ACO Stack
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- To resolve conflicts, re-frame polar positions as optimization between undesirable extremes. But, sometimes there is no way to win.
- CBO: Bundled payments for bypass surgery saved 10%, but pay-for-performance and gain-sharing was not effective in 3 Medicare demonstrations
- Coconut oil as an Alzheimer’s treatment? Please don’t short-circuit science.
- Slides for Dr. Ward’s presentation at 3rd Annual Predictive Modeling Congress for Health Plans, Orlando, Florida, January 31, 2012
- Congressional Budget Office: Care management programs only work if care managers have face to face contact with patients and substantial interaction with physicians
- I agree with the protesters that the proposed SOPA/PIPA anti-piracy legislation is more bad than good
- CMS Announces 32 Pioneer ACOs, including 3 in Michigan
- The Humunculus is a metaphor for Clinical Process Improvement Frameworks
- Health Care Heroes: Don Berwick, MD – Adapting industrial quality improvement principles to the improvement of health care processes
- AHRQ guidance: Forget about proving Medical Home effectiveness with small pilot studies attempting to measure all-patient cost savings
- Telling a 46 year health care cost growth story in one graph
- Primary care physicians acknowledge over-utilization and blame it on the lawyers.
- So, is there any good use of O/E analysis? Yes. It’s called Benchmark Opportunity Analysis.
- HHS Releases Final ACO Rule
- Observed over expected (O/E) analysis is commonly misapplied to performance comparisons. Please don’t.
- 2 min video of Harold Miller saying hospitals need to be offered a “glide path” to handle revenue reduction anticipated from new payment models
- How do we reduce errors in software and data analysis? Culture of Accountability vs. Culture of Learning
- The debate about what to maximize when selecting candidates for care management programs: Accuracy? ROI? Net Savings? Or Cost-Effectiveness?
- What can we learn from the managed care backlash of the 1990s? Can we avoid an ACO backlash?
- Mayo and Cleveland Clinic are becoming franchisers. Maybe they should focus on primary care.
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