Lake Erie Conservative

thoughtful discussion(s) about issue(s)

Posts Tagged ‘Centers for Medicare and Medicaid Services’

… Bravo , Guys [yes , Health Care – related]

Posted by paulfromwloh on Wednesday,November 20th,2013

.. don’t worry , folks , this time , this one is a good story about health insurance reform .

.. these three guys (young 20-somethings) took it upon themselves to create something working . Well , guess what ? They did it ! They created a really simple website , entitled ” TheHealthSherpa.com  . ” It holds up to a old rule , ie K.I.S.S. , keep it simple , stupid .

.. Incredibly , for over three years , the government managed to blow thru over $600 million . They have created the technology – equivalent of a clusterf**k . And these guys did this . It is far simpler , and is very easy to use .

.. You can scan over the offerings , very quickly , very easily . You can change the entry items , if you need to , and the site will not regurgitate or crash .

.. Though the government engaged outside companies for various aspects of the project, it chose to put bureaucrats within the Centers for Medicare and Medicaid Services in charge of overall project management, “despite the fact that CMS has no experience managing large IT projects.” Compounding the likelihood that the train wreck which has occurred would occur, project managers appear to have mostly fiddled for over 2-1/2 years to ensure that most controversial matters would be kept from the public until after the 2012 elections.

The bureaucratic control freaks convinced the obviously incompetent project managers that the government simply had to have a mountain of information about each potential applicant before they could even be allowed to shop for plans. Then things went from merely disgraceful to utterly inexcusable. We now know that Sebelius’s crew opened HealthCare.gov despite being warned [10] just four days before its launch that it would be “a ‘high’ security risk” for users “because of a lack of testing.”

No private firm would launch under these circumstances — and if any did, law enforcement would be frog-marching company executives to jail within days.

LEC again .. I am including a [link] to the site [h/t — pjmedia.com] , and to a fellow ohio blogger , Tom Blumer . He blogs at w^3.bizzyblog.com , and has a column at pjmedia (the one I linked to above) ..

.. how come ? — the CBS news site that I was trying to call up was a little unconventional . So , it is easier to call up Tom ‘ s pjmedia.com column , and launch the news piece from there .

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… Now What is the ObamaCrap Administration Thinking ?!?! …

Posted by paulfromwloh on Saturday,September 14th,2013

.. this bunch of ObamaCraps has been like a bunch of Keystone Kops , in that these days these seem to not be able to do anything right . It cannot get any worse , can it ?

.. Actually , believe it or not , yes , it can . It seems that the Department of Health and InHuman Services is seeking to ask for vast sums of information be gathered , and then be placed in the electronic form of our medical record . One might think , there is a great deal in there , already . No , not this stuff , evidently .

.. Ideally , one would think that the conversion to Electronic Health Records [E.H.R.s] would be voluntary , and market – based . Well , so far , it has not . People evidently want to make the investment in the technology , though , they just want to agree on a standard that everybody can live with .

..This is where the ObamaCraps have snuck their way in , and gotten their nose under the tent . Expecting that what would become ObamaCrapCare would eventually pass , these schucks put provisions into the Stimulus Bill . Supposedly , the conversion is still “voluntary,” but the government is now forcing the action . Providers will have their reimbursements docked 1 percent (or more) a year for those who do not comply . That is bad enough . Now , these idiots want to grab even more personal information from and through their health care providers , whether we like it or not .

… from the Washington Free Beacon

Government Seeking Inclusion of ‘Social and Behavioral’ Data in Health Records

Experts worry about security, use of such information

Kathleen Sebelius / AP

Kathleen Sebelius / AP

BY: Follow @GoliadGal September 13, 2013 3:30 pm

 

The Centers for Medicare and Medicaid Services (CMS) wants to require health care providers to include “social and behavioral” data in Electronic Health Records (EHR) and to link patient’s records to public health departments, it was announced last week.

Health care experts say the proposal raises additional privacy concerns over Americans’ personal health information, on top of worries that the Obamacare “data hub” could lead to abuse by bureaucrats and identify theft.

The CMS currently covers 100 million people through Medicare, Medicaid, and the Children’s Hospital Insurance Program and is tasked with running Obamacare.

According to a solicitation posted by the Department of Health and Human Services on Sept. 4, the CMS is commissioning the National Academy of Sciences to study how best to add social and behavioral factors to electronic health record reporting.

The agency said adding social and behavioral data to patients’ online records will improve health care.

“Increasing EHR adoption has the potential to improve health and health care quality,” the contract’s statement of work (SOW) reads. “Parallel advances in analytic tools applied to such records are fueling new approaches to discovering determinants of population health.”

The project sets out to identify “core data standards for behavioral and social determinants of health to be included in EHRs.”

Critics suggested this would create new bureaucracies and negatively impact health care.

“This sounds like an example of the federal government further intruding on the practice of medicine,” said Chris Jacobs, a senior policy analyst at the Heritage Foundation.

“It’s including more pay for performance requirements on physicians to collect all sorts of data in order to get government reimbursements,” he said.

The 2009 American Recovery and Reinvestment Act gave authority to the CMS to pay hospitals and doctors that make the switch to electronic health records, to “encourage widespread EHR adoption.”

Health care professionals who began participating in the program in 2011 or 2012 can receive up to $44,000 for using EHRs for Medicare and $63,750 for Medicaid over 5 and 6 years, respectively.

Though the program is “totally voluntary,” eligible professionals who are not using EHRs by 2015 will see a 1 percent reduction in their Medicare and Medicaid fees each year.

Jacobs says the government’s “pay for conformance” culture in health care is “telling doctors what they have to do and how they have to do it in order to receive government reimbursement.”

The “meaningful use” program already requires doctors and hospitals to report the demographics of a patient and if he smokes to qualify for its first step. The second stage, planned for 2014, will require recording a patient’s family health history.

The National Academy of Sciences will make recommendations for adding social and behavioral data for stage three, which will be unveiled in 2016.

A spokesman for the CMS told the Washington Free Beacon that the agency is in the early stages of crafting the requirements for this stage.

“While we know that they are considering [clinical quality measures], it would allow a greater variety of specialties and procedures to be included,” said Tony Salters, a spokesman for CMS. “This includes items like behavioral health, dental care, drug, and alcohol use, etc.”

The CMS issued a “sole source” contract to the National Academy of Sciences because of “its caliber and expertise in the medical profession,” they said.

A spokeswoman for the National Academy of Sciences told the Free Beacon that the study began on July 15.

Working with the Institute of Medicine, a committee is currently drafting suggestions for collecting social and behavioral data.

The committee will “identify core social and behavioral domains to be included in all EHRs,” the organization said.

Not only will the committee come up with what behavioral data will be collected, they will also suggest how that data can be shared with public health departments.

The contract orders the committee to identify, “Possibilities for linking EHRs to public health departments, social service agencies, or other relevant non-health care organizations and case studies, if possible, of where this has been done and how issues of privacy have been addressed.”

The committee will also look at the “obstacles” to collecting social data for EHRs, and “how these obstacles can be overcome.”

Jacobs said the study is troubling in light of security issues with the Obamacare “data hub,” which will collect Social Security numbers and personal information to verify participation in the health insurance marketplace, beginning on Oct. 1.

“We’ve already seen with the Obamacare data hub and the significant delays that have been associated with it,” he said. “Government auditors have raised concerns about maintaining timelines and implementation and whether the data hub can be implemented in a secure manner that ensures Americans’ medical and financial records aren’t at risk.”

Others have warned that the database is vulnerable to abuse by the numerous government agencies involved, including the IRS, the Department of Homeland Security, state Medicaid databases, and the Social Security Administration.

The potential for social and behavioral data to be shared with government agencies is only more worrisome, Jacobs said.

“This study raises additional questions about the privacy and security implications of the federal government sharing personal health data with other organizations and entities,” he said.

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