History of Medicare Blue Button
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This is the first of a three-part series describing Medicare’s Initiative to provide access to healthcare data for its beneficiaries thereby giving them greater control over managing their personal health. Part 1 recounts the History of Medicare Blue Button from its early inception in 2009 with the Department of Defense to the release of MyMedicare.gov and Blue Button 2.0 in 2018. Parts 2 and 3 explore features and function of MyMedicare.gov and potential future commercial applications.
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History of Medicare Blue Button
- 1. Part 1: History of Medicare Blue Button
- 2. A Three Part Series This is the first of a three-part series describing Medicare’s Initiative to provide access to healthcare data for its beneficiaries thereby giving them greater control over managing their personal health. Part 1 recounts the History of Medicare Blue Button from its early inception in 2009 with the Department of Defense to the release of MyMedicare.gov and Blue Button 2.0 in 2018. Parts 2 and 3 explore features and function of MyMedicare.gov and potential future commercial applications.
- 3. Early History The federal government’s role in innovation is well documented and unquestionable. While its involvement may have started earlier, many believe it began with the Department of Defense network of think tanks and research labs to help win World War II. But after 1945, most of DoD’s efforts shifted towards peaceful purposes such as the development of the electronic computer, miniaturization of semiconductors, global positioning systems, or what we now know as GPS, and ARPANET which later became the foundation of today’s internet.
- 4. The Merkle Foundation DoD’s Blue Button Initiative The Merkle Foundation A Case for Veterans The Blue Button Trademark Veterans Administration website VA and Health & Human Services Release of MyMedicare.gov and Blue Button 2.0
- 5. Standards & Guidelines Standardize Data Framework and Guidelines Data Exchange with Developers Claims Information Downloadable and Printable Files “Beneficiaries take more control and awareness grew. Users embrace Blue Button and usage increased. Provider acceptance and standardized export approach help contribute to this trend”
- 6. Blue Button 2.0 • CMS launched Blue Button 2.0 in March of 2018 • Blue Button contains 3 years of Part A, B and D data for 53 million beneficiaries • Includes coverage, prescriptions, provider services, and cost • Beneficiaries can use data with other applications • Data can be shared with primary care providers, specialists, care coordinators, and family members
- 7. Growth by the Numbers • VA launched Blue Button on My HealtheVet in August of 2010 • By May of 2012, more than 500,000 vets used Blue Button • In August 2012, just 3 short months later, the VA proudly announced that over one million veterans registered for Blue Button • More than 40 million Medicare beneficiaries had access to their Medicare claims data when CMS launched its version of Blue Button • Today, Medicare enrollment is fast approaching 60 million
- 8. Growth by the Numbers • Blue Button for All is becoming a reality as commercial payers, hospitals and providers pledge participation • Working age adults under the age of 65 and Medicare beneficiaries can have access to health care information making the Merkle Foundation vision a reality • Private and public companies are contributing to growth of Blue Button by launching applications that are accessible from browsers and mobile devices
- 9. Green, Red and Blue • Blue Button is part of a larger “button” initiative aiming to empower consumers with tools and information to make informed decisions • Similar "button" projects include Green Button for personal energy usage and Red Button for personal educational data • Green Button is an initiative allowing energy producers to give energy data to consumers with the click of the button
- 10. Thank You! George Marmo, BSc, MBA GM Consulting, LLC Healthcare Consultant (973) 525-5048 gmarmo48@gmail.com
Editor's Notes
- In January of 2010, The Merkle Foundation, a think tank that aims to promote innovation and diffusion of knowledge, met to discuss DoD’s Blue Button Initiative. Blue Button was a system for patients, in this case veterans, to view and download their personal health records. It enabled them to create a portable medical history and facilitate dialog with their healthcare providers. More importantly, it puts them in the driver’s seat and keeps them engaged in major medical decision making. The DoD provided secure online access to patient health information in 2009. By 2010, the DoD branded the initiative under the "Blue Button" logo and trademark. Over time, DoD added additional health record information and continued to enhance Blue Button. Later that year, DoD announced that veterans could go to the VA website, click a simple “blue button”, then download or print their personal health records. The VA and Health & Human Services (HHS) were offering Blue Button not only to veterans but Medicare beneficiaries. By 2012, the Blue Button trademark was transferred to the Department of Health and Human Services and the rest is history.
- By 2013, HHS issued a framework and guidelines to standardize data formats and enabled data exchange between application developers. Soon thereafter, organizations like Medicare offered health claims information as a downloadable and printable files. Over the next few years, beneficiaries took more control over their personal health information and awareness around the initiative grew. Users began to embrace Blue Button and usage rates steadily increased. Contributing to this trend was acceptance on the part of providers and a standardized approach of exporting health information from Electronic Health Records systems.
- The VA launched Blue Button on its patient portal, My HealtheVet, in August of 2010. By May of 2012, more than 500,000 vets used Blue Button. In August 2012, just 3 short months later, the VA proudly announced that over one million veterans registered for Blue Button. More than 40 million Medicare beneficiaries had access to their Medicare claims data when the Center for Medicare and Medicaid Services (CMS) launched its version of Blue Button. Today, Medicare enrollment is fast approaching 60 million and growing each year as Boomers enter this market. Blue Button for All is quickly becoming a reality as commercial payers like Aetna and United Health, hospitals and providers pledge their participation in this meaningful initiative. That means working age adults under the age of 65 and Medicare beneficiaries alike can have access to their health care information making the Merkle Foundation vision a reality. Private and public companies are contributing to the growth of Blue Button by launching applications that are accessible from internet browsers or mobile devices.
- Blue Button for All is quickly becoming a reality as commercial payers like Aetna and United Health, hospitals and providers pledge their participation in this meaningful initiative. That means working age adults under the age of 65 and Medicare beneficiaries alike can have access to their health care information making the Merkle Foundation vision a reality. Private and public companies are contributing to the growth of Blue Button by launching applications that are accessible from internet browsers or mobile devices.
- Blue Button is part of a larger “button” initiative aiming to empower consumers with tools and information to make informed decisions Similar "button" projects include Green Button for personal energy usage and Red Button for personal educational data Green Button is an initiative allowing energy producers to give energy data to consumers with the click of the button