Hospital Adoption of EHR

Rising, but penetration is still far below 100%. Courtesy of Health Affairs. Source: Catherine M. DesRoches, Dustin Charles, Michael F. Furukawa, Maulik S. Joshi, Peter Kralovec, Farzad Mostashari, Chantal Worzala and Ashish K. Jha. Adoption Of Electronic Health Records Grows Rapidly, But Fewer Than Half Of US Hospitals Had At Least A Basic System In…

Is EHR a Money Loser for Physicians?

In most cases, the answer is yes. Policymakers, however, have been very excited about EHR and for good reason.  For instance, the  Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the 2009 stimulus package, provided direct dollars to doctors and hospitals who adopt and “meaningfully use” an EHR system. A paper by Milstein, Green…

Medical Billing: Taiwan vs. U.S.

How long do you think it takes for physicians and hospitals to bill an insurer for a service?  Uwe Reinhardt notes that the answer depends on where you live.   If you are in the U.S.: In the United States, claims settlement for medical procedures under private health insurance can take up to three months;…

Consumer Satisfaction with Healthcare Websites

ForeSee released a study showing which kinds of healthcare-oriented websites do the best job satisfying customers. Their results show health insurance websites have dismal customer satisfaction compared to other kinds of healthcare sites (such as pharmaceutical sites, hospital websites, health information sites, etc.). A summary of the overall customer satisfaction rates are below. Health Information…

Medicare Physician Payment Adjustments

The Medicare billing system is complex.  There an alphabet soup of acronyms, (e.g., RVUs, CPT, HCPCS, GPCI) and each of these affects payments in different ways.  In addition to the standard payment terms, Medicare is also creating additional payment incentives.  These payment incentives fall into three broad categories: Quality reporting e-Prescribing (eRx) Electronic Health Records…

Is your personal health data secure?

In 2010, providers alone spent more than $88.6 billion on health IT initiatives in response to the US government’s “meaningful use” incentive program to drive widespread adoption of electronic health records (EHRs).  Is this data secure? For many individuals, the answer is no.  In just the last year and a half, a breach of personal…

Kaiser Permanente’s EHR System

As of 2009, only 9 percent of America’s hospitals were using even a basic form of electronic medical records (EHR) and as of 2008 only 13 percent of practicing doctors were doing so.  Yet one private health insurer has integrated EHR for hospitals, physicians, outpatient and other services.  I am of course talking about Kaiser Permanente. Today…

EMR and Second Opinions

Electronic medical records have been touted as producing large gains in efficiency.  In fact, Kaiser Permanente has invested $3 billion in EMR.  One drawback of EMR, however, is that the value of second opinions may fall.  Instead of coming to a new physician with a clean slate or at the least seeking a fresh interpretation…