Advocates for Evidence-Based Health Policy Speakers
Category: Access to Care
Missing the Mark on Pay-for Performance: Questionable Validity in Quality Metrics Limit Medicare P4P Program in Orthopedic Surgery
This study, using administrative data, aimed to evaluate the metrics used in a Medicare Pay-for-Performance (P4P) project in 2003, which included 260 hospitals across 38 states, with plans to expand nationally in 2009. Arthroscopic surgery is an ideal candidate condition Continue Reading …
Parents’ Perspectives on Medicaid Changes
During tough economic times, state governments often make drastic cuts to health programs, specifically Medicaid, in order to balance budgets. A recent study in the Journal of the National Medical Association investigated the opinions of Medicaid parents regarding federally-mandated changes Continue Reading …
Competence and capacity: the right practitioner for the right procedure?
British researchers conducted a pragmatic, randomized trial aiming to compare the effectiveness of doctors and nurses performing upper and lower endoscopy. The authors enrolled 29 hospitals comparing 67 doctors to 30 nurses who performed endoscopic procedures on 1888 randomized patients Continue Reading …
The Physician Workforce
A recent Congressional hearing held by the Senate Finance committee explored the physician workforce. Extensive attention was paid to the role of primary care (internal medicine, pediatrics, and family medicine) in the overall medical field. The expert witnesses present seemed Continue Reading …
The Massachusetts Experience
This report from Harvard University researchers analyzes the three-year, on-going experience following the Massachusetts Health Care Reform Act of 2006. Data for this study has been acquired from multiple sources including the Urban Institute, the Massachusetts State Government, and the Continue Reading …