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2 min video of Harold Miller saying hospitals need to be offered a “glide path” to handle revenue reduction anticipated from new payment models

In this 2 minute video, Harold Miller, Executive Director, Center for Healthcare Quality & Payment Reform,talks about the changes that hospitals will face during the

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Dr. Ward October 1, 2011 No Comments
ACO Culture

How do we reduce errors in software and data analysis? Culture of Accountability vs. Culture of Learning

A young colleague recently wrote to me complaining of frustration from having to deal with a high rate of errors in software development and data

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Dr. Ward September 24, 2011 1 Comment
ACO Culture

What can we learn from the managed care backlash of the 1990s? Can we avoid an ACO backlash?

Advocates of “accountable care organizations” (ACOs) are careful to avoid the terminology of “managed care,” which is widely viewed as a failed model from the

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Dr. Ward September 10, 2011 1 Comment
ACO Structure & Governance

Mayo and Cleveland Clinic are becoming franchisers. Maybe they should focus on primary care.

As described in a recent article in American Medical News, the Mayo Clinic and the Cleveland Clinic are both independently offering medium to large groups

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Dr. Ward September 3, 2011 1 Comment
ACO Reimbursement and Gain Sharing

CMS Innovations Center announces new Medicare Bundled Payments Initiative. I predict it will be popular.

On top of the Medicare Shared Savings Program (the original ACO initiative) and the Pioneer ACO Program, CMS is now adding four more optional approaches

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Dr. Ward August 25, 2011 1 Comment
ACO Provider Performance Analysis

Hospitalists have been focused on reducing hospital length of stay, but not so much on smooth transitions to ambulatory care

A new study published in the  Annals of Internal Medicine compared the economic outcomes of hospital episodes managed by hospitalists to those managed by the patients’

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Dr. Ward August 20, 2011 No Comments
ACO Culture

Reports of the death of Cost-Effectiveness Analysis in the U.S. may have been exaggerated: The ongoing case of Mammography

Guidelines for the use of mammograms to screen for breast cancer have been the topic of one of the fiercest and longest-running debates in medicine.

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Dr. Ward August 13, 2011 No Comments
ACO Structure & Governance

Health Care Heroes: Wilmer Rutt, MD – Adapting the R&D Concept to Health Care Provider Organizations

This morning, I read the results from a clinical trial of ovarian cancer screening in JAMA.  The trial showed that ovarian cancer screening was not

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Dr. Ward August 6, 2011 1 Comment
ACO Reimbursement and Gain Sharing

Klar 4: Why is it important for CMS to Share Claims Data with ACOs?

Ron Klar, MD, MPH is a health care consultant with a long history of involvement in federal health care policy and health plan innovation. He

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Dr. Ward July 25, 2011 No Comments
ACO Reimbursement and Gain Sharing

Klar 3: The necessity of re-qualifying the population to avoid regression-toward-the-mean bias in historical comparison groups

Ron Klar, MD, MPH is a health care consultant with a long history of involvement in federal health care policy and health plan innovation. He

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Dr. Ward July 16, 2011 1 Comment
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