Will Value Based Purchasing Work?

The Premier Pay-for-Performance Demonstration project in Medicare shows a tapering trend of quality improvement both for participating and non-participating hospitals. Perhaps secular trends, not P4P, are responsible for this. The National Demonstration Project is a national pay-for-performance program considered to Continue Reading …

Tho’ you may not drive a great big Cadillac

Currently, employer-sponsored health insurance is treated as a tax free benefit. While this encourages employers and employees to obtain coverage, it is a limitless subsidy. The Cadillac Tax would cap this subsidy in coming years. Beginning January 1st, 2018, the Continue Reading …

Scrambling to rescue ACO’s

Health care systems such as the Mayo and Cleveland clinics  – which are organized the way policy makers envision accountable care organizations – initially balked at the rules proposed by CMS. Now, the rules have changed. After receiving a significant Continue Reading …