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Medicare News

Seniors Better Brush Up on Computers; Medicare to Let Some Maintain Their Own Health Records

First seniors to try will be in CMS pilot program in Arizona, Utah

Aug. 12, 2008 – Senior citizens better get onboard the move to accessing information electronically. They may soon have electronic access to all their Medicare records and be asked to play a more active role in their own health care management. The first seniors to get a shot will be those in Arizona and Utah, where the Centers for Medicare & Medicaid Services will run a pilot program.

 

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CMS last Friday announced the project to test options for beneficiaries with Original Medicare to maintain their health records electronically.  Under this pilot in Arizona and Utah, a beneficiary may choose one of the selected commercial personal health record (PHR) tools, and Medicare will transfer up to two years of the individual’s claims data into the individual’s PHR.

Medicare’s administrative contractor, Noridian Administrative Services (NAS), released a solicitation to potential PHR vendors last week. The program is scheduled to begin in January 2009 and is expected to offer Medicare beneficiaries in the two states a choice of several PHR options.

“This exciting pilot will be a major step forward for Medicare.  We believe that it will provide information and tools that will empower consumers to manage their health,” said HHS Secretary Mike Leavitt. 

“Importantly, we intend for the pilot to provide beneficiaries with a choice of products that will make it possible for beneficiaries to meet their individual needs.”

CMS explains that PHRs are tools that can help consumers manage their health and health care services.  A PHR is a record of health information that is under the control of the consumer or patient. 

Sometimes it only contains data entered by the individual or his or her provider, but it can also include information from a health plan – as is the case in this pilot, where Medicare provides health information from its claims data base. 

A PHR is different than an electronic health record (EHR), which is owned by and under the control of the physician.

Beneficiaries who select one of the participating PHR vendors can also add other personal health information if they choose, says CMS. 

Depending on the specific product, they may be able to authorize links to other personal electronic information such as pharmacy data. 

PHRs can offer links to tools that help consumers manage their health such as wellness programs for tracking diet and exercise, medical devices, health education information, and applications to detect potential medication interactions.

Beneficiaries can elect to allow family members to have access to their PHR.  They can also provide access to the PHR to their health care providers.

“At Medicare, we strive to find innovative ways to better serve our beneficiaries,” said CMS Acting Administrator Kerry Weems . 

“This pilot is designed to evaluate how well PHRs meet the needs of our beneficiaries and whether PHRs can improve health outcomes and lower costs.”

The PHR vendors will have until September 8, 2008 to submit their applications to participate in this pilot with CMS.  If PHR vendors want more information about this pilot, they can visit http://www.NoridianMedicare.com/phr/ or they can send an email to solicitation@medicarephr.org.

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