Improving Medicare quality and efficiency, in order to keep the program solvent for the nearly 10,000 new beneficiaries who turn 65 years old each day,1 has been an ongoing priority for Congress and policy makers. Efforts to improve patient safety and outcomes, while tying payments to quality instead of quantity, have resulted in a seismic […]
As a practicing physician for decades, I welcome the opportunity to help improve the quality of life for individual patients. Now, as a physician executive for Highmark, a Pennsylvania-based health insurer, I am able to touch thousands of patients’ lives by helping affect the quality and cost of their care and creating more value for […]
Imagine this basic scenario: You are out of milk. You could go to your local convenience store and purchase a gallon for $3. But instead, you drive 25 miles to buy the identical gallon of milk for $5 at a large chain grocery store. If this sounds absurd, that’s because it is. However, it’s analogous […]
Imagine this basic scenario: You are out of milk. You could go to your local convenience store and purchase a gallon for $3. But instead, you drive 25 miles to buy the identical gallon of milk for $5 at a large chain grocery store. If this sounds absurd, that’s because it is. However it’s analogous […]
The American Hospital Association (AHA) and other providers are pushing back against a proposed Obama administration policy change that would introduce much greater site neutrality regarding how they are paid. Such a change would likely prevent many providers from charging more at outpatient facilities that are owned by hospitals than if they had been owned […]
Health plans, cancer patients, nursing homes, and primary care doctors and internists have formed the Alliance for Site-Neutral Payment Reform to lobby Congress for pay policies that would reduce Medicare spending while increasing pay for providers in the coalition — a move that comes as President Obama pushes site-neutral pay policies for outpatient services in […]