Top News

Patient advocate Susannah Fox (Pew Research Center) is named CTO of HHS. She replaces Bryan Sivak, who stepped down last month.

Reader Comments

From Publius: “Re: DoD EHR bid. Consulting firms are already contacting Epic consultants in regards to the IBM/Epic DHMSM bid. The communication is that the decision is anticipated to be made August 1, 2015, and consulting firms want to have a list of consultant resources ready to present as soon as the decision is made.” Unverified, but logical. The DoD project could be the equivalent of HITECH in spurring consultant demand, at least for those chosen to work on the project.

From Frank Poggio: “Re: Mr. H’s observation that patients aren’t Meaningful Users. That’s an idea for a new CMS program since it looks like ONC is struggling to find its next life! Everyone says that patient participation is a key to controlling healthcare costs, so ONC should develop a book of Meaningful Use criteria that is tied to a patient’s insurance premiums. If they don’t hit all criteria each year, their premiums double (or triple?), but if they hit them all, their premiums are cut in half. Since ONC would have to deal with some 100 million participants, they should easily be able to justify massive department budget increases.” I like it. When it comes to health, the customer definitely isn’t always right.


From Freddie Paris: “Re: New York Times article on interoperability. Wonder if Dan Haley would respond to a truth challenge to come up with any references to his assertion?” Athenahealth VP of Government and Regulatory Affairs Dan Haley was quoted in “Tech Rivalries Impede Digital Medical Record Sharing” as saying that IT vendors have business models that impede data sharing, a typical arrangement that he says costs customers $1 million to connect to another system, $500,000 per year to maintain the connection, and $2 each to send records to another system. Dan sent me this response to my inquiry, which still doesn’t provide the details the reader seeks:

The information I shared with Mr. Pear came from conversations with our clients and prospects who’ve told us firsthand and on countless occasions over the years about the exorbitant costs imposed by market-dominant vendors for out-of-platform information sharing. These costs are imposed in a number of ways: via one-time interface fees that can total more than a million of dollars for even a medium-sized health system; via annual interface maintenance charges that extend and compound that initial cost; and via per-transaction fees of the kind that one …read more