Health Affairs May 25, 2017
Paul Howard, Yevgeniy Feyman, and Amy Shefrin

From flashy tech start-ups in Silicon Valley to modernized insurers in New York, everyone wants to “disrupt” health care. In practice, this is immensely more challenging than it sounds.

Electronic health records (EHRs), more than a decade ago, were expected to revolutionize how health information is stored and shared. Yet, even today, 36 percent of office-based EHRs don’t permit secure messaging between patients and physicians, and 37 percent do not even allow patients to view their records.

Instead, we see such sharing happening outside the traditional health care system, through Apple HealthKit and HUGO, mechanisms for people to carry their records in their pocket, on their phone.

It represents a somewhat surprising and growing trend—patients won’t wait and are disrupting...

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Topics: CMS, Health System / Hospital, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, Retail care, Self-insured, Telehealth, Urgent care
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