How hospitals and physicians get paid is changing as the U.S. healthcare system transitions from volume-based to value-based care. Reimbursement methodologies need to allow for a plan to control costs, […]
In my last blog, I commented on being overcharged by my PBM for a medication that had been removed from their formulary – allegedly because the FDA pulled some old […]
The accountable care organization (ACO) was first proposed in 2006 as a method for reigning in the increasing costs of health care. The Medicare Shared Savings Program (MSSP) was enacted […]
HHS is adapting yet again of one of its most widespread quality initiatives, called Partnership for Patients. Will it be more of the same or a whole new game? HHS […]
Late one night this April, my good friend and work associate finds it so difficult to breathe she wakes her husband to drive her to Emergency. One day she’s on […]
As the U.S. healthcare system tries to manage the 60 percent of persons with at least one chronic disease that consume 90 percent of healthcare costs, it is an opportune […]
People with asthma have many fewer emergency room, urgent care and doctor office visits when their primary care practices link symptom survey results to care guidelines according to a recent […]
The healthcare industry (like every other) has often used catch words and phrases: Patient empowerment, population health, electronic interoperability, pay-for-performance, quality metrics, social factors that affect outcomes, medication compliance, care […]
Gaining or losing? There are mixed messages about the profitability of healthcare delivery organizations. Earlier this year, Modern Healthcare reported that hospitals’ overall operating margins in 2016 increased to an […]
Physician burnout has a negative impact on quality of care, patient safety, operational efficiency and of course on the burned-out individuals. In a new episode of the Inside Angle podcast, Christine Sinsky, MD, vice president of professional satisfaction at the American Medical Association, discusses how we can improve the work of care.
There were nearly 64,000 drug overdose deaths in the United States in 2016. Opioids account for two-thirds of those deaths. The number of overdose deaths involving opioids is five times […]
Dr. Gordon Moore discusses micro and macro measurements in healthcare and the need for overall health system improvement.