Evaluation Methods include methods for measuring and comparing the relevant outputs of one or more care processes or care providers to identify best practices, support equitable allocation of incentive resources, or support future decisions about network affiliation or referrals. These methods are borrowed and adapted from other fields, including epidemiology, biostatistics, econometrics and other social and physical sciences.
The 5th Annual Predictive Modeling Summit is described by conference organizers as the “leading forum on predictive analytics applied to key health care functions, settings and populations.” Dr. Ward will be giving a presentation entitled “Using Intervention Models and Predictive Models to Optimize Patient Selection for Care Management in ACOs” at 1pm on November 9,
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 published a recent series of three posts regarding the draft rules for the Medicare Shared Savings Program (MSSP) in the Health Affairs Blog, an influential forum for debating health policy
Imagine that you are a new homeowner, shopping for insurance for your new house. You live in an area prone to earthquakes, and you are not a big risk-taker. You decide that you should have earthquake insurance. You are on the web researching earthquake insurance policies. You come across the web site of Acme Insurance,
Identifying and Understanding Analysis Tricks: Regression Toward the Mean Read More »
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 published a recent series of three posts (post 1, post 2, and post 3) regarding the draft rules of the Medicare Shared Savings Program (MSSP) in the Health Affairs Blog, an
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 recently did an analysis of the draft rules for the Medicare Shared Savings Program (MSSP), the Medicare program that establishes accountable care organizations (ACOs). Dr. Klar published his critique as
Klar 1: Key points of agreement about changes needed for Medicare Shared Savings Program Read More »
This morning, I read a set of slides published by the American Hospital Association (AHA) and the Health Research and Education Trust (HRET) called “Striving for Top Box: Hospitals Increasing Quality and Efficiency.” The report showcased the clinical integration and performance improvement efforts of three hospital-based health systems: Novant (North Carolina), Piedmont (Georgia) and Banner (Arizona).
— This morning, I read a blog post from someone in the “business intelligence” industry complaining that, after years of innovation, “BI” is not really having the envisioned effects. The author wondered whether it was because BI, like most other business applications, are not “fun.” The author suggested that BI applications should consider borrowing
We don’t need more data. We need better story-telling. Read More »
— Yesterday afternoon, I had the opportunity to have my first mentoring conversation with Wanyu Liu, a talented young undergraduate at the University of Washington. Wanyu is studying statistics, economics, and applied computational mathematical sciences. She is thinking about becoming an actuary. I always learn the most when I am trying to teach others. Teaching forces one
What’s the problem? Accountable Care Organizations (ACOs) involve the creation of new entities that are intended to improve quality and efficiency of care. But, experts in economics and anti-trust law worry that ACOs can have the unintended effect of reducing competition among health care providers, creating local monopolies that can drive up prices. In a
ACOs must steer clear of anti-trust issues Read More »
As shown in the following graphic recently published by the Healthcare Intelligence Network, it has become common practice to use “case load” as a metric for the productivity of nurses in case management programs or as a measure of the intensity of a case management intervention. More broadly, case load has been used for these
Why “case load” is not a good metric for case management productivity or intensity Read More »
