Pay-for-performance programs have enough problems demonstrating that they actually work to improve outcomes and now the Government Accounting Office has identified another potential problem for these initiatives–the federal fraud and abuse regulations.
Massachusetts Special Commission on Provider Price Reform has released its momentous report on how to address the surging health care costs in the state, which appear to be largely caused by “excessive” provider prices and price increases. Someday regulators might learn that the more you regulate, the more you regulate.
Another brilliant Potpourri, with scintillating health care gems, including revising the FDA’s 510(k) process, the essential benefits package for health exchanges, the future of Medicare Advantage, the lack of labor productivity in health care, variation in elective procedure rates and the OIG’s work plan.
A Kaiser Family Foundation report surveys state managed care Medicaid programs, finding a surge in utilization of health plans and addition of eligibility categories to the plans. A great variety of features are used in different states, but the trend toward more managed care is clear.
A review article of high quality studies on the VHA’s telemedicine initiatives suggests that those interventions had positive health outcomes and may also lower overall health care utilization and cost.
A positively presidential set of health care data points for your edification in today’s Potpourri, including examining correlations between hospital volume, quality and costs, improving quality program adherence, creating good insurance markets, the physician gender pay gap, the effects of the health reform law, and potential inconsistencies in HHS’ HIT incentive programs.
Off we go into 2011, with more snippets of health developments including the OIG’s 2011 work plan; an international survey of internet usage for health purposes, physicians’ understanding of patients’ belief systems, medical tourism and care management for persons with multiple chronic conditions.
The Department of Defense and the Veterans Administration spend a lot of money on health care and health information technology, sometimes earning kudos. But there are a lot of problems. The GAO puts out a report on DOD’s Electronic Health Record Initiative, which should make the agency blush with shame.