tag:blogger.com,1999:blog-32053362.post4201984234964260202..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: "Trust us" just doesn't cut itPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-77223860571081077732011-04-14T23:36:13.826-04:002011-04-14T23:36:13.826-04:00"padded the budget the first year" sound..."padded the budget the first year" sounds suspiciously like "no one would have known the cost was way up, but the attorney general is now doing annual cost reports so last year's large increases will be public as soon as the they report it to the health care committee. i know, we'll say we padded the budgets to get the providers to sign up. yeah, that's the ticket." so...bcbs says they'll stick it to the aqc's after this first year? so increases will then be limited? mmm, ok.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-60259054994630322752011-04-14T19:23:26.868-04:002011-04-14T19:23:26.868-04:00Paul, here's a simple question for you. What d...Paul, here's a simple question for you. What does the "right" reimbursement structure/model for hospitals look like, with or without being part of an ACO? How would you build the recognition of quality in? And how would you verify that it is the right model?SurgiBloggerhttps://www.blogger.com/profile/00606993911682539971noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-72929656344403411282011-04-12T21:54:54.239-04:002011-04-12T21:54:54.239-04:00I was careful to use the word "some." I...I was careful to use the word "some." If i recall though, they did explain the baseline they were working off of, and the generous assumptions at time zero to get buy in and kick start initiative.<br /><br />Of course, I am not taking away the crux of your message.Brad Fhttps://www.blogger.com/profile/10366408815395434941noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-8015850646942950522011-04-12T21:50:50.523-04:002011-04-12T21:50:50.523-04:00Brad, that article does not talk about padding the...Brad, that article does not talk about padding the early adopters' contracts. It talks about the quality bonuses they earned.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-65450781562459904672011-04-12T19:31:18.517-04:002011-04-12T19:31:18.517-04:00Paul
Some of what you stated was not a secret.
htt...Paul<br />Some of what you stated was not a secret.<br />http://content.healthaffairs.org/content/30/1/51.abstract<br /><br />BradBrad Fhttps://www.blogger.com/profile/10366408815395434941noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-22247271089411880932011-04-12T18:49:09.935-04:002011-04-12T18:49:09.935-04:00Public policy is commonly written by industry. Our...Public policy is commonly written by industry. Our public education and environment investments well reflect that reality. It is time that medicine concedes that industry drives care, not providers or policy wonks. <br /><br />It is astounding that no one is asking for the values and calculations that determine what care they will get. Does the public understand that they just entered a roulette similar to buying an airline ticket? The person sitting next to you has the same seat, same view, same uncomfortable cramped knees. But you pay four-fold, and no one on the other end of the phone can tell you why. Was it that glucose result you had after a milkshake? Your father with cardiovascular disease? Your zipcode? How about a Freedom of Information Act for patients?Anonymousnoreply@blogger.com