Search Results for RAND

Babylon Health’s ‘GP at hand’ not at hand for NHS England–yet. When will technology be? Is Carillion’s collapse a spanner in the works?

...of the NHS. Trusts are addressing it, junior doctors are WhatsApping, and generally, clinicians are hot-wiring the system in order to get anything done. It is much like the US about five to seven years ago where US HHS had huge HIPAA concerns about mobile, texting, and emails until ways were found to secure them–usually. (For US readers, the analogy of ‘Life on Mars’ to the NHS = TV show about a modern-day policeman transported back to 1973–the year your Editor first visited the UK.) Mr. Lilley cites ten organizations in a RAND Europe list driving NHS innovation at a... Continue Reading

A basket of reflections, considerations on CVS-Aetna: Epic, Cerner, the model, and hospitals’ role

...RAND logic around telemedicine consult expense we deflated in a series of articles back in the spring. Information sharing with regular providers is a bigger issue which urgent cares, telemedicine, and clinics already are dealing with. The paradox is that integration with a payer, with a retailer’s ability to track ancillary purchases such as OTC meds and DME purchases, might actually help that issue. But will it? Will a combined CVS-Aetna share information or hoard it, further disempowering patients? This Stat article calls on Mark Bertolini to promote shared information, engagement, and accountability to balance the scales. Do we really... Continue Reading

Telehealth roundups: Cuyahoga County (OH), BMJ systematic review, AAFP Forum

...leave, and does not calculate productivity gains, e.g. less sick time. The ESC goal is 80 percent utilization. This last would boggle the Big Minds over at the RAND Corporation which criticized the 88 percent rise in utilization when CalPERS members used Teladoc. TTA 8 Mar, 25 Mar The provider of telehealth services is First Stop Health. Healthcare IT News. BMJ reviewed 44 studies (of over 2,100 studies surveyed in the last five years) to identify factors around telehealth effectiveness and efficiency. “The factors listed most often were improved outcomes (20%), preferred modality (10%), ease of use (9%), low cost... Continue Reading

Weekend Big Read: will telemedicine do to retail healthcare what Amazon did to retail?

...regulate health outcomes, not search results or video downloads (except when it comes to net neutrality). It’s hard to find an industry so regulated other than financial/banking and utilities. FierceHealthcare also found the premise intriguing, noting the VA’s ‘Anywhere’ programs [TTA 9 Aug] and citing two studies indicating 96 percent of large employers plan to make telemedicine, also with behavioral health services, available, and that 20 percent of employers are seeing over 8 percent employee utilization. (Under 10 percent utilization gave RAND the vapors earlier this year with both this Editor and Mr. Judson stinging RAND’s findings with separate analyses.)... Continue Reading

ATA 2017 dispatch: Devices and doom

[grow_thumb image=”http://telecareaware.com/wp-content/uploads/2015/09/Drowning-in-paper.jpg” thumb_width=”150″ /]Bruce Judson , our guest ATA 2017/Telehealth 2.0 reporter, is a bestselling author of books on business and technology issues in the evolving digital era. This is the third and final article this week he’s written from the ATA floor. Mr. Judson writes frequently for The Huffington Post . More on about him may be found in our review of his critique of the RAND telehealth study [25 Mar]. This Editor agrees with his POV that drowning doctors in more and more data, whether previously accessible or not, isn’t a way forward to a successful business model.... Continue Reading

ATA2017 dispatch: Catalyzing telehealth innovation in hospitals

Bruce Judson, our guest ATA 2017/Telehealth 2.0 reporter, is a bestselling author of books on business and technology issues in the evolving digital era. This is the second article this week from the ATA floor. Mr. Judson writes frequently for The Huffington Post. More on about him may be found in our review of his critique of the RAND telehealth study [25 Mar]. His discussion with ATA’s Jonathan Linkous on business models for telehealth is here. Orlando, April 25. At the ATA show, I stopped at Mercy’s booth, and spoke with Keela Davis, who is Mercy’s Executive Director, Innovation and... Continue Reading

ATA 2017 dispatch: The future is about business models and the consumer

Bruce Judson, our guest ATA 2017/Telehealth 2.0 reporter, is a bestselling author of books on business and technology issues in the evolving digital era. This is the first of several articles this week. Mr. Judson writes frequently for The Huffington Post. More on about him may be found in our review of his critique of the RAND telehealth study [25 Mar]. Orlando, April 24. Yesterday, the annual convention of the American Telemedicine Association (ATA) moved into full swing. At noon, Jonathan Linkous, ATA’s CEO, took a few minutes to talk with me. During our wide-ranging discussion, three notable themes emerged:... Continue Reading

A analysis–and challenging takedown–of the RAND telehealth cost study (updated)

A must read on telemedicine and telehealth cost. One of our Readers, Bruce Judson, commented on our earlier coverage of RAND Health’s new study published in Health Affairs [TTA 8 Mar] finding that telemedicine virtual visits (here called telehealth) drove up utilization of care by 88 percent and cost by $45 per year for respiratory illnesses that typically resolved on their own. He has written his own analysis based on the full study. Telehealth Costs: RAND’s Questionable Rant (Huffington Post), considers the full study and compares it to a 2014 RAND study by the same authors. Mr Judson notes inconsistencies... Continue Reading

Is telemedicine attractive to hypochondriacs?

...RAND study (which is questionable in and of itself-TTA 8 Mar), another rationale for limiting patient-to-doctor telemedicine. Carolyn Thomas Your last paragraph is bang on, Donna. That word 'hypochondria' is so loaded (and let's not forget, many women have had bona fide heart attacks dismissed as simply anxiety or stress - and that mistake can have deadly outcomes). PS A "bulging neck disc that radiates down the nerves of the arm" sounds awful!! :-( Donna Cusano Spinal problems can manifest in nerve pathways in ways that are similar to the diffuse symptoms of heart attack. It can be confusing to... Continue Reading

Telemedicine may drive up medical utilization, increase cost for respiratory illness: RAND Health

Bruce Judson This new RAND study suffers from many disturbing issues associated with its basic methodology and underlying assumptions. My detailed critique of the study appears in The Huffington Post”, as Telehealth Costs: RAND’s Questionable Rant. Donna Cusano For our Readers: highly recommended. Plan to sit down with a cup, maybe two, of coffee or tea for this one. I'd recommend this analysis to anyone seriously interested in telemedicine cost. Mr Judson had accessed this full study and compared it to other research, including RAND's in 2014. I could detect some of the faults but not to the extent he... Continue Reading