Tag

Providers

2012 Potpourri XXXVIII

By | Commentary | No Comments

In this holiday season, it is a time for giving presents and our latest Potpourri presents you with many gifts of health information, including some positive news about an ACO program, some cautions for the success of ACOs, an apparently successful disease management program, lung cancer screening, earnings growth for physicians and other health professionals and lessons in bundled payments.

Read More

KPMG Report on Health System Change

By | Commentary | No Comments

Another consultant’s report on the American health system, this one from KPMG and focusing on the supposed transformation from a volume-based system to one founded on value. While leaders of health care system participants recognize the likelihood of significant change, they also seem determined not to let their share of health system spending drop.

Read More

New Health Care Spending Breakdown

By | Commentary | No Comments

The Health Care Cost Institute releases a report on spending and utilization in the employer-based health care coverage market for 2011. Spending continues to rise faster than inflation or economic growth and is largely driven by higher prices charged by providers, not by increases in utilization.

Read More

AHRQ on Bundled Payments

By | Commentary | No Comments

Bundled payments are designed to change the incentives for providers so that they manage patient care in a more cost-effective manner, hopefully without negatively affecting quality. A report from the Agency for Healthcare Research and Quality examines the research evidence to date on the effect of bundled payment approaches, finding that spending and utilization are probably lower, with an uncertain effect on quality.

Read More

Variation in Episode Cost in a Commercial Health Plan

By | Commentary | No Comments

Research based on data from UnitedHealth Group’s commercial health plans finds wide variation in episode of care costs across both selected procedures and chronic diseases. The research also showed that for care provided by physicians meeting certain quality and efficiency benchmarks, episode of care costs were generally lower than for care provided by other physicians.

Read More

KPMG on Health Care Transformation

By | Commentary | No Comments

KPMG releases a report on the ongoing transformation of the United States’ health care system, which affects payers, providers and patients. The firm gives its perspective on the forces driving the transformation and on what responses are needed by participants if they are to continue to be successful.

Read More