Inside Angle

From 3M Health Information Systems

Topic: 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.

An update on the Hospital Readmission Reduction program

October 10th, 2018 / By Richard Fuller, MS

At the end of September, CMS posted the latest round of data supporting the Hospital Readmission Reduction Program. This is the first year of compliance with the direction of the […]

The need to validly compare nursing home quality across state lines

August 24th, 2018 / By Richard Fuller, MS

June and July saw a flurry developments highlighting the challenges with the five star nursing home compare ranking system. In June, the Veterans Administration released their star rankings for VA […]

Risk-adjustment should be about cohorts not individuals

June 11th, 2018 / By Richard Fuller, MS

Viewing risk-adjustment as a process of balancing financial risk across defined patient cohorts, rather than the risk posed by an individual, is a position statement rather than an accepted norm. […]

Mortality measures: Back from the dead….

May 16th, 2018 / By Richard Fuller, MS

Within the CMS proposed rule for FY2019 published at the end of April, there is a proposal to consolidate and improve the value-based purchasing (VBP) payment adjustment model. On the […]

Will hospital peer grouping by patient socioeconomic status fix the Medicare HRRP or create new problems?

March 21st, 2018 / By Richard Fuller, MS

In this blog, we return to how socioeconomic status is accounted for when measuring patient outcomes. We have actively participated in the debate on how to identify potentially preventable readmissions […]

Introducing competition and price transparency into the Medicare payment system

November 1st, 2017 / By Richard Averill, MS, Richard Fuller, MS

Would an Amazon-like price shopping experience for individual healthcare services help control healthcare costs? Price transparency is frequently cited as a possible strategy for reducing the cost of healthcare because […]

Can the health insurance exchanges be stabilized? Yes, by giving insurers more options

October 11th, 2017 / By Richard Averill, MS, Richard Fuller, MS

Medicare beneficiaries are constantly bombarded with mail, emails and advertisements from insurers encouraging them to buy a Medicare supplemental insurance policy. It seems odd that there is such an aggressive […]

Article: Paying for Outcomes, Not Performance: Lessons from the Medicare Inpatient Prospective Payment System

With Norbert Goldfield, MD, Richard Averill, MS

This article from Richard Averill, MS and Norbert Goldfield, MD describes the future of payment reform in health care.

What should we be doing with composite measures? (And do we know one when we see one)

September 18th, 2017 / By Richard Fuller, MS

In June the GAO released a report examining the Medicare Hospital Value Based Purchasing (HVBP) payment initiative. This is not their first look at HVBP, with a previous report from […]

Book Review: An American Sickness by Elizabeth Rosenthal, M.D.

June 5th, 2017 / By Norbert Goldfield, MD

“In the past quarter century, the American medical system has stopped focusing on health or even science. Instead it attends more or less single-mindedly to its own profits.” So begins […]

Pay for better risk-adjusted outcomes and let’s cut down on waste

April 19th, 2017 / By Richard Fuller, MS, Norbert Goldfield, MD

While Congress is finding it difficult to reach consensus on how to improve health care in the United States, the one thing we all can agree on is that ever-rising […]

A national quality strategy relentlessly pursuing improvement of eight outcomes: Is now the time?

January 23rd, 2017 / By Norbert Goldfield, MD, Richard Fuller, MS

Everyone, except for the measurement industry, seems to agree that we have too many metrics1 for measuring performance. An increasing number of individuals and organizations are also saying that the […]