Andrew Dreyfus, president and CEO of Blue Cross Blue Shield of Massachusetts.
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 →
Emily Willingham (@ejwillingham) is AHCJ's core topic leader on the social determinants of health. She is a science journalist whose work has appeared in the Washington Post, San Francisco Chronicle, Wall Street Journal, Scientific American, and Forbes, among others, and co-author of "The Informed Parent: A Science-Based Guide to Your Child's First Four Years."
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 →
Jeff Porter is the director of education for AHCJ and plays a lead role in planning conferences, workshops and other training events. He also leads the organization's data collection and data instruction efforts.
For more than five years, the Association of Health Care Journalists has been updating quarterly the website HospitalInspections.org, where the public can search and review hospital inspection reports.
With this month’s update, the database now includes 30,541 records of hospital inspection results, covering from January 2011 into June 2018. Most of the records include a detailed report on each deficiency found in hospitals. 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.
In April, Anna Wolfe, who covers health care for the Mississippi Clarion Ledger, started reporting on what appeared to be staggeringly high bills for using the emergency room at the Batson Children’s Hospital, in Jackson. The hospital is part of the University of Mississippi Medical Center, the only academic medical center in the state.
Parents who brought their children to the ER were being charged thousands of dollars in unreasonable emergency room facility fees that do not match the level of care received, Wolfe reports. Since that article was published April 15, Wolfe has continued to cover the complex ways the hospital calculates its charges. In the bills Wolfe reviewed, the hospital adds facility fees for ER visits, fees that are based on the level of care administered. Continue reading →