s 21st Century Cures Act

The Senate will not move the 21st Century Cures Act forward, citing disagreements over how to pay for the bill.

Oscar Health Raising Giant Funding Round led by Fidelity

Fortune reports that insurance startup Oscar Health is in the process of raising another massive funding round led by Fidelity, with $150 million already committed. Oscar Health has already raised $325 million in the two years since its launch.

A prospective randomized trial examining health care utilization in individuals using multiple smartphone-enabled biosensors

Scripps Translational Health Institute publishes findings from a six-month control trial designed to measure cost savings and quality improvements associated with the use remote patient monitoring technologies. Researchers found no difference in cost of care, resource utilization, or clinical outcomes.

Morning Headlines 1/20/16

EHR Incentive Programs: Where We Go Next

CMS Acting Administrator Andy Slavitt and National Coordinator Karen DeSalvo, MD publish a blog post outlining the planned future of the EHR Incentive Program, noting that the transition to MACRA will change the focus from rewarding the meaningful use of EHR systems to “rewarding providers for the outcomes technology helps them achieve.”

Despite exchanges, UnitedHealth Group beats Q4 earnings estimates

UnitedHealth Group reports Q4 results: revenue of $43.6 billion beat analysts estimates and topped the insurers $33.4 billion revenue from the same period last year. UnitedHealth’s insurance exchange plans accounted for $720 million in losses between 2015 and 2016.

Digital Reasoning Acquires Health Tech Provider Shareable, Launches Health Care Business

Digital Reasoning, a cognitive computing vendor, acquires Nashville-based Shareable for an undisclosed sum. Shareable’s mobile clinical documentation apps, clinical systems integration engine, and cloud-based middleware platform will be integrated into Digital Reasoning’s existing data analytics platform.

Health service to begin electronic patient referrals

In Ireland, a nationwide electronic referral program will go live in March resulting in 95 percent of practices and all hospitals being able to exchange referrals electronically. Additionally, nearly all hospitals will be able to exchange diagnostic and and scanned images.

Morning Headlines 1/19/16

Privacy experts say Coburn op-ed misses the mark

Privacy experts respond critically to an op-ed published in the Wall Street Journal last week by former Senator Tom Colburn, MD’s in which he argues that “HIPAA makes it difficult for researchers to tap into large caches of clinical and genomic data shared across multiple institutions or firms, and then share their findings more broadly.”

50 hospitals charge uninsured more than 10 times cost of care, study finds

A Health Affairs study analyzing Medicare-certified hospital data from 2012 and 2013 finds that 46 of the 50 hospitals with the highest overall markup on care delivered to out-of-network or uninsured patients are members of for-profit health systems, and that 20 of 50 operate in Florida.

Cerner again teams up with KC-area startup

Cerner partners with local Kansas City startup Infusion Express, an outpatient IV therapy company, to reduce IV treatment costs among its employees and reduce absenteeism by a forecasted 5,000 hours annually.

Morning Headlines 1/18/16

New Guidelines Nudge Doctors to Give Patients Access to Medical Records

The New York Times covers the recent OCR clarification reminding providers of their obligation to provide electronic copies of medical records to patients.

NHS out-of-hours GP service 12-hour wait ‘clinically unsafe’

In England, NHS callback times have reached 12 hours for patients calling out of hours with non-emergency conditions, a situation some describe as a “significant risk to patient safety.” The delay is blamed on a shortage of doctors and inefficient call handling.

Privacy-breach discipline against 24 of 48 health-care workers withdrawn

In Canada, 24 healthcare workers accused of inappropriately accessing medical records have had disciplinary actions against them dropped after a nurses union successfully argued that the hospitals policy was unclear.

Morning Headlines 1/15/16

Walgreens, UnitedHealth Are In Talks To Buy WebMD

Rumors of a buyout send WebMD share prices up nearly 10 percent today, but prices tumbled after the company issued a press release stating that no acquisition was being planned. Share prices ultimately overcorrected, closing down 7.7 percent.

Medical Taylorism

An opinion piece published in NEJM argues that EHRs, while “introduced with the laudable goals,” have undermined patient care by monopolizing the provider’s limited time during patient encounters. The author explains, “Open-ended interviews, vital for obtaining accurate clinical information and understanding patients’ mindsets, have become almost impossible.”

Athenahealth CEO uses CPR to resuscitate a stranger

Athenahealth CEO Jon Bush, a former EMT and combat medic, provides CPR to a man who had collapsed, commenting about the encounter afterwards, “It was like the US health care system. Everybody was standing there, nobody was helping.”

Chief Information and Technology Officer

In England, the NHS publishes a job description for a national chief information and technology officer to lead “the strategic procurement and successful implementation of the information and technology priorities that will support a modern, sustainable health and care system.”

Morning Headlines 1/14/16

Lawmakers Blast $1.3 Billion Price Tag For VA’s ‘Agile’ Paperless Claims System

Lawmakers are questioning the cost projections of the VA’s new paperless claims system as its total cost approaches $1.3 billion, more than double its $579 million budget. The VA is using agile development methodologies on the project and requests funding for new functionality annually. The system is credited with shrinking the disability claims backlog to 80,000, the lowest in the VA’s history.

Digital health firms, say goodbye to easy venture capital

Analysts at the JP Morgan Healthcare Conference forecasted a contraction in digital health investments in 2016 due to poor healthcare IT stock performance. GE Ventures director Ruchita Sinha says, “There will be a correction. There’s a strong sense of realism coming back into the market.”

Devin Jopp Resigns as President and CEO of WEDI

WEDI president and CEO Devin Jopp resigns and is now the CEO at Future Focus Health, a health IT consulting agency. The WEDI Board of Directors has formed a search committee to identify a replacement.

Morning Headlines 1/13/16

Comments of CMS Acting Administrator Andy Slavitt at the J.P. Morgan Annual Health Care Conference

CMS Administrator Andy Slavitt announces that Meaningful Use will soon be shut down, explaining “Now that we effectively have technology into virtually every place care is provided, we are now in the process of ending Meaningful Use and moving to a new regime culminating with the MACRA implementation.”

Why Shares in McKesson Slumped 10% Today

McKesson shares fell 10 percent after dropping the upper limit of its 2016 EPS forecast from $13.00 to $12.90.

Electronic Health Record-Related Events in Medical Malpractice Claims

A study analyzing malpractice claims from 2012-2013 uncovers 248 cases in which health IT was cited as having caused patient harm. 80 percent of the health IT related claims resulted in moderate or severe harm to the patient.

The Doctor Will See You Now?

The National Center for Policy Analysis publishes a report critical of the Texas Medical Board for its efforts to limit telehealth visits in the state, noting that Texas ranks last in the country for access to medical care.

Morning Headlines 1/12/16

Medical device maker Medtronic to buy back up to $5 billion shares

Medtronic raises its full-year EPS forecast from $4.33 to $4.36 and announces a $5 billion share buyback program that it will execute over the next several years.

New hospitals and health care providers join successful, cutting-edge federal initiative that cuts costs and puts patients at the center of their care

HHS announces 121 new Medicare ACOs, including 21 organizations that are the first to enroll in the Next Generation ACO Model, bringing to total number of ACOs to 477.

Texas board asks appeals court to block suit challenging telemedicine rules

The Texas Medical Board files an appeal with the 5th US Circuit Court of Appeals after telehealth vendor Teladoc won the right to proceed with its antitrust case against the board over its restrictive telehealth policies.

Barton Health First to Implement Proteus Digital Health’s Innovative Solution for Patients with Chronic Conditions

Smartpill vendor Proteus Digital Health announces that Barton Health (CA) will be the first health system to implement its medication adherence technology. The project will focus on improving uncontrolled hypertension.

Morning Headlines 1/11/16

Understanding Individuals’ Right under HIPAA to Access their Health Information

OCR mandates that patients will be provided electronic copies of their medical records on request, with no unreasonable delays or processing fees, noting that redirecting requests to a patient portal is unacceptable.

Suspended VA bosses to return to agency jobs next week

Two key VA administrators suspended and then given termination notices during the Phoenix VA waitlist scandal have been reinstated and reassigned to new VA positions after internal investigations on the men were hampered by “conflicts, delays, and contradictory findings.”

Leader, Global Healthcare – Amazon Business in Seattle, United States

Amazon is searching for a healthcare leader to run its B2B healthcare marketplace.

Tax filing issues could jeopardize health law aid for many

HHS reports that 1.4 million Healthcare.gov customers may lose their federal subsidies or insurance coverage after failing to properly disclose the entitlements in tax filings last year.

Morning Headlines 1/8/16

Dental Practice Software Provider Settles FTC Charges It Misled Customers About Encryption of Patient Data

Henry Schein Practice Solutions pays $25,000 to settle FTC charges alleging that the encryption used in its Dentrix G5 dental practice management system was not true encryption. Schein also makes the dental solution included in Leidos’ winning DHMSM bid.

Flatiron Health Raises $175 Million Series C Round to Further Bolster its OncologyCloud Software Platform for Providers and Accelerate Personalized Medicine

Oncology software vendor Flatiron Health closes a $175 million Series C funding round led by Roche, bringing its total funding to $313 million since its 2012 launch.

Top 9 issues that will affect physicians in 2016

The American Medical Association lists Meaningful Use, health data security, and the large-scale adoption of telemedicine as some of the top issues that will affect physicians in 2016.

Mayo plans more collaboration with Epic Systems

Mayo Clinic reports that it will only lease a small portion of the data center it recently sold to Epic, but confirmed that Epic will host its EHR platform at a larger data center in Verona.