Paul I hope I get to meet you and kick this around in the evening at Branson. I personally think we are right on the eve of massive change for health care in America.
Leslie, you are right to mistrust the insurance industry, but you maybe short sighted if you choose paper to hide from them. The paper is not thick enough to protect you. I am gambling that full transparency is possible, as we build a database we can track our own outcomes and use that data to prove we are doing a superior job. And a superior job should net a superior outcome, and a superior outcome should net a superior PROFIT and I want my share! We are in a 5 year contract, and have put the IPA on notice that we will negotiate a higher rate if we are able to demonstrate the profit. Since the IPA expects to pay us only a percent of the profit, (they get to keep the balance, since they have the risk)they are on board with the project. But the whole concept of a "Medical Home" model of practice and an "Outcome Oriented Medical Record" is impossible to achieve without an EMR, in my opinion.
