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.

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

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

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 […]

Five-Star Hospital Compare: a one-star endeavor

December 19th, 2016 / By Richard Fuller, MS, Norbert Goldfield, MD

In this month’s blog we return to a recurring theme—the issues related to risk adjustment and performance measurement. More specifically, we think it is important to take a closer look […]

Tackling health care’s ever-decreasing competition

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

In a recent perspective piece in JAMA Forum, Dr. Ashish Jha of the Harvard School of Public Health argues that increased provider consolidation is threatening the financial viability of the […]

Reconciling different visions of our healthcare system

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

The conservative columnist Charles Krauthammer opined in a recent Washington Post editorial: “The Democrats will eventually push to junk Obamacare for a full-fledged, government-run, single-payer system. Republicans will seek to […]

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 […]