Health Care Quality – Healthy Skeptic

Apr 30 2022

Having private investors own health care facilities isn't all bad. They may jack prices up mercilessly, but they don't appear to hurt outcomes for care and may even improve them, according to this study in JAMA. Mortality relatingt to hospitalizations for heart attacks was lower following an acquisition of a hospital by private equity, but there were no changes in spending or quality for other conditions studied.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2791727?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamanetworkopen&utm_content=wklyforyou&utm_term=042922

Feb 27 2020

Specialist Referrals During a Hospitalization

By Kevin Roche Commentary No Comments

A new study indicates that some hospitals have much greater use of consultations during an inpatient stay, with little effect on quality measures.

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Jan 03 2020

Hospital Quality and Consolidation

By Kevin Roche Commentary No Comments

Hospital quality of care was more likely to remain the same or decline than improve following involvement in a merger or acquisition.

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Nov 18 2019

Have All Our Quality Programs Accomplished Anything?

By Kevin Roche Commentary No Comments

A viewpoint in the Journal of the American Medical Association addresses the failure of the extensive set of quality improvement initiated by policymakers in the last decade.

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Oct 17 2019

Quality of Home Health Agencies Used by Medicare Advantage Plans

By Kevin Roche Commentary No Comments

A study in JAMA Network Open suggests that Medicare Advantage plans use lower-quality home health agencies.

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Oct 11 2019

GAO Report on Medicare’s Quality Measures

By Kevin Roche Commentary No Comments

The Government Accounting Office critiques the Medicare quality of care program.

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Oct 03 2019

Validity of Patient-Reported Experience Measures

By Kevin Roche Commentary No Comments

A study in Health Services Research explores the utility of patient-reported satisfaction measures.

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Sep 23 2019

Primary Care Physician Practice Patterns and Patient Outcomes

By Kevin Roche Commentary No Comments

A new paper from the National Bureau of Health Economics analyses the effect of primary care physician practice styles on patient outcomes.

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Sep 17 2019

Hospital Star Ratings

By Kevin Roche Commentary No Comments

An article in Health Affairs calls into question the method CMS uses for grouping hospital star ratings.

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Sep 11 2019

Report Cards for Skilled Nursing Facilities

By Kevin Roche Commentary No Comments

A study in the Journal of Health Economics examines whether star ratings for skilled nursing facilities are associated with outcomes.

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Aug 23 2019

How Good is Physician Assessment of Risk?

By Kevin Roche Commentary No Comments

A new study from NBER reveals what we all might fear--doctors aren't necessarily great at assessing health risks.

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Aug 19 2019

Evaluating Hospital Rating Systems

By Kevin Roche Commentary No Comments

A study looks evaluates publicly available hospital quality ratings.

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Jun 26 2019

Report Cards and Skilled Nursing Facility Quality

By Kevin Roche Commentary No Comments

A paper from the National Bureau of Economic Research finds that quality report cards may be helpful in sorting skilled nursing facilities.

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Apr 25 2019

Provider Risk and Quality of Care

By Kevin Roche Commentary No Comments

The Integrated Healthcare Association releases an analysis of California providers who take financial risk and the quality of their care.

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Apr 16 2019

Costs of Hospital Treatment Errors

By Kevin Roche Commentary No Comments

A study in Health Services Research estimates the cost of inpatient hospital errors in care.

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