tag:blogger.com,1999:blog-32053362.post4811709917836457526..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: "I really like that chart . . ."Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-32053362.post-68633658085469551032010-03-31T16:13:50.048-04:002010-03-31T16:13:50.048-04:00What the picture doesn't show is that behind M...What the picture doesn't show is that behind Ms Zane's right hand should be the bubbles for Quincy, Lawrence, Holyoke, Cambridge, and other smaller disproportionate share hospitals who get the worst deals of all. These hospitals are struggling to care for many of Massachusett's needier patients. If these already low-cost institutions were paid at even 85% of the state average (and still only 65% of MGH's rate) many of their financial problems would evaporate.tokhttps://www.blogger.com/profile/09501845263907800614noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-86651343132131505092010-03-21T11:32:34.369-04:002010-03-21T11:32:34.369-04:00On the general subject of government vs. private h...On the general subject of government vs. private health care, see this fascinating interview transcript with Japan's foremost health economist on details of their system:<br /><br />http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/interviews/ikegami.html<br /><br />courtesy commenter rbar from the Health Care Blog.<br /><br />nonlocalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-24227370549678367532010-03-20T10:11:22.927-04:002010-03-20T10:11:22.927-04:00I fail to understand why the insurance industry ca...I fail to understand why the insurance industry can't pass on some of the cost to it's insureds. It seems it would be appealing to payors of health care premiums to have a plan that include Partners, but charges higher copays and out of pocket costs for the use of these higher cost providers. This would drive buisiness to the better value institutions, but would not keep Partners from being a choice for patients. For those who feel using the Partners system is a must, they still can, but it will cost them more to do so. Insurance companies already use this strategy when they price pharmacuticals into tiers. Why not do the same for hosptial systems? As a purchaser of insurance, I would welcome a choice of a lower premium that still allows my employees this choice (using Partners), but a recognition that some choices cost more than others and they will need to pick up some of that additional cost.Keithnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-14588172752898923382010-03-19T21:12:59.103-04:002010-03-19T21:12:59.103-04:00I shoulda figured that out!I shoulda figured that out!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-56457833565101418922010-03-19T19:52:15.480-04:002010-03-19T19:52:15.480-04:00> second chart
Um, I meant the second chart *i...> second chart<br /><br />Um, I meant the second chart *in the sequence I examined them.* Didn't you know that?<br /><br />>blush...<<br /><br />Thankse-Patient Davehttps://www.blogger.com/profile/10346452642450264511noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-51765523841816855052010-03-19T19:23:49.638-04:002010-03-19T19:23:49.638-04:00Well, sure I can do that, and then you can go to t...Well, sure I can do that, and then you can go to the AG's report and find them.<br /><br />Oh, never mind. I'll tell. :)<br /><br />Left axis = Annual revenues from commercial payers (also represented as the size of the bubble).<br /><br />Bottom axis = relative payment levels to these academic medical centers.<br /><br />Number in the bubble = case mix index, a measure of the acuity of patients served. Higher number indicates higher acuity, more complex patients. Presumably, you should get paid more for the more difficult cases, but Tufts actually has the highest CMI.<br /><br />I don't see numbers in parens in the second chart, sorry.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-92141261981952074392010-03-19T19:15:04.009-04:002010-03-19T19:15:04.009-04:00For those of us who understand the value of multiv...For those of us who understand the value of multivariate infographics like this, you CAN'T just fling up these pictures without legends.:)<br /><br />What does bubble size represent?<br /><br />What's each axis?<br /><br />In the second graph, what are the numbers in parens, which don't match the X axis?e-Patient Davehttps://www.blogger.com/profile/10346452642450264511noreply@blogger.com