Wednesday, November 26, 2008

2 comments:

The Duetsch's said...

Great job on the website and the newsletter! They both look great!

Dr John said...

Last week I testified in Washington DC to the Health Subcommittee of the Ways and Means Congressional Committee (Pete Stark ranking member, Wally Herger Chair). Here is a link to my testimony, my 5 minutes starts at 24:30

http://goo.gl/xy6Z2

Basicaly, the HealtTeamWorks pilot proved that front loaded, quality driven Patient Centered Medical Homes (PCMH) produced tremendous reductions in global costs, and improved safety and efficiency at the same time. Wellpoint and Aetna announced in the Wall Street Journal last month that they are going national with PCMH payment model based on their 2 year experience in Colorado (which someone in the Washington DC read, hence my invite to testify)

http://goo.gl/0Du1w

Good Health Information Technology (HIT) implementation, NCQA level III recognition, Meaningful Use attestation all help, but the best part of the pilot was generating my own data, reporting it to the payers, and then being judged based on my data, not the claims data alone. Also the registry interactions of the pilot allowed me to see how I compared to other practices around Colorado in the same pilot. If my metrics were worse, or better, we could compare work flow innovation storys in an FTC-proof (no price fixing!) manner as competitors, clinicaly integrated, yet on separate EHR's, to all improve our quality over time.

Market place reforms can work, IF primary care is front and center....

Sincerely,
John L Bender, MD, FAAFP