Quote of the Day Category

Structuring Incentives Within Organizations: The Case of Accountable Care Organizations By Brigham Frandsen, James B. Rebitzer NBER, April 2014 Accountable Care Organizations (ACOs) are new organizations created by the Affordable Care Act to encourage more efficient, integrated care delivery. To promote efficiency, ACOs sign contracts under which they keep a fraction of the savings from […]

Lessons from British Columbia

In: Quote of the Day

Health-care changes seem to be paying off in B.C. By Keith Baldrey Surrey Now, April 8, 2014 Have we finally wrestled that voracious gobbler of tax dollars – the public health-care system – to a standoff, if not to the ground? By that I mean the days of the system automatically devouring increasingly large amounts […]

P4P fails again

In: Quote of the Day

Does Winning a Pay-for-Performance Bonus Improve Subsequent Quality Performance? Evidence from the Hospital Quality Incentive Demonstration By Andrew Ryan, Matthew Sutton and Tim Doran HSR, April 2014 To test whether receiving a financial bonus for quality in the Premier Hospital Quality Incentive Demonstration (HQID) stimulated subsequent quality improvement. Under the HQID, hospitals received a 1 […]

Why We’re in a New Gilded Age By Paul Krugman The New York Review of Books, May 8, 2014 Review of “Capital in the Twenty-First Century” By Thomas Piketty, translated from the French by Arthur Goldhammer Belknap Press/Harvard University Press, 685 pp., $39.95 Thomas Piketty, professor at the Paris School of Economics, isn’t a household […]

New patient? What insurance do you have?

In: Quote of the Day

Primary Care Access for New Patients on the Eve of Health Care Reform By Karin V. Rhodes, MD, MS; Genevieve M. Kenney, PhD; Ari B. Friedman, MS; Brendan Saloner, PhD; Charlotte C. Lawson, BA; David Chearo, MA; Douglas Wissoker, PhD; Daniel Polsky, PhD JAMA Internal Medicine, April 7, 2014 The goal of the current study […]

(Unless you are a masochist, skip down to the comment at the end. The following excerpts from the CMS documents are merely to provide verification for the statements in the comment.) CMS Ensures Higher Value and Quality for Medicare Health and Drug Plans CMS, April 7, 2014 Today, the Centers for Medicare & Medicaid Services […]

CAPITAL in the Twenty-First Century By Thomas Piketty Harvard University Press The overall conclusion of this study is that a market economy based on private property, if left to itself, contains powerful forces of convergence, associated in particular with the diffusion of knowledge and skills; but it also contains powerful forces of divergence, which are […]

Do we want to avoid low-value care?

In: Quote of the Day

Avoiding Low-Value Care Panel: Atul A. Gawande, M.D., M.P.H., Carrie H. Colla, Ph.D., Scott D. Halpern, M.D., Ph.D., M.Bioethics, and Bruce E. Landon, M.D., M.B.A., M.Sc. The New England Journal of Medicine, April 3, 2014 (Excerpts here are not in continuity.) Atul Gawande:  When a service is widely recognized as providing little or no benefit, […]

Who Benefits when the Government Pays More? Pass-Through in the Medicare Advantage Program By Mark Duggan, Amanda Starc, and Boris Vabson National Bureau of Economic Research, March 2014 Our results strongly suggest that increased subsidies for private insurance in the Medicare market result in increased insurer advertising, but little additional monetary or medical benefit for […]

Now the churning begins

In: Quote of the Day

The Ongoing Importance of Enrollment: Churn in Covered California and Medi-Cal By Miranda Dietz, Dave Graham-Squire, and Ken Jacobs UC Berkeley Labor Center, April 2014 Projections for enrollment in the new insurance options created under the Affordable Care Act (ACA) are often point-in-time estimates. But just as people frequently move in and out of being […]

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