Morning Headlines 5/6/15

Cognizant Earnings Top, Fueled By TriZetto Buy

Cognizant reports Q1 results: revenue up 20 percent to $2.9 billion, EPS $0.62 vs. $0.57, beating analyst estimates on both. The company’s stock price climbed 10.8 percent, to a record high $65.55, following the results.

Imprivata Achieves Revenue Growth of 32% for the First Quarter of 2015 and Raises Annual Guidance

Imprivata reports Q1 results: revenue up 32 percent to $25 million but still resulted in an overall net loss of $6.7 million, EPS –$0.28 vs. –$2.29, beating expectations for both.

Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?

In a New Yorker piece, Atul Gawande, MD discusses the tendency to overtreat patients in the US, citing a study suggesting that, every year, at least 25 percent of Medicare patients receive high-cost tests that are well known to be wasteful.

Apple Has Plans for Your DNA

Apple will begin offering DNA testing to some iPhone owners to support current and future ResearchKit initiatives. UCSF and Mount Sinai Hospital are planning ResearchKit-based studies that involve DNA testing.

Morning Headlines 5/5/15

Imprivata Acquires HT Systems to Expand its Authentication and Access Management Platform to Patients

Imprivata acquires HT Systems, a palm-vein based biometrics vendor focused on the patient identification market, for $19.1 million in cash and $6.9 million in potential performance bonuses scheduled to be paid out over the next two years.

Athenahealth Looking Like A Very Unhealthy Stock

Forbes contributor David Trainer forecasts additional losses for athenahealth stock , citing slowing revenue and after-tax profit growth, and a 35 percent decline in stock value since its peak in February 2014.

Why Your Next Doctor’s Visit Might Be Through An iPhone

Telehealth vendor American Well launches a new telemedicine application designed to help doctors provide telehealth services to just their own local patients. The new app is designed to help doctors working through regulatory restrictions on remote consultations.

Morning Headlines 5/4/15

Former HealthCare.gov IT program manager Chao retires from CMS

Henry Chao, CMS deputy director of the Office of Information Services and program manager of the troubled Healthcare.gov rollout, retires after 21 years of government service.

Almost half of Obamacare exchanges face financial struggles in the future

The Washington Post reports that nearly half of the 17 state-run health insurance exchanges are struggling financially. Some are considering increasing fees imposed on insurers, while others looking into cost sharing arrangements with other states or shutting down completely and migrating exchange services to Healthcare.gov.

athenahealth’s (ATHN) CEO Jonathan Bush on Q1 2015 Results – Earnings Call Transcript

Athenahealth hosts its Q1 earnings call, with CEO Jonathan Bush providing his own style of commentary on the company’s recent performance and projects. This quarter the company added 2,300 providers, and sold a number of new inpatient systems through its recently acquired EHR RazorInsights.

Erlanger Chooses Epic Software For New $100 Million Electronic Medical Records System; CEO Judy Faulkner To Visit Chattanooga

Erlanger Health System chooses Epic as its next EHR vendor, beating out Cerner as the other finalist. The system will be implemented over a two-year period and will cost $100 million.

Morning Headlines 5/1/15

Medicare Provider Utilization and Payment Data: Part D Prescriber

CMS publishes a new dataset containing Medicare Part D prescription details for 2013, representing $103 billion in drug costs.

athenahealth, Inc. Reports First Quarter Fiscal Year 2015 Results

Athenahealth publishes its Q1 results: revenue is up 27 percent to $206 million, adjusted EPS $0.24 vs. $0.12. Epocrates-related earnings remained flat at $10 million. Athena shares are up 20 percent over the past year.

Former hospital CFO ordered to pay $4.4 million restitution

The CFO of a small network of rural Texas hospitals is ordered to pay back the $4.4 million in payments his hospital received after fraudulently attesting to MU Stage 1. He is also facing criminal charges that could result in up to seven years in jail.

Premier statement for the record on 21st Century Cures legislation (PDF) 

Premier applauds the legislative work being undertaken by the House as it drafts the 21st Century Cures bill, and lobbies for increased interoperability requirements through a unique patient identifier, national interoperability standards, and APIs. Premier calls on ONC to include the requirements in its EHR certification criteria.

Morning Headlines 4/30/15

The Evidence Shows IOM Was Right on Health IT and Patient Safety

ONC publishes its first of four planned reports on health IT and patient safety, titled Recent Evidence That Health IT Improves Patient Safety, the report cites a group of studies to support the argument that health IT has reduced medication error rates, enhanced capability for disease surveillance programs, and increased adherence to evidence-based medicine.

Your medical data: You don’t own it, but you can have it

A Brookings Institute report calls into question the need to charge patients for copies of their medical records now that EHRs have essentially eliminated the overhead cost of producing them incurred by hospitals and practices.

Teladoc plans to file for IPO, sues to stop Texas Medical Board rule

Dallas-based telemedicine vendor Teladoc files confidential IPO forms with the SEC in preparation for a public stock offering. The company also filed an antitrust lawsuit against the Texas Medical Board, claiming that the board is trying to unfairly limit competition by mandating that consultations happen in an in-person setting.

KLAS names Epic, athenahealth, Medfusion most effective in driving patient portal adoption

KLAS releases a report on patient portal vendors, finding that Epic, athenahealth, and Medfusion are leading patient engagement efforts. Customers of these three vendors report that at least 20 percent of their patients have accessed their portal.

Morning Headlines 4/29/15

Vanderbilt to replace clinical IT systems

Vanderbilt University Medical Center announces that it will replace its current McKesson Horizon system with either Epic or Cerner.

CareCloud announces new CEO, $15M in funding

Cloud-based ambulatory EHR vendor CareCloud replaces its CEO Albert Santalo and announces that it has raised a fresh $15 million in VC funding, bringing its total raised to $70 million.

What Health Care Will Look Like in 2030. Maybe.

Former National Coordinator for Health IT David Blumenthal, MD publishes an article in the Wall Street Journal imagining the future of healthcare in a world where patients are monitored, alerted, and triaged by smartphone apps. To help usher in this reality, he calls for improvements in EHR interoperability and data security.

Validic Tracks Down $12.5 Million to Gather Medical Data

Raleigh, NC-based digital health startup Validic, which sells an interface engine that captures patient-generated health data from fitness trackers and medical devices, announces a $12.5 million Series B funding round. The company recently announced commercial agreements with both Cerner and Meditech.

Morning Headlines 4/28/15

Health Information Technology: Where We Stand And Where We Need To Go

National Coordinator for Health IT Karen DeSalvo, MD publishes an article in Health Affairs on the early successes, current state, and future roles that health IT will take on in care delivery, specifically addressing interoperability, and IT goals that go beyond EHRs and Meaningful Use.

Advancing Breakthrough Devices for Patients Act

Senators Richard Burr, Michael Bennet and Orrin Hatch introduce a new bill that creates an expedited path to FDA pre-market approval for new breakthrough healthcare technologies. The bill is modeled after the 2012 Breakthrough Therapies for Patients Act which created the same expedited pathway for new breakthrough drugs.

DoD To Start Its Own Digital Service Team

The DoD will open new offices in Silicon Valley where it is building its own digital services team modeled after the White House tech team that was responsible for resurrecting Healthcare.gov in its early days. The new team, some of which has already been recruited, are currently working on solving data exchange problems between the DoD and VA EHRs.

Morning Headlines 4/27/15

Health and Human Services Fiscal Year 2016 Budget

HHS Secretary Sylvia Burwell faces tough questions from Sen. Lamar Alexander (R – TN) over the EHR Incentive program which Alexander says is driving physician dissatisfaction.

Scientists are skeptical about the secret blood test that has made Elizabeth Holmes a billionaire

Business Insider covers Silicon Valley-based lab test vendor Theranos and its 31 year old billionaire founder Elizabeth Holmes. Despite its incredible early successes, the process Theranos uses to run its lab tests is still being kept secret and the company has yet to publish peer-reviewed studies comparing its results to traditional ones.

MEDITECH Announces Avera Health Moving Forward with 6.1 Web Release

MEDITECH announces that it has been selected to implement its “groundbreaking, completely Web-based EHR” across Avera Health System’s (SD) 33 hospitals and 208 clinics.

Morning Headlines 4/24/15

U.S. cancer institute, software firm reach deals in Cuba

Two New York-based healthcare companies are among the first to sign commercial agreements in Cuba. The Roswell Park Cancer Institute of Buffalo, New York will work on lung cancer vaccinations with Cuba’s Center for Molecular Immunology, and Infor has found a partner that will resell its integration engine software in Cuba.

Few People Lost Jobs With V.A. in Scandal

A New York Times investigation finds that only three VA employees lost their jobs over the VA wait-time scandal, far less than the 60 people that VA Secretary Robert McDonald reported during a NBC television interview he did in February. Additionally, only eight of the VA’s 280,000 other employees were punished in some way for their involvement in the scandal.

WebMD Deserves Fees In Failed Patent Case, Judge Says

MMRGlobal, which sued both WebMD and Allscripts over frivolous patent infringements claims, has lost both claims and will now have to pay each company’s legal fees.

Oxycodone overdose deaths drop 25 percent after launch of Florida’s Prescription Drug Monitoring Program

Oxycodone-related deaths dropped 25 percent after Florida implemented a controlled prescriptions database. However, the project went live in tandem with state-wide efforts to shut down prescription mills posing as pain clinics, which likely also contributed to the reduced deaths.

Morning Headlines 4/23/15

FDA grant to determine drug safety through EHRs

The FDA is offering a grant worth up to $1 million to fund research focused on mining EHRs for data that will support post-market drug safety assessments.

Comparative Effectiveness of Childhood Obesity Interventions in Pediatric Primary Care

A study published in JAMA Pediatrics finds that the use of clinical decision support prompts in the pediatric primary care setting had a positive effect on reducing BMI in obese children. The CDS alerts presented clinicians with obesity screening guidelines and links to relevant weight management programs.

Senate hearing examines telehealth benefits, barriers to expansion

More than a dozen bi-partisan senators attended yesterday’s Senate Commerce Subcommittee meeting on telehealth to lobby for expanded access to telehealth services for Medicare beneficiaries and for infrastructure investments that would expand internet access in rural areas.  Kristi Henderson, chief telehealth and innovation officer at the University of Mississippi Medical Center, explains ‘Right now, the greatest challenges lie in winning the federal level reimbursement parity that will make telehealth attractive in the marketplace and securing the reliable, high quality connectivity that telehealth requires.”

Morning Headlines 4/22/15

Lawsuit: Long delay in getting VA medical records could be affecting crucial benefits

Seven disabled veterans have filed a lawsuit against the VA, claiming that they have waited between 10 and 24 months for copies of their medical records, and that the wait is causing delays in the veterans’ ongoing benefits applications. The suit asks that the VA produce the records within 20 days.

Judge issues temporary restraining order in Ebola nurse Nina Pham’s lawsuit

A Texas judge has halted efforts by Texas Health Resources to file a workers’ compensation claim on behalf of Nina Pham, the nurse that contracted Ebola while treating a patient at one of THR’s hospitals. The health system, which is being sued by Pham, claimed that a workers compensation claim would resolve many of the issues outlined in Pham’s lawsuit.

Color Genomics Sells $249 Breast Cancer Gene Test to Masses

Silicon Valley startup Color Genomics announces a $259 genetic screening test that evaluates a patient’s risk of developing breast or ovarian cancer by testing for 19 pertinent genetic mutations. The company is bypassing the FDA requirements that hindered 23andMe by requiring that a doctor order the tests and that results be explained by a trained genetic councilor.

Morning Headlines 4/21/15

Health insurance startup Oscar gets unicorn valuation with $145 million in new funding

Oscar Health, a tech-focused health insurer in New York that offers free telehealth visits and free activity trackers to its customers, raises a $145 million funding round on a $1.5  billion valuation in only its second year of operation.

Fiscal Year 2016 proposed Inpatient and Long-term Care Hospital policy and payment changes (CMS-1632-P)

CMS publishes its proposed 2016 policy and payment changes, which includes a 1.35 percent penalty for hospitals that have yet to attest under the Meaningful Use program, and new reporting requirements that will help align MU’s clinical quality measures reporting with the Inpatient Quality Reporting program, in an effort to ease the administrative burden on hospitals.

CMS commits $3 billion to modernize Medicaid-enrollment systems

CMS will spend $3 billion to make permanently adopt changes introduced in 2011 that established a 90 percent reimbursement rate for costs expenses associated with building state Medicaid eligibility and enrollment systems, and 75 percent reimbursement rates for ongoing costs associated with maintaining the systems.

Morning Headlines 4/20/15

Kaiser Permanente to put IT campus in Midtown Atlanta; create 900 jobs

Kaiser Permanente will build a $20 million medical information technology campus in Midtown Atlanta, spanning 150,000 square feet and resulting in 900 new jobs.

The Problem With Satisfied Patients

The Atlantic takes the ACA’s patient satisfaction mandate to task, suggesting that if hospitals and providers are overly concerned with patient satisfaction, they might avoid having unpleasant but necessary conversations about weight loss and smoking status, and instead spend money on flashy satisfaction wins like valet parking and VIP programs.

CPSI Announces Formation of Evident, LLC

CPSI rebrands itself as Evident, and rebrands its EHR as Thrive EHR, which it says will scale to meet the needs of the 100-300 bed hospitals and help it penetrate that market.

EY Telemedicine Adoption Model Unveiled at HIMSS Conference

Ernst & Young creates a Telemedicine Adoption Model that establishes seven stages of telemedicine maturity based on technology used, integration with core IT systems, and specialty services included.

Morning Headlines 4/17/15

Jonathan Bush on MU: A big joke that is actively unproductive

Athenahealth CEO Jonathan Bush calls the Meaningful Use program a big, fat joke and says of interoperability that the word has bee “beat up so bad, I don’t know if anyone knows what it means anymore. “ He goes on,, “preventing patients from getting their information is borderline immoral.”

Telehealth dropped from 21st Century Cures bill, sources say

The House committee responsible for drafting the 21st Century Cures bill has reportedly removed language that would have mandated that Medicare pay for telehealth services.

Healthcare Data Breaches Increasing, Require Action

Researchers from the Kaiser Permanente Division of Research say that 29 million medical records were exposed in data breaches between 2010-2013, and given the rapid expansion of EHRs in healthcare, the incidents were likely to increase.  

The Combined Effect of the Electronic Health Record and Hospitalist Care on Length of Stay

Researchers find that the the increase in hospitalist programs has had a more significant effect on reducing length of stay for patients than the increased use of EHRs, but that the combined effect of the two were also substantial.

Morning Headlines 4/16/15

Bipartisan Senate ends flawed Medicare payment formula

On Tuesday, Senate passed the SRG replacement bill that cleared the House last week, winning 92 – 8 bipartisan support.

GE Healthcare: We’re leaving the hospital EMR business

At HIMSS, GE Healthcare reportedly confirms rumors that it will phase out its Centricity EHR business line, but then later this week introduces a new financial management  product under the Centricity line.

Health IT chief DeSalvo urges more patients to seek access to electronic records

ONC chief Karen DeSalvo, MD spends part of her week at HIMSS defending her recent decision to remove the minimum 5 percent threshold for patients who view, download, or transmit their medical record.

Morning Headlines 4/15/15

IBM Creates Watson Health to Analyze Medical Data

IBM’s Watson team announces Watson Health, a partnership with Apple, Johnson & Johnson, and Medtronic as well as the acquisitions of Explorys, a data analytics startup and Cleveland Clinic spinoff focused on spotting patterns in diseases, and Phytel, a software vendor focused on reducing readmissions.

Surescripts Advances Nationwide Healthcare Interoperability with Broad Implementation of National Record Locator Service

Surescripts leads a coalition of EHR vendors that includes Epic, eClinicalWorks, and Greenway Health on an initiative to create a national record locator service.

InterSystems Announces HealthShare Personal Community, a Comprehensive Patient Engagement Solution

InterSystems launches an MU2 certified vendor agnostic patient portal.

KPMG To Acquire Healthcare Consulting Firm Beacon Partners, Inc.

As was rumored on HIStalk last week, KPMG will acquire health IT consulting firm Beacon Partners for an undisclosed sum.

Morning Headlines 4/14/15

Former ONC chief opposes CMS rule weakening patient access to records

Former ONC lead Farzad Mostashari, MD spoke out against CMS’s recent decision to strip MU2 of its five percent view/transmit/download requirement, saying “If this proposed rule stands, it would roll back a lot of progress that’s been made incorporating patient engagement into workflows. To meet even a low threshold, providers have had to change their processes to engage patients.”

athenahealth Announces athenaText App for Apple Watch

AthenaHealth follows in Cerner’s footsteps in announcing an Apple Watch app. Unlike Cerner, Athena’s app is aimed at providers, while Cerner’s will be marketed directly to patients. 

An ACT Relating to telemedicine

Washington state becomes the 23rd state to pass a bill requiring private insurers to cover telehealth services.

Practice Fusion and AstraZeneca Partner on Population Health Management Initiative for Asthma and Chronic Obstructive Pulmonary Disease

Freeware EHR vendor Practice Fusion announces a program sponsored by AstraZeneca in which COPD and Asthma patients in Practice Fusion’s system whose care does not meet evidence-based clinical guidelines will be identified and their care providers alerted.