Part 3 my medicare.gov
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This is the last of a three-part series describing Medicare’s Initiative to provide access to healthcare data and greater control over managing personal health and wellness. Part 1 recounted the History of Medicare Blue Button from inception in 2009 to release of MyMedicare.gov in 2018. Part 2 explored features and functions of MyMedicare.gov including how to create an “On The Go” Report using Blue Button. And now, Part 3 is a Preview of Things to Come that Medicare beneficiaries would like to see as more than 600 developers seek approval for their new applications.
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Part 3 my medicare.gov
- 1. Part 3: MyMedicare.gov Preview of Things to Come 1
- 2. A Three Part Series This is the last of a three-part series describing Medicare’s Initiative to provide access to healthcare data and greater control over managing personal health and wellness. Part 1 recounted the History of Medicare Blue Button from inception in 2009 to release of MyMedicare.gov in 2018. Part 2 explored features and functions of MyMedicare.gov including how to create an “On The Go” Report using Blue Button. And now, Part 3 is a Preview of Things to Come that Medicare beneficiaries would like to see as more than 600 developers seek approval for their new applications. 2
- 3. Preview of Things to Come CMS did not intend MyMedicare.gov or Blue Button 2.0 to be anything more than what it is today and is encouraging developers to create applications to give beneficiaries greater control. So what does greater control look like? I’ll discuss requirements for greater control that Medicare beneficiary and health care advocates would like to see in Part 3 of this series . These requirements are based on findings using MyMedicare.gov, input from prospective users, and researching available applications. 3
- 4. Basis of Findings Having used MyMedicare.gov for almost 1 year since its release, I’ve exercised every feature and function from creating a personal profile, reviewing claims for accuracy and fraud, inputting vitals and contact information for preferred providers, and making decision during this year’s open enrollment. Call it User Acceptance Testing or UAT. I‘ve gathered requirements from Medicare beneficiaries during live MyMedicare.gov demos and presentations. I also met with seniors one- on-one and at places where seniors congregate like libraries and community centers to gain further insight. And finally, I researched applications in the marketplace by reading reviews, participating in demos and talking to healthcare professionals. 4
- 5. Preview of Things to Come Findings are based on using MyMedicare.gov, input from prospective users, and researching other available applications. I then cataloged and prioritized these findings or user requirements into the following buckets: Calendaring Actionable Data Direct Messaging Alerts Interoperability may be a requirement in the future but little knowledge or interest exists today on the part of the beneficiary. 5
- 6. Calendaring MyMedicare.gov does not have calendaring only a history of Service Dates listed on Claims. Calendaring is one of the most requested features by far. Users want calendars to work exactly like their PC or smartphone so they can see what appointments they have tomorrow, next week and next month. Users want future events in calendar or list views with reminders and events created from provider profiles so contact information can be populated in each event. Some applications display completed appointments on calendars as history but none with planning events. Users want to plan wellness and office visits early in the year, flu shots in the fall, medication refills, and preventive services when eligible. 6
- 7. Actionable Data Commercially available applications upload Claims data directly from MyMedicare.gov using Blue Button then organize so you can view and provide access to others. Few give patients the option to add data like vitals or ability to take action on amounts charged, deductibles or what you may be billed Actionable data should be easily uploaded or manually entered with the ability to trend vitals such as blood pressure, heart rate, weight, BMI, and blood glucose. Users want the ability calculate and analyze their healthcare spending to help make decisions regarding Plans & Coverage. 7
- 8. Direct Messaging The Office of the National Coordinator or ONC defines Direct Messaging as a set of communication and security protocol to facilitate sharing healthcare data. Data may include lab results, clinical notes, vitals, and other Personal Health Information (PHI) shared between providers, facilities such as hospitals, and patients. MyMedicare.gov does not provide the ability to Direct Message with providers. The ability to request and share healthcare data using Direct Messaging is seen as a real benefit to Medicare beneficiaries especially as it relates to greater control over managing their personal health. While Procedure and Diagnosis Codes included with Claims may contain details and descriptions about your visits, most users want to: • send results from visits with specialist or labs to their primary • request lab results for personal use and • send vitals and medication adherence to their primary 8 Example: g.marmo@direct.abclabs.com
- 9. Alerts Alerts are not calendar reminders but “cues” that certain services are due or available. Some application Alerts are associated with Personalized Preventive Services that are available if risk or chronic conditions are indicated. 9 You have been eligible for diabetes screening since 7/15/2017. Please contact Dr. Smith to schedule a visit. Alerts should be created by having access to historical healthcare data like when was the last time you had a flu shot or am I eligible for a screening resulting from a wellness visit. History and eligibility should trigger Alerts to provide greater control over managing your personal health.
- 10. Medical Records & Reports Most users don’t see the utility of physically or electronically storing medical records especially if readily available via Direct Messaging from their provider. But, users want the ability to store some documents like lab results or diagnostic images for easy reference. So having the utility to scan, upload then save certain documents is important. MyMedicare.gov offers users the capability to generate On the Go Reports with options to include information such as Claims, Provider Contact and Plans & Coverage information, and Self Reported Vitals. These reports easy to read and print in a PDF format. More sophisticated users wanted the capacity to download raw data for analysis and trending of spending and vitals. 10
- 11. Access MyMedicare.gov is not mobile so you can’t take it with you. It’s only accessible from a browser or printed On the Go Report. There are some applications that download data to your smartphone but “what you see is what you get” (WYSIWYG). Even fewer are accessible from a browser and I’m aware of only 1 application accessible from both. Users prefer applications accessible on any operating system (e.g.: MS, Apple, Android) from any device (desktop, laptop, tablet or smartphone). 11
- 12. MyMedicare.gov Claims Home Page Personal Profile Plans & Coverage Personal & Family History Direct Messaging & Alerts Actionable Data Calendaring Reports SpendingRisk Score MyMedicare.gov Accessing Your Data Managing Your Health Planning Your Health Preview of Things To Come 12
- 13. Thank You! George Marmo, BSc, MBA GM Consulting, LLC Healthcare Consultant (973) 525-5048 gmarmo48@gmail.com Contact the author for a full text version of this presentation or live demonstration of MyMedicare.gov 13
Editor's Notes
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.
- MyMedicare.gov is a site for patients to view and download their health data so they can share it with healthcare providers, caregivers, and family members. But does it go far enough to give them the tools necessary to proactively manage their health and wellness. Since releasing Blue Button 2.0 in early 2018, Original Medicare beneficiaries can Create an Account then securely log into MyMedicare.gov to see claims data for the past 36 months, review current Plans & Coverage information, and input important information about their health such as current providers, allergies, immunizations and other pertinent medical history.