Blog Archives

Time to SMAC the Healthcare Consumer

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SMAC – Social, Mobile, Analytics, Cloud – is a popular framework for optimizing business performance through IT. The basic idea is that these four elements all play key roles in generating value from data through capture, storage, and application. Social

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Posted in Analytics, Cloud Computing, Connected Health, Consumer Engagement, consumer health, Other, Population Health Management, Privacy, Uncategorized Tagged with: , , ,

Population Health Management in Real-Time

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Real-time population health usecases are everywhere in healthcare. Imagine a patient recently diagnosed with congestive heart failure (CHF). As soon as his physician saves the new diagnosis within the EHR, the patient is automatically enrolled in a program and sent

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Posted in Analytics, consumer health, Population Health Management

A Digital Dose of Magic Medicine

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Cardiovascular disease is the leading cause of death in America. One out of four adults has two or more chronic diseases. One in three children is overweight or obese. Projections are that by 2050, one third of Americans will have

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Posted in Consumer Engagement, consumer health, mHealth Tagged with: , , , , , , ,

Can Apple Keep the Doctor Away?

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“His treatment was fragmented rather than integrated. Each of his myriad maladies was being treated by different specialists – oncologists, pain specialists, nutritionists, hepatologists, and hematologists – but they were not being coordinated in a cohesive approach.” – Steve Jobs,

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Posted in Connected Health, Consumer Engagement, consumer health, Google Health, HealthVault, mHealth, Privacy, telemedicine Tagged with: , , , , ,

Data, Data, Everywhere, Not Liquid Enough to Use

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After a recent visit to my doctor, I received a notice that my health information was available to view in my online portal. So, inspired by ongoing exposure to public/private tag-team HIT evangelism, I decided to don my patient cap

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Posted in Consumer Engagement, consumer health, HealthVault

Why ACA Just Doesn’t Add Up for the ‘Young Invincibles’

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Over the past several months, we have been hearing over and over again how important the ‘young invincible’ demographic is for the viability of the ACA. Those young invincibles lower overall medical loss ratios (MLRs) for the population being served.

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Posted in consumer health, Health Insurance Exchange, policy

#PGHD: Buzzword to Business

This week, I read an article from February that provided an overview of the health IT infrastructure required for population health management (PHM). It had thorough examples and some nice graphical depictions of delivery systems and budding ACOs taking on

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Posted in Analytics, Care Management, Connected Health, Consumer Engagement, consumer health, mHealth Tagged with: , , , , , , ,

Claims Data is NOT a Trojan Horse

Probably the most notable development apparent at HIMSS14 was how much HIE and interoperability vendors are now talking about including claims data in their solution sets. Last year at this time, most of these vendors questioned the clinical value and

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Posted in Analytics, consumer health, Electronic Health Records, Health Information Exchange, Health Insurance Exchange Tagged with: , ,

HIMSS14: Patiently Waiting for Progress

A grade-school English teacher of mine would write a little guide on the chalkboard at the beginning of our expository writing lessons: Say what you’re going to say; Say It; Say what you said Coming off another HIMSS, that lesson

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Posted in Care Management, Chilmark Research, Consumer Engagement, consumer health, Electronic Health Records, health portals, mHealth

HIMSS-pressions

What an epic (or is it Epic, or for that matter EPIC) ride where one seemingly goes in and out of noise tunnels on the exhibit floor all in the hopes of finding some meaningful signal as to what is

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Posted in Acquisition, Analytics, Care Management, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, PHM Tagged with: , , , , , , , , , , , , , ,

HIMSS or Bust

Next week is that proverbial event we all, in the HIT industry, look forward to with some trepidation - HIMSS’14. For an analyst firm such as ours HIMSS provides us a great opportunity to talk with end users, vendors of all

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Posted in ACO, Analytics, Care Management, Chilmark Research, Cloud Computing, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth, policy, telemedicine Tagged with: , ,

The Glass is Half-Full…of S.H.I.T.*

(*Super Health Information Technology) I’ve had the good fortune of working with John and the Chilmark Research team in some capacity since 2011. As expected, I’ve learned a lot about the field, the technology, the policy, and so on and

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Posted in Chilmark Research, Consumer Engagement, consumer health, Other

Barefoot at HIMSS? Just Trying to Follow Dr. Google’s Orders

If you see me in flip flop sandals, Vibram Five Fingers (VFF), or a barefoot-style shoe at HIMSS14 — please withhold fashion judgment. Since Jan 1, 2014, I have been performing a little “care management” on myself — as ordered

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Posted in Connected Health, Consumer Engagement, consumer health Tagged with: , , , , , ,

Free February 2014

Readers that have been with us for a few years may recall that February is a very special month for our family. It is our Founder and Managing Director, John Moore Jr’s birthday on the 11th, my birthday on the 15th,

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Posted in Analytics, Consumer Engagement, consumer health, Google Health, health portals, Reports Tagged with:

Three Big Questions for Stage 3 & Patient Engagement

For many, the delay of Stage 3 of the Meaningful Use program evoked a collective sigh of relief, providing a much-needed extra year to focus on the challenging requirements for patient engagement and interoperability. As distant as 2017 may seem

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Posted in Care Management, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, health portals, HL 7, mHealth, policy, Security, standards Tagged with: , , , , , , ,

Payers Refocus Efforts on ROI for Member Engagement

What a difference a year has made to the payer market. In late 2012 Chilmark Research published the first version of our Payer Benchmark report — detailing how leading payers were beginning to adopt emerging consumer technologies. We found a market

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Posted in ACO, Chilmark Research, Connected Health, Consumer Engagement, consumer health, Health Insurance Exchange, mHealth, Reports Tagged with: , , , , , , ,

What’s in Store for 2014?

That time of year once again where we collectively look into our crystal ball, or throw the sticks or maybe even look at the coffee grinds dripping down the sides on our coffee cup to see what may be in

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Posted in Acquisition, Analytics, Care Management, Cloud Computing, CMS, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange Tagged with: , , , , ,

mHealth13: Lots Going On, But Few New Developments

Another year, another mHealth Summit. HIMSS’ younger sibling has slowly grown over the last five years, a period that has seen a Precambrian explosion of companies and advances in mobile tech. However, despite some early hints of maturity, the mHealth

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Posted in Connected Health, Consumer Engagement, consumer health, mHealth, telemedicine

Whose Data is it Anyway?

A common and somewhat unique aspect to EHR vendor contracts is that the EHR vendor lays claim to the data entered into their system. Rob and I, who co-authored this post have worked in many industries as analysts. Nowhere, in

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Posted in Consumer Engagement, consumer health, Electronic Health Records, policy, Privacy Tagged with: ,

Has Avado Acquisition Awakened the WebMD Giant

WebMD, the once-darling of consumer health who seemingly lost its way following pharma dollars, may at last be coming back to its roots. Last week, WebMD made headlines by announcing it had purchased the young patient engagement start-up, Avado, for

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Posted in Acquisition, CHR, Consumer Engagement, consumer health Tagged with: , , , , ,

Wellness Market: Too Many Chasing Too Little

Having taken a hiatus from last year’s Health 2.0 event, was looking forward to this year’s event to see what may be new and upcoming among those looking to disrupt the status quo. Unfortunately, surprisingly little. Health 2.0 a couple

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Posted in Connected Health, Consumer Engagement, consumer health, policy Tagged with: , , , , ,

Crashes, Bugs, and Major Usability Issues at Covered California

I have spent the past few days struggling to apply for insurance on California’s HIX, CoveredCA. Early on in the application process I tried to withhold judgment, but have since learned that coveredca.com has a price tag of $360M, awarded

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Posted in Consumer Engagement, consumer health, Health Insurance Exchange, policy, Uncategorized Tagged with: , , ,

Data-Driven Patient Outreach: Financially Efficient or Morally Compromised?

I recently spoke with a clinical analytics vendor about one of their provider customer’s bizarre decisions – to no longer encourage a subset of their diabetic population to take the HbA1C test. The reason? These diabetics were covered under a

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Posted in ACO, Analytics, Consumer Engagement, consumer health Tagged with: , , ,

Out and About

Some of you may have noticed a precipitous drop in new content, ala posts, as of late. A few things have contributed to this. First, it is often tough to find time to write when one is traveling from one

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Posted in CHR, Connected Health, Consumer Engagement, consumer health, mHealth

Who will regulate mHealth? Patient Engagement at Crossroads; New Alliance Takes On Interoperability

We came back from HIMSS and got right to work on the March Monthly Update for Chilmark Advisory Services subscribers. As we’ve reported in a previous post, HIMSS13 afforded enormous buzz and less enlightenment regarding the state of health IT, particularly

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Posted in ACO, Acquisition, Connected Health, Consumer Engagement, consumer health, Health Information Exchange, mHealth Tagged with: , , ,

Patient Engagement: Does the Emperor have any clothes?

“Patient Engagement” has built up increasing buzz over the last few years through dedicated lip service from government, corporations, public leaders, entrepreneurs, and patient advocates. As John alluded to last week, however, patient engagement may be entering a Catch-22: Most

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Posted in Consumer Engagement, consumer health Tagged with: , , ,

Finding Few Answers at HIMSS’13

Last week was yet another HIMSS, this time in the Big Easy – one of my favorite cities, despite the unfortunate decay occurring on Bourbon St. As with the many HIMSS I have attended before, this is the seminal event

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Posted in ACO, Analytics, Cloud Computing, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, SaaS Tagged with: , , ,

Reorg at McKesson, Will Docs Trust Predictive Analytics & Med Rec

What a crazy week it has been. Yes, it was the week of all things HIT related with the big confab of HIMSS a the Big Easy. I’m literally still trying to sort out all that I saw, all the

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Posted in ACO, Analytics, Cloud Computing, Connected Health, consumer health, Health Information Exchange Tagged with: , ,

ACO Here, ACO There, ACO, ACO Everywhere & Vendor Response

In less than two years we have gone from Accountable Care Organization (ACO) as a concept, to ACO as a new model of care delivery. With the January announcement that there were 106 more added to the Medicare ACO program,

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Posted in ACO, Acquisition, Analytics, CMS, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange Tagged with: , , , , ,

At the Intersection of Obesity and HIT

We Americans are on a very terrifying path, health-wise, based on the latest obesity projections from RWJF. Medical “innovations” around the obesity epidemic are unsettling, to say the least. Most recently, Dean Kamen (of Segway fame) filed a patent for

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Posted in Analytics, Connected Health, Consumer Engagement, consumer health, Health Cloud, Health Information Exchange, mHealth, Privacy Tagged with: , , , ,

Four Diverse Research Notes in Jan Monthly Update

As Chilmark has grown, so has our areas of research which is best represented in the following four research notes that our analysts put together for Chilmark Advisory Service (CAS) clients. The following four abstracts provide you perspective on some of

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Posted in ACO, Analytics, Cloud Computing, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth Tagged with: , ,

2013 – A Year of Surprises

In the blink of an eye, a New Year has appeared and with it the need to look into our crystal ball (or is it a magic 8 ball) to make our annual predictions for the healthcare IT sector. Personally,

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Posted in ACO, Acquisition, Analytics, CMS, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth Tagged with: , , ,

Big Data Clarified, Providers, HIT & Obesity and ACA’s Impact on HIE Market

With the ramp up to healthcare reform, Chilmark Research sees signs of a potential slow down in HIE innovation. This is but one research note of three that were provided as part of our latest monthly update for Chilmark Advisory Service subscribers in

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Posted in ACO, Analytics, Cloud Computing, Consumer Engagement, consumer health, Health Information Exchange

One Step Forward, Two Steps Back

Be careful what you wish for sure did apply to this year’s mHealth Summit, which was held last week in Washington D.C. Of the some 4,000 in attendance, I was one of the 10% or was it even 1% of those present that have attended all four events in succession. It is with that perspective that I came away from this year’s mHealth Summit more disappointed than ever.

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Posted in consumer health, mHealth Tagged with: , , , , ,

Cerner Takes a Road Less Traveled

Cerner is embarking on a journey of transformation. That transformation, if successful, will culminate in Cerner becoming more than a health IT company to becoming a health company. They’ve tested much of this strategy internally with onsite campus clinics, health

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Posted in Analytics, CMS, consumer health, Electronic Health Records, Health Information Exchange

Moving to HIE 2.0

This week I had the pleasure to be the keynote speaker at Orion Health’s HIE User Conference in the beautiful state of my youth, Colorado. In preparing for this conference I was struck again by just how quickly this market

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Posted in ACO, consumer health, Health Information Exchange, policy, standards Tagged with: , ,

The Promise of a Little Blue Button

Yesterday, I was in Washington DC to attend ONC’s Consumer Health IT Summit. While having high hopes for some breathtaking new developments, ultimately walked away disappointed as this event ultimately devolved into a Blue Button promotional event. Now I have

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Posted in ACO, Consumer Engagement, consumer health, Electronic Health Records, Health Information Exchange, mHealth, standards Tagged with: , , , , , ,

Struggling to Understand or Data Does Not Equal Empowerment

Recently upon leaving my doctor’s office I was presented with a print-out of my visit summary. Knowing I worked it the HIT space my doctor proudly stated that this was one the ways that they planned to meet one of

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Posted in Consumer Engagement, consumer health, Electronic Health Records, standards Tagged with: , , , ,

Benchmarking Payers Adoption of Consumer Tech

Awhile back, a large health insurer (payer) commissioned Chilmark Research to do a market scan on how payers across the country were using emerging consumer technologies to engage their members. We found this project to be quite interesting and rather

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Posted in ACO, Acquisition, Connected Health, consumer health, policy, telemedicine Tagged with: , , , , , , , , ,

Payers Take Another Stab at Engagement with Consumer-based Tools

It is now nail-biting time, as we here at Chilmark Research brace ourselves for the upcoming Supreme Court decision on the legitimacy of the Affordable Care Act.  We as a nation are indeed living in very interesting times and I

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Posted in ACO, consumer health Tagged with: , , , , , , , ,

Some Areas We Covered in May Monthly

Earlier this year Chilmark Research launched its latest service, the Chilmark Advisory Service (CAS). One of the benefits of CAS is that subscribers receive a continuous feed of our research, from major annual reports such as the recently released 2012

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Posted in Analytics, consumer health, Health Information Exchange, mHealth, policy, Security, standards Tagged with: , , ,

Latest Report: mHealth Adoption for Provider–Patient Engagement

The market is abuzz about all things mHealth. Press coverage on provider-patient mHealth solutions is ramping up with a recent example being the point-counterpoint piece in Forbes following the press waterfall about Happtique’s app-prescribing platform. We even wrote a piece

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Posted in ACO, Connected Health, consumer health, mHealth Tagged with: , ,

Sex Sells (or at Least Leads to Some Interesting Analytics)

One guarantee in the healthcare sector is that when it comes to personal health information (PHI), there is no lack of issues and pundits to discuss security and privacy of such information/data. If one does not jump up and down

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Posted in Analytics, Consumer Engagement, consumer health, policy, Privacy, Security

mHealth: There When You Need It

A couple of weeks back, Neil Versal wrote an interesting article for mobihealthnews on mHealth App development and adoption trends. While agreeing with some of the thesis of his argument, that many Apps have little relevance to the broader populace

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Posted in consumer health, mHealth, policy Tagged with: , ,

mHealth Apps & Patient Engagement – Moving Beyond Transactions

Despite a constant buzz around the idea of using mobile technologies for patient engagement, the depth and breadth of these solutions has remained consistently thin and frankly dated. Today, healthcare organizations who are adopting and deploying engagement solutions are focusing

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Posted in ACO, Connected Health, consumer health, Electronic Health Records, mHealth, PCMH, telemedicine Tagged with: , ,

Hurdles to Accessing One’s PHI

What is a fair price to charge a consumer to provide them a copy of their records? That is a question I’ve been pondering since a friend of mine showed me the bill from the local Steward IDN which is

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Posted in Consumer Engagement, consumer health, policy

300 Million Asthmatics and the Future of Respiratory Monitoring

A few years ago my daughter began developing asthma-like symptoms brought on by reactions to pollen, cat dander, and other triggers.  I can still remember the panic I felt in my chest the first time she ran to me wheezing

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Posted in ACO, consumer health, mHealth, PCMH, Privacy Tagged with: , , ,

Forecast and Ramifications of Payers in the HIE Market: Part Two

(Note: This is the second of a two-part post.) Keeping it Local This is most representative of the status quo and the most realistic path forward for the vast majority of payers who typically operate at the local level. In

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Posted in ACO, consumer health, Electronic Health Records, Health Information Exchange, health portals, policy, Privacy Tagged with: , , ,

Whose Data is it Anyway?

Chilmark Research tends to shy away from the thorny, nearly intractable issues of privacy and security of Personal Health Information (PHI) (we’ll leave that to the lawyers and policy wonks to figure out). However one thing is very clear: As

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Posted in Consumer Engagement, consumer health, mHealth, policy, Privacy, Security Tagged with: ,

Is Direct Undercutting the Viability of RHIOs?

Last week, a discussion got started on Google + by Brian Ahier about whether or not ONC’s aggressive support of Direct is undercutting many a Regional Health Information Organization (RHIO). What got this whole conversation started was an article in the

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Posted in ACO, Analytics, consumer health, Health Information Exchange, policy, RHIO Tagged with:

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Who We Are

Chilmark Research is the only industry analyst firm focusing solely on health IT. We combine proven research methodologies with intelligence and insight to provide cogent analyses of the emerging technologies that have the greatest potential to improve healthcare. We do not shy away from making tough calls, and are respected in the industry for our direct and thoughtful commentary.