1/
Q. Interest in Value-Based Care models: Increased, Not Changed, Decreased?

Survey of HC Executives by @Change_HC
bit.ly/2HaVwGr

PAYERS
Increased significantly/slightly--52%
Not changed--41%
Decreased significantly/slightly--6%
@Change_HC 2/

PROVIDERS
Increased significantly/slightly--47%
Not changed--36%
Decreased significantly/slightly--17%
@Change_HC 3/

Note: huge payer/provider difference in "Interest in VBC Increased SIGNIFICANTLY" response (see the graphic in #1)

Payers--30%
Providers13%
@Change_HC 4/
"Providers’ experience in the pandemic has broken down resistance to alternative payments models. Providers have traditionally been suspicious...seeing fee-for-service as simpler & more favorable to them. After seeing FFS revenues collapse, they are more willing to reconsider"
@Change_HC 5/

Interest in VBC is greatest in the C-Suite

PAYER C-SUITE
VBC interest increased significantly/slightly--49%

PROVIDER C-SUITE
VBC interest increased significantly/slightly--67%

Again, % "significantly interested" is higher among payers. Image
@Change_HC 6/

"On both the payer and provider sides of healthcare, those closest to the income statement and financial projections are the most likely to have discovered new enthusiasm for value-based care.
@Change_HC 7/

"Providers are coping with a decline in revenues, while payers worry that care avoided in the short term could lead to greater healthcare liabilities in the long term."

IMO, very positive developments in moving away from FFS 👍👍

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More from @VinceKuraitis

20 Oct
1/ TELEHEALTH: THE IRRESISTIBLE FORCE MEETS THE IMMOVABLE OBJECT

The IRRESISTIBLE FORCE is patients' rapid uptake & high satisfaction with #telehealth & virtual care.

The IMMOVABLE OBJECT is healthcare incumbents' economic interests that align with the pre COVID-19 old normal.
2/ TELEHEALTH: THE IRRESISTIBLE FORCE MEETS THE IMMOVABLE OBJECT

This thread will be of interest to people who follow a range of hashtags:

#telemedicine
#TelemedNow
#telehealth
#DigitalHealth
#HealthIT
#VirtualCare
#VirtualHealth
#SDOH
#mHealth
#IoT
#ConnectedHealth
3/ PART ONE: Telehealth as the IRRESISTIBLE FORCE:

A. Rapid Uptake
B. High Satisfaction
C. Strong Intentions for Future Use
D. Quality
E. Patient Safety
F. Additional Benefits
G. Glowing Reports
Read 37 tweets
17 Apr
1/

Differing levels of support for contact tracing apps in U.S. vs. UK.

U.S. @pewresearch study:

60% "say that if the govt tracked people’s locations through their cellphone it would not make much of a difference in limiting the spread of the virus"

pewrsr.ch/2KfSvTk
@pewresearch 2/

UK study:

"There is wide support for app-based contact tracing.
"About three-quarters of respondents said they would definitely or probably install
the app."

bit.ly/34KgRhb
@pewresearch 3/

Implications:

Perceived lack of app efficacy in U.S. likely to lead to lower levels of adoption.

Add this to skepticism being expressed by legislators, public health officials, privacy advocates, etc.

Self-fulfilling prophecy?

Steep hill for U.S. adoption.
Read 18 tweets
14 Jan
Way to go Mayo!

"Novel model deidentifies data, employs a federated learning model to retain data control."

Kudos @jhalamka, Cris Ross

cc: @bertcmiller @GYNOBioethicist
@jhalamka @bertcmiller @GYNOBioethicist 2/

A few more thoughts about the Mayo announcement.

Read more in the @HealthLeaders article by Mandy Roth:

"Mayo Clinic Designs Novel Data Privacy Model; Announces Venture to Accelerate Drug Discovery"

bit.ly/370GcnG
@jhalamka @bertcmiller @GYNOBioethicist @HealthLeaders 3/

First...

The Mayo announcement is a BFD among BFDs.

Let me repeat that.

The Mayo announcement is a BFD among BFDs.
Read 33 tweets
14 Dec 18
@ebukstel @EricTopol @facebook @jranck @DanyDeGrave @MandiBPro @eileengadsden @jameyedwards @pfanderson @lisadbudzinski @CancerGeek @dez_blanchfield 1/ My POV on Facebook:

a) FB has betrayed user trust AND now almost all know this

b) Repeated violations:
* Lack of compliance w/ 2011 FTC consent decree bit.ly/2QyuT1u
* lack of controls on apps sharing data
* Cambridge Analytica
* opaque privacy/sharing settings
@ebukstel @EricTopol @facebook @jranck @DanyDeGrave @MandiBPro @eileengadsden @jameyedwards @pfanderson @lisadbudzinski @CancerGeek @dez_blanchfield 2)

* treat data as a FB asset, not a user asset

c) Users still believe they get value from FB (i.e., keep in touch w/ network)

d) Despite "knowing" FB is rotten, most users shrug. Feel powerless to change FB.
@ebukstel @EricTopol @facebook @jranck @DanyDeGrave @MandiBPro @eileengadsden @jameyedwards @pfanderson @lisadbudzinski @CancerGeek @dez_blanchfield 3)

e) FB has VERY strong network effects. "You can leave FB, but you can't take your network with you."

f) So, IMO FB plan mostly will be to continue status quo, w/ a few tweaks. Biz model NOT threatened TODAY.
Read 6 tweets

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