WorkIT Nashville • Hi Ed, thanks for sharing. How do you think tech could be used to change the healthcare landscape in Tennessee?

I’m open to your thoughts here because I could be way off base; I’m a teachable sort…

The Medical Banking Project (now part of HIMSS) studied this question for quite awhile. I blogged a series of topics awhile back ( ; ; ) and the HIMSS World Bank Task Force did a recent whitepaper (January 2013 – The Healthcare Payments Hub: A New Paradigm for Funds and Data Transfers in Healthcare – ). John Casillas could add a lot but the things that stand out to me are: 1) Insurers have to be willing to reimburse for eHealth, telehealth, video consults, etc. As CMS and other fedgov depts have taken steps in this direction private insurers will follow. 2) Paper needs to be taken out of the administrative process (standards for matching 835 and 837s, etc.); last stat I heard was about 94% of paper claims had to be followed up with a phone call (not sure how current that stat is). 3) In TN, for historical legal reasons, nearly all state funds have gone to folks with an intellectual disability leaving very few resources for those who have a developmental disability. Gov Haslam and the legislature have turned that around lately but a lot more needs to be done unless we want it to remain an “open secret” that if you acquire a disability, we’ll do our dead level best to dump you on the other side of any state line. My wife Deana can get anyone more details — see 4) The recent TN Broadband Summit spotlighted the reality the folks who can benefit most from technology (I’m thinking health over IP here) tend to be in those places where incumbent broadband providers can least afford to build out. The FCC e-rate program could theoretically help but right now it isn’t structured optimally. We’ll have to see what happens after Genachowski and McDowell are replaced. 5) The possibilities for economic development along these are stifled by tax structure (in just abut every state) because unless a project (which might hire many knowledge workers, in this case, healthcare related) actually causes someone to build or buy real estate (the way we capture revenue of the type that shows up in local econ dev employees metrics — and hence the way they keep their job, earn a bonus) it doesn’t count as “real revenue”. So you can have a situation like the Gig City where everyone could be using a software like BOINC or CPUsage for distributed computing on a superfast grid to build Glenn Ricart’s (US-Ignite) neighborhood supercomputer for medical research to cure cancer (say sponsored St. Judes) but under the current tax scheme that’s not a “real business”. Does any of this make sense to anyone else? 6) Obviously, I haven’t even touched mPayments coupled with mHealth. I realize I hop around here a bit from topic to topic — but maybe it will get a discussion a bit further down the path.

UPDATE: Just saw this – After FDA’s mobile medical apps final guidance, what’s next? –