February 11, 2020 |  1
I am feeling discouraged. Actually, I am pretty frustrated. I truly believed that if we could “choose wisely” and cut out the nearly $1 trillion of waste in health care that we would make a real dent in costs in health care. Not only that, I even thought that decreasing these total costs of care […]
January 17, 2020 |  0
I recently read a story in WaPo recounting a farming family in NY, north of PA, who have hit hard times (they have five children). The trade war, among other factors, has chilled the price of cheese and milk and for many small to midsize dairies, the cost of doing business exceeds what’s coming in. […]
October 15, 2019 |  1
This from NEJM: “However, it is unclear whether current rating systems are meeting stakeholders’ needs. Such rating systems frequently publish conflicting ratings: Hospitals rated highly on one publicly reported hospital quality system are often rated poorly on another. This provides conflicting information for patients seeking care and for hospitals attempting to use the data to identify real […]
August 1, 2019 |  1
My bugaboo on the nutrition front has been and will always be, sugar-sweetened beverages (SSB), aka, liquid candy (or death).  The causes for widespread use are many: sugar subsidies, marketing, social mores  (think soda in baby bottles or at nightly meals within certain groups), and education. The only proven strategy to reduce consumption, not just in select […]
June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]
March 6, 2019 |  0
You have read constant references about ACOs (accountable care organizations) in every journal you pick up until you are blue in the face, I’m sure. You or your hospital might even be participating in one. Mostly all straight Medicare patients (the two-thirds not in Managed Medicare) are eligible for inclusion. You need two things to […]