Blog Archives

Read All About It: Analytics for Pop Health Hits the Streets

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I am happy to announce that the long labors of our Analytics analyst, Cora Sharma, have come to fruition with the release today of our newest report: Analytics for Population Health Management Market Trends Report. This report takes a significantly …

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Posted in Analytics, Chilmark Research, Cloud Computing, Electronic Health Records, PHM, Reports

Big Fish Swallows Another – Will it Choke?

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Rumors that have been floating around for months that Siemens planned to exit the health IT (HIT) market have come true. Earlier today, Cerner announced that it will acquire Siemens HIT business for a whopping $1.3B with expected close in

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Posted in Acquisition, Analytics, Care Management, Electronic Health Records, Health Information Exchange, PHM, Population Health Management Tagged with: , ,

Incentives, Regulations and Consequences

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Good intentions do not always result, in the long-term, in good policy. Such may be the case with the HITECH Act that was passed as part of the huge stimulus bill ARRA in 2009. This bill launched the massive adoption

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Posted in Care Management, Electronic Health Records, policy 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

HIMSS14: As Vast and Chaotic as Ever

Three big takeaways from HIMSS14 were: It was great to meet so many new people. Found lots of fodder for future work. I was expecting more push back on my EHR 2.0 trends. The best thing about an event like

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Posted in Care Management, Chilmark Research, Electronic Health Records Tagged with: , , ,

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: , ,

Is the EHR Transformational?

Under HITECH, physicians and hospitals have adopted EHR technology in droves but are now coming to grips with the fact that their brand new EHR is not well-suited for the new world of value-based reimbursement (VBR). For years, healthcare providers

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Posted in Analytics, Care Management, Chilmark Research, Cloud Computing, Electronic Health Records, Health Information Exchange

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: , , , , , , ,

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: , , , , ,

Looking Ahead to Data Visualization & Blazingly Fast Database Technology

Last week I attended the annual Data Warehousing (TDWI) event in Orlando. This is a fantastic, intimate setting of the top experts, and plenty of novices, in data warehousing and analytics. The event is totally focused on education, with only

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Posted in Analytics, Cloud Computing, Electronic Health Records, Uncategorized Tagged with: , , , ,

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: ,

Can Mirth Revive NextGen?

Last week, NextGen’s parent company, QSI, acquired open-source tools vendor Mirth for $59M. While a relatively small acquisition, it nonetheless will have an impact on the broader HIE market. Mirth’s toolset has an array of HIE components, notably its well-regarded Mirth

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Posted in ACO, Electronic Health Records, Health Information Exchange, HL 7 Tagged with: , , , , , ,

Pushing the Envelope to HIE 2.0

Innovation driven by the effective use of IT has long catalyzed industry transformations – except in healthcare. We all know people who have never waited in a teller line to cash a check. In the now unlikely event that systems

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Posted in ACO, CCD, Chilmark Research, CMS, Electronic Health Records, Health Information Exchange, PCMH, RHIO

Here an HIE, There an HIE, Everywhere an HIE

In late March, I headed down to Belize with a bunch of high school students to do some service work. Joining the crew was a parent, Harry (not his real name), who happened to be a urologist sharing a private

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Posted in ACO, Acquisition, Connected Health, Electronic Health Records, Health Information Exchange, standards

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: , , ,

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: , , , , ,

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: , , ,

Humana Jumps into HIE Market, Claims Analytics Turn Sights of Clinical, Med Adherence

November saw the acquisition of yet another HIE vendor by a payer (Humana). An in-depth analysis of this acquisition and its implications was provided to Chilmark Advisory Service (CAS) clients at the end of November. Following are abstracts of the three research notes in our latest Monthly Update.

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Posted in ACO, Analytics, Electronic Health Records, Health Information Exchange Tagged with: , , , , ,

Will Surescripts Become De facto NwHIN?

Just as Healtheway looks to ween itself off the federal gravy train, Surescripts comes along and in a couple of quick strokes looks ready to drive a stake into the heart of Healtheway or at least any desire Healtheway may have to become the Nationwide Health Information Network (NwHIN).

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Posted in ACO, Cloud Computing, Electronic Health Records, Health Information Exchange 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

A Layer Above it All: Healtheway’s Value Prop

Now that NwHIN has been spun-out into the public-private entity Healtheway one has to wonder exactly what value they can deliver to market that will sustain them as they attempt to ween themselves from the federal spigot. Healtheway has no

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Posted in CMS, Electronic Health Records, Health Information Exchange, Security, standards Tagged with: , , ,

Limits and Lags in Healthcare Productivity

In a recent Health Affairs blog, Alex Goldsmith does a back-of-the-envelope analysis of the peculiar economics of healthcare. According to the Bureau of Labor Statistics, employment in healthcare increased by 1.149 million people from 2007-2011. He contrasts this increase in

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Posted in ACO, Electronic Health Records, 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: , , , ,

Why We Won’t See EHR Consolidation Anytime Soon

All too frequently I get the question: When will we see the EHR market consolidate? Not an unreasonable question considering just how many EHRs there are in the market today (north of 300) and all the buzz regarding growth in

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Posted in Acquisition, CCD, Cloud Computing, Electronic Health Records, HL 7, policy, SaaS, standards

Digging into Analytics

At this year’s HIMSS conference the big buzz was analytics. Seemed as if every vendor in attendance was promoting some sort of analytics capability. It was a tad overwhelming and if I was having a problem trying to separate out

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Posted in Analytics, Cloud Computing, Electronic Health Records

Implications: Supreme Court Gives Thumbs Up to ACA

This morning, as most of you already know, the Supreme Court ruled that the Privacy Protection and Affordable Care Act (commonly known as ACA) is constitutional and basically left the entire law intact. While it was no surprise that this

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Posted in Analytics, Connected Health, Electronic Health Records, Health Information Exchange, mHealth, policy Tagged with: , ,

At Last, It’s Here: 2012 HIE Market Report

This morning we announced the release of our latest report: 2012 HIE Market Report: Analysis and Trends of the Health information Exchange Market. As we found in last year’s report, the HIE Market and the vendors that serve it continues

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Posted in ACO, CCD, Cloud Computing, Electronic Health Records, Health Information Exchange, HealthVault, HL 7, PCMH, standards

Hunkered Down on HIE

Been pretty quiet here on the Chilmark Research site for the simple reason – we are doing one heck of a lot of research which you’ll be seeing the results of in the not so distant future. Primary among those

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Posted in Electronic Health Records, Health Information Exchange 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: , ,

HIMSS’12 Take-away: Follow the Money

Last week we attended the big healthcare IT confab HIMSS in that grand city of sin, Las Vegas. While many spoke of how HIMSS hit an all time record of over 37K attendees (an impressive number), HIMSS is still dwarfed

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Posted in ACO, Cloud Computing, CMS, Electronic Health Records, Health Information Exchange, mHealth, PCMH 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: , , ,

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

The numerous changes in the healthcare sector are forcing stakeholders to develop new business models to prosper, to survive. Among health insurers, this means one thing: diversification. Health reform was the nail in the coffin of yesterday’s business model, a

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Posted in Cloud Computing, Electronic Health Records, Health Information Exchange, policy, standards Tagged with: , , , ,

Welcomed Changes for 2012

Since its start in 2007, Chilmark Research has kept a fairly low profile as analyst firms go, focusing on a few discrete domains of healthcare IT (HIT). First there was patient and consumer engagement that led to the publication of

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Posted in Cloud Computing, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Google Health, Health Information Exchange, HealthVault, mHealth, Privacy

Predictions 2012: Not What You Think

Admittedly, our predictions for 2011 were modest. Most of those predictions were logical and did not take a whole lot of imagination to envision thus our success rate, 7 “hits”, 2 “toss-ups” and 2 “misses was quite high. And though

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Posted in ACO, Analytics, CCD, Cloud Computing, consumer health, Electronic Health Records, Health Information Exchange, mHealth, Security, standards

Looking Back on 2011 – What A Strange Year It’s Been

It is almost becoming the norm to say that it has been another tumultuous year in the healthcare IT market. Market consolidation, pushback on timelines, growing chorus from IT departments that enough is enough against the backdrop of the political

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Posted in ACO, Acquisition, Analytics, Cloud Computing, Connected Health, Consumer Engagement, consumer health, Electronic Health Records, Health Cloud, Health Information Exchange, health portals, HealthVault, mHealth, policy, RHIO, SaaS, standards Tagged with: , , ,

Microsoft Bows Out of the Clinical Market

Today, GE and Microsoft announced a joint venture (JV) that will lead to the formation of a new company (NewCo) targeting the clinical healthcare market sector. The NewCo will be located near Microsoft HQ in Redmond, WA, start with roughly 700

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

Giving Thanks, Albeit Belatedly

While it would be much better to give thanks prior to our (the US’s) big Thanksgiving holiday, sometimes things just get in the way as has been the case this fall. In fact, many things have gotten in the way

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Posted in Cloud Computing, Connected Health, Electronic Health Records, Health Information Exchange, mHealth, telemedicine

Orion Strengthens Portfolio & MSFT Gains HIE Partner

On Monday, New Zealand based Orion Health announced that it would acquire the mothballed Health Information Services (HIS) assets of Microsoft, Amalga HIS. In the same announcement, Orion and Microsoft also announced a partnership for Microsoft’s healthcare analytics solution Amalga

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Posted in ACO, Acquisition, Electronic Health Records, Health Information Exchange Tagged with: , , , , , ,

Trickle Down Health or Health 2.0 Impressions

Another year, another Health 2.0 under the belt. This being the fourth time attending it is interesting to see how this event and its participants have evolved. Like many things in life, some things at Health 2.0 have changed, some

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Posted in Cloud Computing, consumer health, Dossia, Electronic Health Records, Health Cloud, mHealth, policy, SaaS Tagged with: ,

Who Will be the Salesforce.com of Healthcare IT?

Last week was the massive Salesforce.com user conference Dreamforce (massive in that there were more attendees at Dreamforce then this year’s HIMSS!). We’ve been reviewing more than a few articles and writings written by those who attended the event. In

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Posted in Acquisition, Analytics, Cloud Computing, CMS, Electronic Health Records, mHealth Tagged with: , , , , , , , , ,

EHRs Deliver the Goods, or at Least the Quality

There have been a number of research studies published that question the value of Electronic Health Records (EHRs), particularly as it pertains to improving quality of care and ultimately outcomes. Chilmark has always viewed these reports with a certain amount

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Posted in ACO, Electronic Health Records, policy Tagged with: , , , , ,

Trends in Patient Engagement

As part of the process of setting our broader research agenda at Chilmark Research, we do a significant amount of secondary research combined with more limited, but highly focused primary research. We use this research to identify the “white spaces”

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Posted in ACO, consumer health, Dossia, Electronic Health Records, Health Information Exchange, health portals, HealthVault, mHealth Tagged with: , , , , , , ,

A Comment, A Challenge

While we receive many comments on this site to various postings, we received one this week that really caught our attention for a three reasons: 1) The author, Dr. Louis Siegel, speaks with some authority having not only been a

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Posted in Consumer Engagement, Electronic Health Records, health portals

Brief Counter on Statement Regarding PHRs

PHRs are much like the tides, news about them ebbs and flows. Right now, with the relatively recent demise of Google Health, Dossia’s attempts at rebirth, and the significant inquiries we are receiving regarding meaningful use requirements to host a

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Posted in Consumer Engagement, Electronic Health Records, Google Health, health portals, HealthVault Tagged with: ,

Re-entry into Healthcare

As with the last shuttle mission making its re-entry into the Earth’s atmosphere yesterday, I am re-entering the world of healthcare IT after an extended family vacation in the wilds of Alaska. No, I did not see John Halamka up

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

RIP Google Health

Chilmark Research has not had a very good feeling about Google Health for well over a year now. Back in early May of this year we felt that Google had all but given up and had put Google Health in

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Posted in consumer health, Electronic Health Records, Google Health, Health Cloud, HealthVault, standards

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.