Essence Healthcare, Lumeris’ pioneer client, has just received an extraordinary rating from the Centers for Medicare and Medicaid Services (CMS), 5-Stars, for the quality of services it delivers to its Medicare Advantage (MA) members, placing it in the 98th percentile of all MA plans.
Next week I’ll be traveling to D.C. to speak at the Fourth National Accountable Care Organization Summit sponsored by the Engelberg Center for Health Care Reform at Brookings and The Dartmouth Institute for Health Policy & Clinical Practice. The topic is Health Information Exchange (HIE). This is a curious topic for such a prestigious conference. (…)
I have used the last two blog posts to introduce the Accountable Primary CareSM Model*, or the NineSM C’s* for short. To illustrate the power of the model, I used examples of some incredibly passionate and committed primary care physicians to demonstrate the first six C’s. I am going to do the same for the (…)
In last week’s blog, I talked about how a primary care physician, Dr. Smith, changed his behavior, and subsequently his patient’s behavior, maintaining the patient’s health while saving the system $70,000/year. This behavior change was made possible in part by the availability of new tools, information and incentives. But just like in golf, even bad (…)
Our country is blessed with the finest physicians in the world. They are the best trained and have access to the best medical technology and services. You would think we would have a running dialogue around the country celebrating and promoting this collective national asset. Instead, there is a groundswell of complaints. It is heard (…)
The growing reality of health care reform and the cauldron of conflict it creates between the creaking legacy of volume-based reimbursement and new, largely unproven methods of shifting more financial risk to physicians is upon us. A side effect is unprecedented uncertainty and anxiety among American physicians. Decades of investment in education and training followed (…)
Last week’s Time feature “Bitter Pill” raised U.S. health care costs to a new level of public awareness. Regardless of the assertions made in the article, hospitals are an essential component in the health care delivery system in our country.
A lot of people are talking about accountable care as a cost-control experiment. That assertion misses the triple aim of accountable care: cost, quality, and satisfaction. Further, satisfaction must include both the provider and recipient of health care services. Focusing on just patient satisfaction is a fool’s errand if we don’t improve the job satisfaction (…)