Research reported in the New England Journal of Medicine suggests that a hospital pay-for-performance program in part of England may have led to reduced mortality for three conditions, with pneumonia…
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In yet another piece evaluating the effectiveness to-date of pay-for-performance programs, Health Affairs carries a review of research on the topic, finding that results are mixed. Some seem to have…
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More research, this time from the Journal of the American Medical Association, to suggest that another quality improvement technique, this time public reporting of outcomes, does not achieve the intended…
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Research reported in the New England Journal of Medicine reveals that the Centers for Medicare and Medicaid Services program of not paying for certain hospital acquired infections is not working,…
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Are financial incentives for providers a good thing? A review in the British Medical Journal examines when financial incentives can be helpful in improving care and when they might actually…
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This edition of our data-packed Potpourri focuses on hospital readmissions, use of computer physician order entry systems, what employers will do after 2014 when all of the health law kicks…
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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…
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Our latest Potpourri features the comparative cost of cancer care in the US and elsewhere, the effect of genomics on spending, international practice guidelines, state Medicaid waivers, unintended consequences from…
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In an era of multiple programs measuring outcomes and costs by provider and by disease or condition, the importance of consistent coding in the data used to do the measurement…
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Makes sense that paying for better delivery of quality care would improve outcomes, but the research so far doesn't support that notion. The latest evidence is a study in the…
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Its March and spring nears; our Potpourri blooms with nuggets of health care information, including comparative regulation of medical devices in the US and Europe, do physicians always truthful with…
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Patient satisfaction surveys and scores are a large component in most pay-for-reporting, pay-for-performance and value-based purchasing programs, on the theory that patient satisfaction is linked to quality. A new study…
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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 khroche@healthy-skeptic.com.
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