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Archive
Category Archives: Payment Reform
Feds’ National Quality Strategy: Improving the Quality of Quality Improvement
By Scott Harris Suffering from quality campaign fatigue? You can’t be alone. For whatever reason, sweeping, splashy initiatives are common in the quality improvement arena. All have noble intentions, but it can be hard to tell where rhetoric ends and … Continue reading
Posted in Payment Reform, Quality Reporting
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Engaging UCSF Residents in Quality, Safety, and Cost Reduction
By Robert Baron, MD Engaging residents and fellows in quality improvement and patient safety activities has become a goal for all GME programs and a reality for an ever-increasing number. In fact, the 2011 ACGME common program requirements mandate that … Continue reading
Posted in Medical Education, Payment Reform, Quality Reporting
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Avoiding Avoidable Care
By Joanne Conroy, MD I attended a meeting last week in Boston titled “Avoiding Avoidable Care,” organized by the Lown Cardiovascular Research Foundation and the New America Foundation. The meeting focused on proposing solutions to the problem of avoidable care … Continue reading
Posted in Medical Education, Payment Reform
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CMS Needs Consistent Leadership
By Joanne Conroy, MD Gilbert Gaul noted in his March 9 Washington Post editorial that, at health care reform’s key agency, no one stays in charge for long. We’ve noticed! As accepting as we are of the vagaries of the … Continue reading
Posted in Payment Reform
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Can Accountable Care Organizations Save the Commons?
By Michael R. Weitekamp, MD The now-famous essay by Garrett Hardin, The Tragedy of the Commons, first appeared in Science, in 1968. The premise of his article might be familiar to you, but if not, it is worth a quick … Continue reading
Posted in Future of AMCs, Payment Reform
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Pulling It All Together
(Post Seven in a series) By Joanne Conroy, MD Here we are, one week before CMMI/CMS releases the Hospital Referral Cluster data to applicants so we can assess the “opportunities” for savings. We have had our final meeting on the … Continue reading
Are Clinical Faculty Prepared to Manage Costs?
By Joanne Conroy, MD One of my good friends, Sean Stitham, is a primary care physician who has been practicing for more than 30 years; he now works at Group Health. In a guest post for the Seattle Times blog … Continue reading
Posted in Future of AMCs, Payment Reform
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Bundling: Wrapping in Quality
(Post Six in a series) By Joanne Conroy, MD As our bundling group begins the journey through the currently available quality measures across inpatient and post-acute settings, the comments and revelations have been interesting: 1. There is a lot of … Continue reading
It’s All About Risk in Bundling Initiative
(Post Five in a series) By Joanne Conroy, MD One of the concerns that keep our CFOs up at night is how to minimize the financial risk of participation in our CMMI bundling initiative. There is definitely a downside risk … Continue reading
Posted in CMMI Bundling Initiative, Payment Reform
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Understanding the Costs of Health Care
New institute gives researchers unprecedented access to data on the privately insured By Martin Gaynor, Ph.D. Health care costs have long been a “black box” for hospitals, academic medical centers, insurance companies, and related businesses. Although researchers have been asking … Continue reading
Posted in Payment Reform
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