Monday, July 17, 2006

RHIO BUSINESS MODELS

CALRHIO has appointed a new CEO. http://calrhio.org/news/docs/holmquest_release.pdf

Jeff Rose, CEO of Health Alliant discussed a study done for CALRHIO and others which points out the Return of Investment is most significant for eligiblity/authorization and reimbursement
cycles. Other areas actually showed very low ROIs. Although the areas of PBM, Quality Assurance and CPOE evidence increases in efficiency the economic gain was dismal. In another study Mr Rose points out the involvement of government in certain states such as NY, Mass and others is a function of cost per capita. Suprisingly, when heatlh care costs are broken down California lies somewhere in the lower to mid portion of health care costs. This came as a total surprise as I compared health insurance premiums as an indicator of health care costs. NOT TRUE!
Statistics are a "funny" things.

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