Many providers use Epic as the underlying mechanism for collecting patient information. When I moved from Maine to Florida, I found that one Epic system couldn't talk to the other Epic system. While i recognize that HIPPA restricts the flow of information, "there's got to be a better way of running a railroad". It should be as easy as my signing a release to transfer the information. Do I really need to say that if my PCP has better historical information about my health, his diagnoses and treatment will be correspondingly better? Nice episode.
Loved this episode. Having expertise in this area for my day job: three things that are both very accurate assessments and the hard policy work that needs to be done.
1) Accurately pointing out that implementation is an immense hurdle. Ex) you have new digital monitoring tools that can improve health for benes, how do you put in place a reimbursement structure to make use of those tools and have that capacity built in the delivery system.
2) Ex ante fraud detection and prevention. It’s very right that these efforts have mostly been backwards looking. We now have the tech and analytic capacity to spot and prevent fraud. Ex) we need some degree of time and location verification for claims being made - where and when was a patient seen for what you are billing?
3) Interoperability - this is a tremendous opportunity to take siloed data and draw real insights to better form policy and implementation efforts.
Interesting discussion with Anup Malani. His reluctance to say anything that could be perceived is even the slightest bit critical of UnitedHealth or other members of the for-profit healthcare ecosystem was instructive. Much of the waste fraud and abuse in the system comes from the moral hazards built into pitting the profit incentive against the quality of care. United health, pbms, pharma companies, and their ilk I have become enormously profitable through privileging profit over patients. So long as the system incentivizes that, we can't condemn them for succeeding at it. But we should look more closely at the system than Malani is willing to do
Many providers use Epic as the underlying mechanism for collecting patient information. When I moved from Maine to Florida, I found that one Epic system couldn't talk to the other Epic system. While i recognize that HIPPA restricts the flow of information, "there's got to be a better way of running a railroad". It should be as easy as my signing a release to transfer the information. Do I really need to say that if my PCP has better historical information about my health, his diagnoses and treatment will be correspondingly better? Nice episode.
Loved this episode. Having expertise in this area for my day job: three things that are both very accurate assessments and the hard policy work that needs to be done.
1) Accurately pointing out that implementation is an immense hurdle. Ex) you have new digital monitoring tools that can improve health for benes, how do you put in place a reimbursement structure to make use of those tools and have that capacity built in the delivery system.
2) Ex ante fraud detection and prevention. It’s very right that these efforts have mostly been backwards looking. We now have the tech and analytic capacity to spot and prevent fraud. Ex) we need some degree of time and location verification for claims being made - where and when was a patient seen for what you are billing?
3) Interoperability - this is a tremendous opportunity to take siloed data and draw real insights to better form policy and implementation efforts.
Interesting discussion with Anup Malani. His reluctance to say anything that could be perceived is even the slightest bit critical of UnitedHealth or other members of the for-profit healthcare ecosystem was instructive. Much of the waste fraud and abuse in the system comes from the moral hazards built into pitting the profit incentive against the quality of care. United health, pbms, pharma companies, and their ilk I have become enormously profitable through privileging profit over patients. So long as the system incentivizes that, we can't condemn them for succeeding at it. But we should look more closely at the system than Malani is willing to do