Another excellent paper from the Congressional Budget Office is issued, this one on Medicare's demonstration projects on value-based payments to providers. Once again, the demonstrations had very mixed results, with…
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When money starts getting attached to calculations, the nitty-gritty of how the data for the calculations is collected and how the calculation is defined become very important. An article in…
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The Agency for Healthcare Research and Quality examines the supposed mechanisms by which public reporting of provider performance on quality measures will improve outcomes and details the evidence which supports…
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The holiday season is in full swing, as is the time for bad weather, but nothing can deter the delivery of our Potpourri of health stories, including this week the…
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Health care is now full of all kinds of performance measures, and the results are increasingly used for payment-related purposes, raising their potential impact significantly. A new Rand report sponsored…
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No Potpourri next week due to the holiday, so enjoy this festive collection of health care nuggets, including pay-for-performance in large physician groups, employer views on the effect of the…
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The cold is approaching so curl up on the sofa and enjoy the warmth of our Potpourri, this week featuring results from a pay-for-performance program, the effect of the health…
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The world's aflame with reporting on provider quality and cost performance. Making sure the information is complete, accurate and credible is no simple task, as a recent Agency for Healthcare…
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The leaves fall but not the quality of our Potpourri, this week covering beneficiaries' use of Medicare Star ratings, quality of care guidelines and older patients, compassionate care, asthma care…
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Another wonderful collection of health care research summaries, including a GAO report on likely effects of the MLR rule, physician work intensity, reducing hospital-acquired infections, discharge followup and hospital readmissions,…
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A new Cochrane Review finds very minimal evidence to suggest that efforts aimed at improving quality of care by creating financial rewards or penalties for primary care physicians are having…
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A paper from the National Bureau of Economic Research examines the effect of a physician pay-for-performance program in Canada. The study found very limited effects of the incentives in spurring…
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Fireworks galore for the Fourth of July Potpourri, including dynamite excerpts on the effects of parent caregiving on caregivers' financial status; health insurance exchanges; physician compensation; provider performance data gathering…
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Provider performance reporting is spreading rapidly and increasingly has payment consequences attached to it. New research published in JAMA gives further reason to be cautious in designing and implementing these…
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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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