Medicare

  • Fee-For-Value Drives Trillion-Dollar Healthcare Opportunity Crunch Network

    Fee-For-Value Drives Trillion-Dollar Healthcare Opportunity

    One of the main tenets of healthcare reform has been to better align payment/reimbursement schemes to incentivize healthcare providers for achieving improved outcomes and lower cost. Historically, insurance companies (including Medicare) have made separate payments to providers for each of the individual services they provide to patients for a single illness, visit or course of treatment. Read More

  • New Rules For Our Health’s Digital Future Crunch Network

    New Rules For Our Health’s Digital Future

    Technology promises to transform healthcare. It’s redefining how we interact with, and act on, our health data, and reshaping how care is delivered and coordinated. But uptake so far has been limited — particularly among the elderly, those with chronic conditions and others who could benefit most from a better, smarter healthcare system. To understand why, we need to look at… Read More

  • Risk And Reward: The Bundled Payment Opportunity For Tech Startups Crunch Network

    Risk And Reward: The Bundled Payment Opportunity For Tech Startups

    A key goal of the Affordable Care Act is to lower healthcare costs by prioritizing the quality of care over the quantity of services provided to patients. To that end, the Obama administration is moving quickly to adopt Alternative Payment Methods (APMs), such as a bundled payment system that fixes the amount Medicare will reimburse medical providers for specific episodes of care. Read More

  • Clover Health, A Data-Driven Health Insurance Startup, Raises $100M

    Clover Health, A Data-Driven Health Insurance Startup, Raises $100M

    Clover Health, an insurance startup based out of San Francisco, is hoping that with its data-driven approach it can rebuild healthcare for senior citizens from the ground up. It wants that by tracking all the inputs of a person’s medical history from insurance claims and determining who the highest-risk patients are. Clover Health then works with those patients to help them become… Read More

  • A New Class Of Worker Could Fix The On-Demand Economy Crunch Network

    A New Class Of Worker Could Fix The On-Demand Economy

    The rise of the on-demand economy has presented difficult questions for both employers and employees. It’s not uncommon to see stories about the series of legal and regulatory challenges Uber is facing. Through all of these legal and moral difficulties, the debate remains the same: Should contractors be considered employees or is the solution to create a third classification of worker? Read More

  • Supreme Court Decision On Obamacare Has Little Relevance To Healthcare Disrupters

    Supreme Court Decision On Obamacare Has Little Relevance To Healthcare Disrupters

    When I’m not writing for TechCrunch, my “day job” is working with healthcare providers the disruptive innovators who are reinventing healthcare and slaying the healthcare cost beast as a byproduct. In some cases, these are entrepreneurs. In most other cases, they are pioneers within existing healthcare providers fighting to make changes within otherwise slow-moving organizations. Read More

  • Pharma’s Huge Threat (and Opportunity): mRx

    Pharma’s Huge Threat (and Opportunity): mRx

    It was only a matter of time before healthcare providers would start prescribing mHealth apps as soon as they proved to be as or more effective than prescription drugs. Happtique, a mobile health application store and app management solution startup will launch a trial of mRx. They claim this is the first program to enable doctors to prescribe mHealth apps to patients. mHealth pioneers are… Read More

  • Mr. Obama, Tear Down This Wall(ed Garden)

    Mr. Obama, Tear Down This Wall(ed Garden)

    Today, I participated in a meeting at the White House described as an “expert roundtable on patient access to health data” hosted by Todd Park (Chief Technology Officer of the United States), Farzad Mostashari (the National Coordinator for Health Information Technology), Leon Rodriguez (Office of Civil Rights) and Peter Levin (CTO Veterans Administration). Being at the White… Read More

  • Strategic Healthcare Investors’ Investment Thesis

    Strategic Healthcare Investors’ Investment Thesis

    This is the second part in a two-part series on strategic investors in healthcare. Healthcare IT departments have focused much of their attention on the $19 billion portion of the stimulus bill that is providing billions of subsidies for the adoption of electronic health records. While this is logical given the available money, it is paying for health IT systems optimized for the “do… Read More

  • Community Hospital Joins Wave Of New Strategic Venture Funds To Drive Disruptive Innovation

    Community Hospital Joins Wave Of New Strategic Venture Funds To Drive Disruptive Innovation

    This first part of a two-part series on strategic investors in healthcare focuses on the expansion of the venture business beyond traditional venture and large strategic investors. In the second part, I will outline the backdrop for the investment thesis that strategic healthcare investors are using to guide their capital allocation. Healthcare providers are finding their “play it… Read More

  • Patients Are More Than A Vessel For Billing Codes

    Patients Are More Than A Vessel For Billing Codes

    It will be virtually impossible to succeed in the new reimbursement model without recognizing what has long been said, but little done about it — “the most important member of the care team is the patient.” Having implemented or reviewed over 100 health IT systems, there is one common purpose at the core of the architecture of these systems — how to get as big a bill out… Read More