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Aco, pcmh and all healthcare needs simplification

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  • 1. ACO, PCMH and All Healthcare Needs Simplification by Jim BloedauJim Bloedau of Information Advantage GroupApril 25, 2013: What can we expect when introducing digital technology topatients. Rhonda Daniel, Sr. Manager of Market Research at CEA, summarizestheir just released research on how consumers are using their smartphones andother digital devices. Two things stand out:• That people rapidly get rid of their single use devices if they canaggregate the same functionality on to their smartphones.• That their initial usage tracks what their pre-purchase expectation were.If you have already been part of the connected life style for a while and have developed comfort with thedigital functionality you use daily being made mobile and on one device, then nothing new here. Now addan integrated glucometer, if youre diabetic, or blue tooth enabled scale, if youre obese or managingcongestive heart failure, or a GPS tracking app to see how far you walk as you try to get healthier after ahip replacement or long hospitalization. What we are doing is adding not only great functionality butelevated complexity to an already complex path to engaging in our health - it this any way to treat acustomer? Accessing an analogue healthcare system, like a doctors appointment, and then laying newand not so easy to use technology on top of it isnt simplifying healthcare for those who use it the most.My call here is that we need to simplify the analogue side as we add complexity to the digital side.The early results from the Direct Primary Care (DPC) model where patients pay a low monthly fee directlyto a doctor and by pass the added complexity of payer involvement is suggesting this may be the rightpath to be explored. Lower utilization and higher satisfaction with equal or better outcomes for both thedoctor and patient is whats in the literature. The Kaiser model also streamlines healthcare because itreduces the dual agenda independent payer/provider model to one agenda...and it works too.