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 …

Naturalize to Stay Alive

Social determinants possess a tremendous impact on health outcomes. A Belgian study shows the correlation between perinatal death and immigration status. It serves as clarion call to US health and immigration policy makers. Disparities in neonatal mortality and pregnancy outcomes Continue Reading …

Patient-Centered Medical Homes

The concept of the medical home is an old one, developed in the 1960s for the pediatric population, but lately has grown in popularity. It hopes to provide for patients comprehensive, coordinated care for the whole person. Patient-centered medical home Continue Reading …