Inside Angle

From 3M Health Information Systems

Clinical and Economic Research

What does it take to ensure fair and accurate healthcare payment? 3M clinical researchers and policy analysts weigh in on outcomes-based incentives and payment redesign.

Risk adjustment – the soft underbelly of healthcare system reform

September 21st, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS

Last month, an article appeared in Modern Healthcare lauding the achievement of New York’s Bellevue Hospital in reducing readmissions to their facility. The article raised a number of issues relating […]

An essential next step for healthcare reform: Ensuring the future of safety net institutions

August 17th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In the past few weeks, the Journal of the American Medical Association (JAMA) published an article and the National Academies of Sciences, Engineering and Medicine (the Academies) released a report […]

Innovative payment models for complex populations

July 20th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In developing our classification tools we are continually called upon to make judgement calls on the relative clinical complexity of individuals and the interaction between comorbid chronic conditions on quality […]

Moving from “old thinking” comparisons of claims-based vs. chart-based methods for quality improvement

June 20th, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS

A recent article in the journal Medical Care examines the validity of AHRQ Patient Safety Indicators (PSIs) and CMS Hospital-acquired Conditions (HACs) given the growing reliance of these measures for […]

Article: Is the CMS HACRP a valid measure of hospital performance?

With Richard Fuller, MS, Richard Averill, MS, Norbert Goldfield, MD

Why CMS needs to get the hospital-acquired complication policy right

May 18th, 2016 / By Norbert Goldfield, MD, Richard Fuller, MS

In our March blog, we highlighted some of the challenges with the CMS Hospital Readmission Reduction Program (HRRP). In that blog, we alluded to similar design flaws that are present […]

Leveling the playing field through site-neutral payment

April 18th, 2016 / By Richard Averill, MS, Richard Fuller, MS

Our recent article, “Implementing a Site-Neutral PPS,” published in the HFMA journal, highlights the potential for a reform currently making its way through the legislative process. The proposed legislation—referred to […]

Increasingly disproportionate penalties in the Medicare Hospital Readmission Reduction Program (HRRP)

March 18th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

We have discussed payment adjustment for readmission measures in previous blogs. In those blogs, we focused upon risk-adjustment, preventability and the need to account for socioeconomic status (SES) when necessary […]

Predictive models and population health – A clinical point of view (part two)

February 19th, 2016 / By Norbert Goldfield, MD

Predicting the behavior of human beings is hard – it is hard enough to figure out how to predict the behavior of our loved ones, let alone patients with whom […]

Predictive models and population health risk: Payment (part one)

January 25th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In this blog we take a look at risk-adjustment models used in population health. There are two related but distinct uses for population risk models – payment and population health […]

Measuring the quality of life component in patient-centric care

December 21st, 2015 / By Norbert Goldfield, MD, Richard Fuller, MS

Health status can be defined succinctly as, “the range of manifestation of disease in a given patient including symptoms, functional limitation, and quality of life, in which quality of life […]

Article: Implementing a Site-Neutral Medicare Prospective Payment System

With Richard Averill, MS, Richard Fuller, MS

3M authors Richard Averill and Richard Fuller discuss the impact if Medicare were to implement site-neutral payment. Published in Healthcare Financial Management, the journal of HFMA.