Latest Commentary

CMS' hands off approach to MU and HIE in Medicaid managed care rule may backfire

Many people have been focused on what the Centers for Medicare & Medicaid Services' new sweeping Medicaid and CHIP managed care rule does. The long-awaited rule, unveiled earlier this week, overhauls and modernizes how Medicare managed care works, bringing much of it into the 21st century.

Data gaps in EHRs must be addressed, not discounted

I'm often cynical about studies that seem flawed, misleading, or not useful. But sometimes a study that seems off the mark or outdated can actually be significant. Last week, a study published...

Are we witnessing the death of public HIEs?

There's been a lot of press about Black Book Rankings' latest study of health information exchanges (HIEs) and how so many providers still are not participating in them. But perhaps a more important and far-reaching finding from this report is that providers and prayers are shifting away from community, public HIEs and moving toward private ones, which Black Book dubs the "replacement revolution."

Does Major League Baseball have gaps in its EHR policies?

Since this is baseball's opening week, I read with particular interest the fact that electronic health records are not only being used to treat Major League Baseball players, but have also become instrumental in helping clubs determine whether a particular trade or free agent would be a good investment. This goes beyond other secondary uses of EHRs in sports, such as population health research. Here, an employer is using the EHR to determine whether a player is healthy enough to be worth a deal. 

Proposed rule giving ONC direct review of certified IT provides opportunity to review agency itself

Most agencies are quick to justify the need of a proposed rule by pointing out the wonderful things it will do, the gaps it will fill, the problems it will resolve. Not the Office of the National...

EHR disparity between Medicaid, Medicare MU docs unacceptable

The unintended creation of disparities caused by the Meaningful Use program has reached a new low.

Beware new whistleblowers challenging your MU attestations

A lawsuit was decided last week that, on its face, may seem unimportant, but likely will have major ripple effects on providers participating in the Meaningful Use program. A patient of Ohio-based...

EHRs at the Olympics: Boon, bane or both?

I am both excited and wary about the news that the health data for the entire 2016 Olympic Games in Rio de Janeiro will be managed electronically.

New data, self-policing raise more questions than answers

I've expressed concern before about research on electronic health records that misses the mark. But often the problem lies not just in the spin given to a study but the questions it engenders....

We're all looking at the same patient safety elephant

There's been little fanfare about this week's survey results from global physician social network SERMO regarding the apparently different views American and European doctors have about...