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David Harlow
The Hub of the Universe, Boston, MA
Health care lawyer, consultant & blogger
Recent Activity
Get Social Health: David Harlow Podcast Interview with Janet Kennedy
Posted Apr 13, 2015 at HealthBlawg
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Meaningful Use Stage 3: The Buzz About APIs
Posted Mar 23, 2015 at HealthBlawg
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HIPAA Audits: The Latest Oracular Prognostications
Posted Mar 18, 2015 at HealthBlawg
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Lessons from the Anthem breach
Posted Feb 6, 2015 at HealthBlawg
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ONC, Interoperability, and the 2/6/2015 #HITsm Tweetchat
Posted Feb 3, 2015 at HealthBlawg
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Privacy and Security and the Internet of Things
Posted Jan 30, 2015 at HealthBlawg
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Better, Smarter, Healthier: Medicare and Value Based Purchasing
Posted Jan 29, 2015 at HealthBlawg
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2015 Health IT Predictions and Reflections
Posted Jan 6, 2015 at HealthBlawg
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Comment from the mailbag:
This is exactly why this trend is likely to go the way the MCOs did 20-30 years ago. It’s a problem of diminishing returns – eventually, as you point out, ya can’t get more without affecting quality of care.
Do I think there will be no changes in the business of medicine? Of course not. There will be quality analytics – some of which will be relevant to actual patient care, much of which won’t.
So the big question is, will these steps really bend the cost curve? Temporarily, maybe. But over the long haul, patients/employees/consumers of health insurance will make demands, and doctors, who are smarter than average but may not be aware of nuances in payment initially, will learn to exploit the system.
It’s already obvious in the ACO environment – those ACOs that maximized their coding were successful, and those who did not, failed or were marginal and quit.
We (all of us: medical, insurers, patients, policymakers) have to get our heads out of the clouds and remember the dirty, basic facts about human nature: we are self-centered, self-interested beings. If you want different behavior, get real and incentivize the behavior you want. It won’t be cheap, but it’s more likely to be effective.
Sue Ann
Sue Ann Jantz, administrator
Attorney-at-law
Cottonwood Pediatrics
Farzad Mostashari on the Proposed ACO Regulation: The future of the Medicare Shared Savings Program examined in an interview with David Harlow
The Accountable Care Organization regulations were first promulgated under authority of the ACA's Medicare Shared Savings Program in 2011. Three years later, the regs are in the shop for a tune-up. Farzad Mostashari MD was one of the authors of the Brookings Institution ACO issue brief released...
Farzad Mostashari on the Proposed ACO Regulation: The future of the Medicare Shared Savings Program examined in an interview with David Harlow
Posted Dec 15, 2014 at HealthBlawg
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Disruptive Innovation or "Woo"?
Posted Dec 11, 2014 at HealthBlawg
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Down, Down, Down: Avoidable Errors, Uninsurance, Cost Inflation
Posted Dec 3, 2014 at HealthBlawg
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Health Wonk Review: The Turkey Edition
Posted Nov 20, 2014 at HealthBlawg
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HIPAA: Liability to Private Parties for Violations
Posted Nov 14, 2014 at HealthBlawg
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Telemedicine: CY 2015 MPFS reportage and dangers of the echo chamber
Posted Nov 13, 2014 at HealthBlawg
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Apple HealthKit - Epic Integration at Ochsner Health System - David Harlow Interviews Dr. Richard Milani
Posted Oct 14, 2014 at HealthBlawg
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Innovation, Primary Care Style
Posted Oct 9, 2014 at HealthBlawg
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mHealth Fitness Trackers Have a Long Way to Go
Posted Oct 2, 2014 at HealthBlawg
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HealthCamp Boston, November 3, 2014 - Register Now For The Health Innovation Unconference
Posted Oct 1, 2014 at HealthBlawg
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#ThinkFurther – The Future of Medicine
This post is part of the ‘Think Further’ series, sponsored by Fred Alger Management, Inc. Follow the link for more #ThinkFurther content. It is human nature to think about the future, and to predict great advances. Fifty years from now... Continue reading
Posted Sep 25, 2014 at HealthBlawg
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Waiting for HIPAA Clarity? Who Has Time?
Posted Sep 17, 2014 at HealthBlawg
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HIMSS Privacy and Security Forum: Managing Social Media While Protecting Privacy and Security
I spoke at this week's HIMSS Privacy and Security Forum in Boston on the privacy and security issues surrounding the use of social media by health care organization workforce members. My slides and a few tweets are here for your... Continue reading
Posted Sep 10, 2014 at HealthBlawg
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OCR Audits: The Skinny
Linda Sanches, Senior Advisor, Health Information Privacy, at OCR, DHHS, spoke with Tom Sullivan (@GovHITeditor) at the HIMSS Media #HITprivacy and security conference in Boston today (September 9, 2014) about OCR HIPAA compliance audits. See the Storify after the jump.... Continue reading
Posted Sep 9, 2014 at HealthBlawg
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Health Care Conferences This Fall
Posted Aug 27, 2014 at HealthBlawg
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Massive data breach. Time for sports analogies?
Posted Aug 22, 2014 at HealthBlawg
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