The pMD Blog
POSTS BY TAG | Value-based care


Image: New York Times/Craig Frazier

Here's The Latest in Health Care:


•  Vitamin D deficiency is likely being over tested and over treated, according to a recent study in Maine. Vitamin D popularity began back in 2000 when medical journals began publishing studies of illnesses believed to be linked to vitamin D deficiency. As a consequence, healthy people who believe they have a deficiency are taking dangerous levels of supplemental doses.  Read More

•  A study published in JAMA this week found that value-based programs yield lower hospital readmission rates and significant cost savings. Researchers examined 2,837 U.S. hospitals between 2008 and 2015 and found that participation in 1 or more of Medicare’s value-based programs, including Meaningful Use, Accountable Care Organization, and the Bundled Payment for Care Initiative, was associated with greater reductions in 30-day readmission rates.  Read More

•  It’s now easier for physicians to get licensed in multiple states thanks to the new Interstate Medical Licensure compact, which launched last week. Qualified physicians can apply for licensing in 18 participating states. This agreement will ease the administrative burden for physicians who practice medicine in multiple states, including locum tenens doctors, doctors in metropolitan areas that include more than one state, and doctors who provide telemedicine services.  Read More

•  New analysis by the Pennsylvania Patient Safety Authority shows a rising number of medication errors that were attributed in some part to electronic health records and other technologies used to monitor and record patients’ treatment. Researches attributed the errors to system problems and/or user mistakes.  Read More

Each Friday, Signor Goat reports the latest from the week in health care. Check back next Friday for your dose of our little medical corner of health care news. Brought to you by pMD, innovators in charge capture software.
As a software engineer at pMD, I get to straddle the cutting edges of two very different industries: health care and technology. I’m familiar with how quickly the technology world moves -- developers jumping on a new front-end technology every other day, “sprinting” through “agile” hoops at the speed of light. But I’ve been surprised to learn how thoroughly the health care environment is also evolving. I’ve learned that over the next few years, physicians will be facing fundamental changes in the way they see and treat patients. It has been one of the most interesting parts of my job to not only learn about these changes, but to help providers transition to the health care environment as it transforms around them.

With value-based health care on the horizon, providers will need to bring the patient into the center of their care. For the more than 100 million Americans with chronic illnesses, for example, the occasional face-to-face encounter with a provider might not be enough. Obviously, for those types of patients, providers must think beyond the 30 minute annual checkup; with constant management of medication, treatment, and services. In today’s day and age, providers often have difficulty bridging communication gaps, leading to inconsistent data, increased expenses, and poorer outcomes for their chronically ill patients.

We are trying to solve that problem at pMD, and to help providers proactively coordinate their patients’ care. Every new feature we are working on supports providers as they take on this new paradigm shift. One of the simplest ways we help providers is by showing them how they can get reimbursed for adapting to this new, patient-centric health care model. For example, since 2015, Medicare has reimbursed providers who offer at least 20 minutes a month of non-face-to-face medical care to patients with two or more chronic diagnoses, through CPT code 99490. For our providers -- who have been using pMD's charge capture tool to record services outside of face-to-face encounters like medication reconciliation review and care coordination, and may soon start to use pMD for patient education -- this could prove to be a fruitful change that helps them transition to tomorrow’s health care system.