Population Health

The analytics software used by the staff at St. Joseph Healthcare in Bangor, Maine, sits on top of the statewide health information exchange, allowing providers to access real-time data from all hospitals connected to the HIE.

Marking a "new chapter as a company," Nokia Technologies announced Tuesday that it plans to acquire French connected health device maker Withings for $191 million. Withings' smartphone-connected scales, blood pressure cuffs, activity trackers and, recently, thermometers can enable remote patient monitoring and population health management programs. Nokia has been searching for a new focus area since it sold its mobile phone business to Microsoft. In March, Nokia Technology President Ramzi Haidamus suggested that future could lie with healthcare.  "We’re also looking at another area where we have not launched any products – digital health," he told Fortune last month. "Digital health is something that comes very natural to Nokia... A lot of research is happening right now in the field of digital health." With the Withings announcement, Haidamus has continued to speak of digital health as a major new direction for Nokia. "We’re now starting a new chapter as a company, this one focused on connecting you to better health through technology," he wrote in a statement. "We aim to help you lead a happier, healthier life through the kind of beautifully designed products that you expect from Nokia," he added. "To help us do this as fast as possible, we will be welcoming Withings into the Nokia family. A leader in digital health products and apps designed to improve everyday well-being and long term health, Withings will combine perfectly with Nokia’s heritage of mobility and connectivity." Withings CEO Cedric Hutchings also shared his thoughts in a blog post. "We started Withings in 2008 to explore the possibilities provided by the Internet of Things,” he wrote. "Today we can proudly say we are leading the connected health revolution, inventing smart, beautiful things to give people the knowledge they need to live happier, healthier lives. When we were approached by Nokia, it was inspiring to discover how perfectly aligned our visions are. Together, we believe we can truly transform the world." Hutchings also assured Withings users that the acquisition won’t lead to any change in the experience of using Withings products or apps.  "We’ve been impressed with the plans the Nokia team has shared with us both for Preventive Health and Patient Care," he wrote. "As soon as we close the deal, we can start working together to determine our way forward as one team with a broad but focused portfolio of incredible products and innovations." A version of this story was originally posted by Healthcare IT News' sister site, MobiHealthNews.

By and large, population health measurement efforts are poorly developed and uncoordinated – and without effective measurement success will remain elusive, says Georgetown's Michael A. Stoto.

Geisinger Health System has enlisted 100,000 people for its genomic study and did so more quickly than expected. Attracting so many volunteers over two years has prompted program executives to raise the bar to 250,000 or more participants.

CloudMedx, a big data health analytics company, has acquired Gyrus Labs to extend its CloudMedx Analytics Platform, which is designed to help improve patient care through data insights.

In the first major overhaul of Medicaid managed care requirements in more than a decade, the Centers for Medicare and Medicaid Services published new rules on April 25 that affect how Medicaid works for the nearly two-thirds of beneficiaries who get their coverage through private managed care plans. It aligns key rules and practices with those of marketplace and Medicare Advantage, including the addition of reporting medical loss ratio to Medicaid to ensure managed care plans focus on delivering care, not profits, CMS said. The rule finalizes a medical loss ratio at 85 percent. Insurers must spend at least 85 percent of their Medicaid revenue on medical care to improve quality. The remaining 15 percent may be spent for administrative reasons such as salaries and marketing, CMS said. Health plans that don't meet the goal will face future penalties in having their state rates lowered. On the health information technology front, the rules encourage – but don't require – commitment to the principles of health information exchange "Health information technology and the electronic exchange of health information are important tools for achieving the care coordination objectives proposed," according to the final rule. HHS "supports the principle that all individuals, their families, their healthcare and social service providers, and payers should have consistent and timely access to health information in a standardized format that can be securely exchanged among the patient, providers, and others involved in the individual’s care," it states.   "Further, the Department is committed to accelerating health information exchange through the use of health IT across the broader care continuum and across payers. Health IT that facilitates the secure, efficient and effective sharing and use of health-related information when and where it is needed is an important contributor to improving health outcomes, improving health care quality and lowering health care costs." Specifically, the rule points to ONC's Nationwide Interoperability Roadmap and 2016 Interoperability Standards Advisory as containing the "best available standards and implementation specifications to enable priority HIE functions." Providers, payers, and vendors are encouraged to take them into account "as they implement interoperable HIE across the continuum of care, including care settings such as behavioral health, long-term and post-acute care, and community service providers." CMS also sets the conditions for broader applications of telehealth, specifically as a way to bolster network adequacy standards. "Several commenters recommended that CMS add elements (to the rule) to include triage lines or screening systems, as well as the use of telemedicine, e-visits, and/or other evolving and innovative technological solutions," officials write. "We agree with commenters that such services and technological solutions could impact the needs of enrollees in a particular area and could change the manner and extent to which other network providers are needed and utilized. We encourage states to consider how current and future technological solutions could impact their network adequacy standards." An estimated 72 million Americans currently rely on Medicaid as their source of health insurance coverage, 14 million more than in 2013, CMS said. This is largely due to the Affordable Care Act's coverage expansion. The improvements modernize the way managed care health plans operate so that Medicaid and CHIP continue to provide cost-effective, high quality care to consumers, according to Monday's announcement by Andy Slavitt, CMS acting administrator and Vikki Wachino, CMS deputy administrator and director for the Center for Medicaid and CHIP Services. The rule strengthens states' efforts to support delivery system reform and authorizes the first-ever Medicaid and CHIP quality rating system so that states can publicly report plan quality information, and people can use that information to select plans, CMS said. The rule also addresses quality of care standards, as well as focusing on improved communications, such as electronic notices to beneficiaries and creating online provider directories. "States are making gains in using population based payments, episodes of care and quality-based payments," write Slavitt and Wachino in a blog post. "In addition, states operate 30 health home programs that focus on coordinating care for people with chronic conditions like obesity, diabetes and mental health conditions. Over the last several years, sates have undertaken significant efforts through State Innovation Models, integrated care models, and delivery system reform incentive programs to create alignment with physicians and hospitals to provide the highest quality of care. And we have proven that when we and states dedicate ourselves to changing the delivery of care, we get results." Read the final rule here.

Here’s the rub: $50 billion might be hyperbole, but $5 billion is still a sizable enough market to drive innovations that health systems can harness to engage patients, better manage populations and ultimately improve care and the bottom line.    

Dana Alexander, RN, kicks off the Opening Keynote session at HIMSS16 with poignant remarks about the state of the healthcare industry and how advancements in health IT have driven fundamental change - but there is still work to be done.

Intermountain Healthcare and the Stanford Genome Technology Center will work together on research aimed at developing advances in precision health.

Centra Health announced on Thursday that it will deploy Cerner Millennium on both the clinical and business sides, including revenue cycle and patient health management. Centra will also implement HealtheIntent, Cerner’s population health management platform. In addition, Cerner will support Centra’s growing health plan, which covers more than 45,000 individuals. With five hospitals and 50 ambulatory and long-term facilities, the Centra is one of the largest healthcare systems in central Virginia.   [Also: How satisfied are you with your EHR? Satisfaction Survey results] “As one of the leading care providers in our area of the country, it is essential that Centra continues to influence the health of not only our patients, but also our community as a whole,” CEO E.W. Tibbs Jr., said in a statement. Financial terms of the deal were not revealed. Twitter: @Bernie_HITN Email the writer: bernie.monegain@himssmedia.com Like Healthcare IT News on Facebook and LinkedIn