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Today's Debate: Are online medical record databases good or bad?

By | September 12, 2007, 8:40am PDT

Summary: Beyond the security dangers, what if these exchanges give their sponsors crucial market data they can use to roll-up a state’s medical market? What if insurers start using these exchanges to deny coverage?

MinnesotaMinnesota has become just the latest state to announce it will be putting medical records online for use by doctors and hospitals.

Many of these efforts are glorified pilots. The Minnesota exchange, for instance, is estimated to cost just $4.5 million, and includes just HealthPartners, Blue Cross and Blue Shield of Minnesota, Medica and Allina.

Note that the first-mentioned company here is an HMO, the next two are insurers, and the third is a hospital group.

Given the limited nature of these state efforts, and the lack of EMR standards generally, it’s easy to call these press releases oversold.

But are they dangerous?

Beyond the security dangers, what if these exchanges give their sponsors crucial market data they can use to roll-up a state’s medical market? What if insurers start using these exchanges to deny coverage?

There are not just potential problems if such exchanges don’t work. There are also potential problems if they do.

My own view is we need things like this, just as we need EMR standards, and just as we need some unity within the medical field generally.

But you tell me what I’m missing.

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Disclosure

Dana Blankenhorn

Dana Blankenhorn has been a journalist, writer and part-time futurist for over 30 years. At the present moment I run only a personal blog in addition to my ZDNet open source blog. DanaBlankenhorn.Com has the subtitle The War Against Oil. In the past I have used it to write about political history, e-commerce, personal matters, some ideas related to open source, and The World of Always On, which is the idea of using sensors, motes and RFID to turn WiFi links into platforms for applications which live in the air. My IRA account at Schwab holds a few tech shares, most notably some Intel and Applied Materials, but there are no open source companies in it. I don’t even own any CBS stock.

Biography

Dana Blankenhorn

Dana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994.
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I'm reading so much about soldiers being ripped-off
DanaBlankenhorn 14th Sep 2007
It angers me.
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What you're missing
Yagotta B. Kidding 12th Sep 2007
But you tell me what I?m missing.

What you're missing is that you and I have as much say in the matter as we do about the orbit of Saturn.
When I was still in the Army, my CO called me into his office and wanted to talk to me about an unpaid bill that I had from a hospital visit prior to entering the service. Before I went into the Army I was a firefighter and was an EMT. I had gotten injured and was taken to the hospital. The Fire Co. paid the bill. I called my father to have him check if the bill was paid. The Co. showed him the receipts that showed that the bill was paid. After they talked for a while, the Chief decided to go the Hospital to find out was going on. It turned out that a group of people trying to make money off of indivuals who they knew were in the service and could not get home quickly to take care of this. They were contacting these people's Commanders and demanded that these bills be paid pronto. Most just paid them so their Comanders would not write them up for unpaid bills. This could hold up their promotions or lower their evaluation scores. The people who was running this scam had a contact at the Hospital and they were giving them a cut to do this. Unfortunatly they were only there a short time and quickly moved on. The "help" was left behind to take the fall. If I had not had my father and the Chief to check into this and was able to send me proof, I would have had a bad mark on my record.

Online information is way too sensitive to be hanging out there for someone to exploit. I really don't like this at all. Someone could "doctor" records and cause all kinds of problems.
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It angers me.

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