Comments
batye
7/5/2016 11:59:50 AM
User Rank Platinum
Re: Apps
@Ariella sad reality, technology exist to make it better but people and Co.'s wanna pass the buck around... instead of fixing the problem :(
Ariella
7/5/2016 12:10:21 PM
User Rank Author
Re: Apps
@batye exactly, all the technology only improves things if people are willing to get the data right and make the information available to those who can use it. I see no evidence of that in reality. One of the things I've also observed is that the bills for lab work can vary widely even for coverage on the same insurance program, depending on which lab does the work. That is very valuable information for patients who have to do blood tests more than once a year to get the prescriptions renewed. I was paying over $200 for the blood tests when the doctor put it rhough NSLIJ, and that is with the insurances's deduction for its contractual allowance. Another lab charged under $12 for the same tests because the insurance knocks a lot more off with that lab charges with is contract, and a third charged $25 after contractual adjustments. So a patient can literally save hundreds of dollars by being informed about these differences, but the doctor is not at all intersested in taking note and passing on such info.
batye
7/5/2016 12:41:06 PM
User Rank Platinum
Re: Apps
@Ariella it like consumers have no longer any voice or power... it very bad... how I see it... we need to change it :) or hope for a change...
DHagar
7/5/2016 8:24:26 PM
User Rank Platinum
Re: Apps
@Ariella, those are great points. One of the key problems is that the existing data serves the payer, then the providers; it is not designed for the patient/consumer.
What is needed is consumer-directed information that provides meaningful information on choices, transparency on cost, and information to better manage their health.
As Mike points out, we are not fully engaged with the available data and the system needs more consumer focus to truly develop telemedicine and improve the access and quality of health care.
Ariella
7/5/2016 8:28:23 PM
User Rank Author
Re: Apps
<One of the key problems is that the existing data serves the payer, then the providers; it is not designed for the patient/consumer.
What is needed is consumer-directed information that provides meaningful information on choices, transparency on cost, and information to better manage their health.>
@DHagar Exactly so, but I think that would have to be done by a third party that would have to monetize the info through subscriptions or maybe ads. The insurance companies certainly don't want to do it because they benefit from people's confusion. The doctors don't want to do it b/c they feel stretched enough just filling out their required paperwork. So only someone who is really a patient advocate without any leanings for the professionals would be able to pull that off.
DHagar
7/5/2016 8:37:50 PM
User Rank Platinum
Re: Apps
@Ariella, good points. You are correct.
Those in position to represent the consumer's "health" interests are all the new players (including technology - Apple, etc.) that are getting on board with technology, data sharing, apps, data storage for Individual Health Records. They are paid not by providers or payers, but by the value of the consumer and the value-added health services they are delivering. Note: A secondary market is the ability to provide the payers/providers with additional aggregated customer information (ie population health) that can add new insights on risk management.
Stay tuned - the new markets are developing!
mhhf1ve
7/5/2016 10:02:15 PM
User Rank Platinum
Re: Apps
> "it's so frustrating because everyone passes the buck."
Exactly this. Every part of healthcare has become so compartmentalized that one doctor will hand off part of a treatment to another doctor specialist and then to another.. and none of those doctors ever talk among each other to compare notes (esp if they aren't part of the same dr networks). And the bills just pile up and the prescriptions accumulate.. it's a bit crazy. I mean, I understand that no single human being can learn every specialty.. but a *little* more holistic treatment would be nice to see someday.....
Ariella
7/5/2016 10:13:24 PM
User Rank Author
Re: Apps
<and none of those doctors ever talk among each other to compare notes (esp if they aren't part of the same dr networks)>
@mhhf1ve I've encountered that, too. The pediatrician never got updated info. on my daughter's prescription even though the specialist who prescribes it was referred by that practice. Also I could not even get the hospital to send my son's record to a primary care doctor. They claimed they were only allowed to send the records to the patient and charged for it, too (not a huge amount, but still).
mhhf1ve
7/5/2016 10:20:38 PM
User Rank Platinum
Re: Apps
Standardized medical records have been a holy grail for decades now... and I still don't see EHR systems that make sense. Every different kind of doctor has a different system and the file formats are all incompatible and different. Even my kid's dentist couldn't share dental x-rays with another dentist because the image files were proprietary to the X-ray scanner that the 1st dentist used... You'd think image files, like common dental X-rays, would be a standard file format...
mhhf1ve
7/5/2016 10:24:27 PM
User Rank Platinum
Re: Apps
> "Stay tuned - the new markets are developing!"
An interesting site called CrowdMed.com is a fascinating example of how "new markets" might open up the medical health care industry. The site collects medical records and a team of doctors/nurses/citizen scientists/etc... try to crowdsource a second opinion of your health problems.
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