ePrescribing will lead to more use of the Web for health

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An effort to push doctors to switch from hand-writing prescriptions to using new digital technology is gaining momentum in Congress, with top Republican and Democratic lawmakers planning to include similar provisions in their versions of a key Medicare bill. If this in fact becomes policy it will lead to the Web as the primary channel to reach physicians and patients with product and health information.


Efforts to push e-prescribing have been backed by a broad lobbying coalition, which has argued that the technology improves patient safety and will save money -- including federal dollars. A similar e-prescribing bill won endorsements from groups including AARP and several big insurers and employers. "If you fix this problem for Medicare, you fix it for America," said Mark Merritt, chief executive of the Pharmaceutical Care Management Association, a group of pharmacy benefit managers that has advocated e-prescribing. "Now is the time it will happen, we believe."

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This is the key message to patients for ePrescribing



An estimated 35,000, or fewer than 10%, of U.S. doctors have switched to e-prescribing, in which a prescription they fill out on a computer is sent electronically to their patient's pharmacy. The programs also can flag dangerous combinations of drugs.


ePrescribing is a great way to reduce costs as well as provide patients with a wealth of information. The next version of Windows in fact is going to have a touch screen interface which will make ePrescribing extremely easy. A physician recommends a prescription to a patient and as the doctor enters the information the patients insurer informs the doctor that there is a generic equivalent available at a lower cost to the patient. When the patient goes to pick up the prescription a custom printed label comes with the product informing the patient that he, or she, needs to take this medication at night to ensure it does not interact with other medications he or she is taking. After 2 weeks the patient receives an eMail from his or her doctor informing him that it’s time to renew the prescription along with a link to health information about the health condition and product.


Now do you see why Google and MSN are so interested positioning for online health records? When baby boomers make way for
Generation X and Y, who live in cyberspace, the Web will be the ONLY channel to reach these people with health choices. How long do you think it will be before Google or MSN approach the drug chains about integrating their platforms?


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The supporters of ePrescribing is pretty impresive


What does this mean for pharma? Well there is good news and bad news. The good news is that pharma can customize messages at each step in the healthcare transaction model. The bad news is that people, and physicians, may listen to and trust insurers messages more than pharma’s.

Physicians who adopt
e-prescribing technology would have their Medicare payments increased 2% in 2009 and 2010, then a bit less over the next three years. Those who don't use e-prescribing would see their payments cut by 1% in 2011, ramping up to 2% for 2013 and beyond. Both bills allow for some exceptions but you can bet that if there is a way to both cut costs and increase revenues physicians are going to adapt it quickly.

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