Two recent publications explore the potential of widespread use of the medical home concept to create better primary care and coordination of overall care for patients, and examine barriers and challenges for adoption.
The Dartmouth Atlas researches whether more primary care necessarily leads to better quality of care. The answer appears to be usually not, but the explanation for this result is complex and it may not be as simple as cause and effect.
CMS is very enamored of quality ratings for providers of all types, including the Medicare Advantage plans, which are rated on a five-star basis. A new brief examines changes to this rating program.
Fall is a lovely time of year and what could be better than relaxing with a Potpourri, featuring health insurance increases, the true costs of EHRs, hospital pay-for-performance programs and quality, the impact of social networks on health behavior, and unenrolled Medicaid-eligible children.
Fears have been expressed that increasing CDHP enrollment puts people at risk for skipping necessary health services. The GAO looked at this population and found healthier people enrolled and they spent less after enrollment than non-CDHP members.
Research shows that allowing nurse anesthetists to do their jobs without physician supervision does not pose additional risk to patients. Regulations and laws which limit this ability should therefore be eliminated.
A new study of the association between process of care measures and health outcomes for certain hospital episodes has encouraging results for pay for reporting and pay for performance programs.
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
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