Crossover Health | Rational Choice

22 Jul Day 48: Data Gathering transitions to Information Analysis

Posted at 12:31h in EHR, For Employers, Innovation, Quality, Rational Choice, Transparency, VistA by michelle 0 Comments

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Transition (trăn-zĭsh'ən) n. Passage from one form, state, style, or place to another. A word, phrase, sentence, or series of sentences connecting one part of a discourse to another. In the midst of running Medsphere I became aware that we were onto something very powerful. Somewhere...

25 Sep Customer Disservice: Health Care #FAILs again and again

Posted at 21:36h in Consumerism, For Employers, Rational Choice, Transparency by michelle 14 Comments

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Disservice (dĭs-sûr'vĭs) A harmful action; an injury An act that is not just Our health care system is completely devoid of customer service. It is pathetic. I took my son to have a simple tympanostomy (ear tubes) procedure this morning. I show up, sign in and take my seat...

26 May Transcript to Transformation: Twitterview with @Berci

Posted at 21:52h in For Employers, Health Finance, Healthcare, Industry, Innovation, Leadership, Quality, Rational Choice, Transparency by michelle 3 Comments

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Twitterview (twĭt'ər vyū) n. A twitterview is a combination of the terms Twitter and interview. The Twitter medium of 140 characters forces a concise style of interviewing and response. The public can join in on the conversation and become participants themselves by following along or tracking hashtags. On...

06 Mar Return of Microcapitation: Condition Specific Capitation Payments

Posted at 19:56h in For Employers, Health Finance, Innovation, Quality, Rational Choice, Value by michelle 1 Comment

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Microcapitation (mī‘kro kăp’ĭ-tā‘sh en) n. A health care delivery mechanism wherein a service provider contracts with an administrator to provide health care services on a per capita basis. A financing mechanism wherein a service provider assumes financial risk, is compensated at a fixed per capita...

30 Jan Ten Fold (10X): Is There Really an Order of Magnitude Difference?

Posted at 00:07h in EHR, For Employers, Open Source, Quality, Rational Choice, Value, VistA by michelle 1 Comment

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Magnitude (măg'nĭ-tūd') n. Greatness in size and extent. Greatness in significance or influence. Two recent news items caught my attention. They follow on the heels of some of my recent writings on VistA EHR, MUMPS based systems, and the idea of virtuous cycle investments as a true...

29 Jan Stimulus? What Government Should Learn From the X-Prize

Posted at 10:53h in For Employers, Rational Choice, Transparency, Value by michelle 3 Comments

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Stimulus (stĭm'yə-ləs) Something causing or regarded as causing a response. An agent, action, or condition that elicits or accelerates an activity or response. Something that incites or rouses to action; an incentive. I am completely NAUSEATED . . . this entire stimulus package is going...

20 Oct Cash is King: Differential Premiums as a driver of behavior change

Posted at 14:02h in Conferences, Consumerism, For Employers, Health 2.0, Innovation, Quality, Rational Choice, Transparency, Value by michelle 3 Comments

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Differential (dĭf'ə-rĕn'shəl) adj. Of, relating to, or showing a difference. Constituting or making a difference; distinctive. Dependent on or making use of a specific difference or distinction. This is the third in a four part series of interviews with the panelist of "The Business Case for...

30 Jul Microcapitation: A Case Study

Posted at 19:15h in For Employers, Innovation, Quality, Rational Choice, Transparency, Value by michelle 4 Comments

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Case Study (kās stŭd'ē) n. A detailed analysis of a person or group, especially as a model of medical, psychiatric, psychological, or social phenomena. An exemplary or cautionary model; an instructive example I have received a couple of off-line questions regarding the concept of micro-capitation, and...

27 May Episodes of Care: You have got to be kidding

Posted at 21:02h in Episode of Care, For Employers, Innovation, Rational Choice, Transparency, Value by michelle 5 Comments

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Episode (ĕp'ĭ-sōd') n. 1. A portion of a narrative that relates an event or a series of connected events and forms a coherent story in itself. 2. One of a series of related events in the course of a continuous account; An incident that...

05 Mar Health 2.0: The Long Tail of Health Care

Posted at 17:44h in Conferences, For Employers, Health 2.0, Healthcare, Innovation, Quality, Rational Choice, Transparency, Value by michelle 3 Comments

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Long Tail (lông tāl) New business phenomenon in which low distribution and storage cost enable significant profits to be realized by selling small volumes of niche items instead of large numbers of popular items. The potential for online retailers to make more money than their...