The recent nominations of science-disrespecting people to lead HHS and CMS should be a wake-up call. Growing up, I naively believed that antipathy to science
In the November 1, 2024 issue of JAMA, Ciara Duggan and others from Harvard and Brigham published a paper evaluating the utilization of “low value
A JAMA study reports that PCPs are contractually held accountable for 57 unique quality metrics and asserts that is “oversaturation.” I have disagreed with the premise that we need fewer measures. On the contrary, I believe that we actually need a lot more measures to finally convince health care provider organizations to stop trying to “study for the test” and to actually learn the subject and improve the core processes that drive health care quality.
The seemingly straightforward “grocery store” approach to calculating savings from health plans’ site of care shifting initiatives fails to account for fixed costs, a type of “squeeze the balloon” fallacy that leads to wildly exaggerated savings.
There are many good people at the CMS Innovation Center (CMMI). They mean well. They are our friends. But friends need to call out friends
For many years, I’ve been following and writing blog posts about one of my heroes, Don Berwick, a physician leader, Obama-era CMS Administrator and one
In an excellent article in New York Times Magazine, Jeneen Interlandi reported on her interviews with leaders of CDC’s new $200M Center for Forecasting and
This month, disappointing evaluation results call for re-thinking of our approach to improving specialty care. Nancy Keating and 12 of her colleagues from multiple medical
The Epic Sepsis Model (ESM) is a widely used proprietary predictive model that was described as having poor performance in a validation paper by Wong et al, citing low area under the ROC curve (AUC). But the evaluation failed to specify the intended protocol in which the ESM was intended to be used, and failed to include estimates of the outcomes of that protocol compared to usual care.
The Biden administration’s CMS Innovation Center 5-year vision conspicuously lacks mention of what I consider to be necessary course corrections to reverse a disappointing first decade.