We believe that transformative change in our healthcare system will never come from within. Government, payers, and providers certainly must each play a role, but all have shown an inability to adapt and yield to the uncomfortable truth that our system is broken and headed for disaster. Traditional industries such as entertainment, travel and media have each been disrupted by the simple act of putting better information in the hands of the consumer; the effect is magical. myHealth.io is patients driving healthcare decisions using actual data. We are talking about pure transparency, in pricing, in capabilities, in quality - across the entire healthcare spectrum. We will reveal the best and the worst and let the consumer decide.
No this is not just another physician review site, this is myHealth.io which places you in control of your healthcare decisions.
One of the most significant healthcare decisions a patient faces is surgery. This decision raises serious anxiety and questions. Which physician should I choose, how much will it cost, and will my insurance cover it? Of the total cost how much will I be responsible for? Where should I have my surgery performed? And the crazy thing is this data has not been readily available - until now.
CMS has graciously released all of the Fee For Service (Part B) data for 2012. This data set includes many surgical procedures, and also for the first time identifies the performing physician. By using the CMS Physician Compare data set, we are able to link physicians to their affiliated hospitals, which then allows us to leverage all the great quantitative and qualitative metrics available through CMS Hospital Compare and other sources. We plan on bringing in patient data via Blue Button, provider data via partnerships with hospitals, and private insurance data via state specific All Payer Claims databases or alliances with private payers.
Big data is hard. Researching a surgical procedure using big data to answer all of those questions is harder. myHealth.io is designed to make it simple and personalized for everyone. The entry point is to select a body part for a surgical procedure. The user is shown national and state level data for Number of Patients, Procedures, and Cost with or without Insurance. And that's when the magic begins.
Using data visualizations, maps and lists, the user can quickly identify Surgeons and Facilities (available because we have linked each Physician to a Hospital) ranked across the following metrics: Volume, Price, and Quality. Visually using a bubble charts and maps, it is easy to identify outliers and make decisions. Volume speaks to a Surgeon's or Facility's expertise in your surgery. Quite simply how many do they perform each year. The more they do, the better they do it and the more likely it is that they have dealt with every type of complication. It is true of any discipline.
Price speaks to your ability to pay. Most insurance plans come with copays or worse coinsurance of up to 20% for outpatient surgeries and the trend is towards higher deductibles, so cost of service matters.
Quality speaks to, well, the quality of your care and experience. This includes data released by CMS on the Facility (hopefully physicians will be next), and the distance you need to travel. We eventually plan to pull in patient EHR data to show actual outcomes data at a physician level (infection rates, readmission rates, time between next surgical visit, etc.).
myHealth.io will launch with the single focus on selecting a Surgeon and Facility for the purposes of the Health Data Consortium Code-a-Palooza, but we have greater plans in mind. We envision myHealth.io to be the transparency site for all healthcare decisions - including insurance, drugs, diagnostics and other procedures. Imagine a user uploading their health data using the Blue Button standard. Imagine then the same user comparing themselves to other patients with similar demographics and medical conditions - and seeing variances in medications, diagnoses and procedures. And even better receiving an alert that by switching insurance plans he or she could save $400 a year based on last year's medical activity--Magical!
It is all possible when patients are in charge of his or her own data, with access to tools like myHealth.io to make it easy. The future of healthcare will be driven by the patient, and we are going to be right there with them.
© 2015 myHealth.io Patient Driven Healthcare. A free service provided by karmadata Codes and Descriptors of the medical procedures are from the Current Procedural Terminology (CPT®) Consumer Friendly Descriptor code set and/or short descriptors code set, copyright 2013 American Medical Association. All rights reserved.