On a recent What the Health podcast, where I’m a frequent guest, we took some listeners’ questions. One was about what CMS does with all the data it collects on quality from health care facilities and providers – and whether there’s any evidence that the quality reporting actually improves outcomes for patients. Continue reading
Blue Cross Blue Shield of Massachusetts announced this week that it is taking the radical step of paying to keep patients out of the hospital.
In a partnership with South Shore Health System in Weymouth, Mass., BCBSM will change the financial reward system so that it will tie payments to health system to its success in collaborating with physicians to improve quality, patient outcomes and costs for the patients they physicians and health system. Under BCBSM’s Alternative Quality Contract (AQC), the health insurer will reward the health system and physicians for their success in doing so, the two parties said in an Oct. 30 news release. Continue reading
Kaiser Health News and NPR have been collaborating on a series called Bill of the Month. This piece by KHN’s Chad Terhune was one of the most memorable. Like many of these articles, it got results – the story got a ton of attention, outrage was generated and voila, the bill was lowered. It was cited by a bipartisan group of senators who introduced legislation curbing the practice of “surprise billing.”
Bram Sable-Smith, who spent a year doing in-depth reporting on an endangered rural hospital in Pemiscot County, Mo., as part of an AHCJ Reporting Fellowship on Health Care Performance, did a tip sheet on how to report on the threat to rural hospitals, in the context of a wave of closures. Continue reading
Racial and socioeconomic disparities in outcomes among hospitalized patients?
Don’t blame the hospitals, say the authors of this JAMA Network Open study. They looked at factors that might underlie known divergences in health outcomes based on socioeconomic status and race or ethnicity, with a focus on heart attacks, heart failure and pneumonia. Their findings suggest that hospitals perform similarly across socioeconomic and ethnic groups but that something “systemic” must explain the differences among these populations. Continue reading
The federal Centers for Medicare and Medicaid Services launched the Hospital Compare website to let consumers evaluate hospital performance based on a star-rating system. For those seeking to analyze hospitals’ overall scores, the site is useful but its one-size-fits-all approach limits how much patients can design searches to match their individual needs.
Now researchers at the Rand Corporation have built a tool called the Personalized Hospital Performance Report Card that allows users to review, customize, and compare hospitals across the United States and develop their own custom ratings based on their most important performance areas. Continue reading