Tag Archives: cost

Patient outcomes are among the most overlooked stories in health care

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health reform. He welcomes questions and suggestions and tip sheets at joseph@healthjournalism.org.

If you saw our November webcast on how consumers and payers can evaluate physician quality, you know that we began with a quote from Atul Gawande, M.D., about patient outcomes.

A professor of health policy and management at Harvard University and a prolific and gifted writer, Gawande is the best-selling author of “Being Mortal” and “The Checklist Manifesto.” He’s also a contributor for The New Yorker and other publications, writing about cardiologists in McAllen, Texas, super utilizers in New Jersey, and unnecessary care nationwide.

In short, he’s darn good at what we do. Continue reading

Getting behind the confusion that leads some to lose their subsidized health insurance

About Joanne Kenen

Contributing editor to Politico Magazine and former health care editor-at-large, Politico, Commonwealth Fund journalist in residence and assistant lecturer at Johns Hopkins Bloomberg School of Public Health.

Photo: frances1972 via Flickr

Photo: frances1972 via Flickr

We posted recently about California’s assessment of who was dropping out of the exchange, including the finding that most people leaving Covered California were getting health insurance elsewhere.

But as Abby Goodnough later reported from Yazoo City, Miss., that’s not always the reason for higher turnover in other areas. Retaining enrollees is a challenge – and affordability is one big reason. That’s true even for people whose premiums are heavily subsidized. Continue reading

Calif. publishes better insurance price and quality data, but gaps remain

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health reform. He welcomes questions and suggestions and tip sheets at joseph@healthjournalism.org.

California Healthcare Compare provides price and quality data for hospitals and physicians in 18 regions of California.

Source: California Healthcare Compare and Consumer ReportsCalifornia Healthcare Compare provides price and quality data for hospitals and physicians in 18 regions of California.

California has embraced the Affordable Care Act in big way. It launched one of the first and most robust state-run health insurance exchanges, and expanded its Medicaid program (known as Medi-Cal) to enroll the uninsured.

As a result, the state’s uninsured rate dropped from 6.5 million residents in 2013 (which is 17.2 percent of the state’s population) to 4.8 million last year (12.4 percent), according to the U.S. Census Bureau. (See AHCJ’s coverage of the bureau’s latest data release here and here.) Continue reading

Gauging ‘success’ at the Center for Medicare and Medicaid Innovation

About Joanne Kenen

Contributing editor to Politico Magazine and former health care editor-at-large, Politico, Commonwealth Fund journalist in residence and assistant lecturer at Johns Hopkins Bloomberg School of Public Health.

lightbulbThe Center for Medicare & Medicaid Innovation, created by the Affordable Care Act, is trying new ways of delivering health care and testing new incentives and payment models. Some ideas are likely, even expected, to fail. Others may lead to new ways of delivering higher quality care for less money.

CMMI also is supposed to help spread new ideas so they’ll take root in the real world. The U.S. Department of Health and Human Services has the authority to expand approaches that reduce spending – and halt those that do not. This is a more flexible approach than officials had with “demonstration projects” prior to the ACA.

The agency’s website is a goldmine of health care innovation. Read more about what CMMI is tasked with doing, how it will do it and how the success or failures of its projects will be determined in this new tip sheet.

Debunking myths designed to hinder price, quality transparency efforts

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health reform. He welcomes questions and suggestions and tip sheets at joseph@healthjournalism.org.

When writing about transparency in health care prices and quality, journalists should expose the myths that health care providers promote. That’s the advice Francois de Brantes gave during a session on price and quality transparency at Health Journalism 2015 last month.

The executive director of the Health Care Incentives Improvement Institute (HCI3), de Brantes (@Fdebrantes) said, “Call them on their bull sh–. Their arguments against price and quality transparency are bogus.”

Yet when state legislatures consider laws promoting the public reporting of health care prices and quality ratings, provider organizations often lobby against these laws. “What are they protecting?” he asked. “Doesn’t the public have a right to know?” Continue reading