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National Scorecard Shows Only 11% of Payments Are Tied to Performance

Catalyst for Payment Reform (CPR),  released its first annual National Scorecard on Payment Reform.  The Scorecard shows that only about 11 percent of the health care dollars we pay to doctors and hospitals today are value-oriented -- tied to how well they deliver care or create incentives for both improving quality and reducing waste. Almost 90 percent of payments reported remain in traditional fee-for-service, paying providers for every test and procedure they... Read More
Posted by Cristie Travis at Tuesday, March 26, 2013

TN Receives an "F" in Price Transparency

Tennessee is one of 29 states that received an "F" in a report released today by Health Care Incentives Improvement and Catalyst for Payment Reform. Tennessee is among the majority of states that provides information on hospital and some outpatient "charges". But we know that "charges" are only relevant to those that have no insurance since both public and private insurance plans negotiate prices and therefore do not pay charges. In fact, the negotiated price has little, if any, relationship... Read More
Posted by Cristie Travis at Monday, March 18, 2013

Could TN Employers Pay Millions in Tax Penalties if TennCare Not Expanded?

Brian Haile, former head of the TN Health Insurance Exchange Planning unit, and now Sr. VP for Health Policy at Jackson-Hewitt, authored a study that shows that Tennessee employers may incur $60 to $89 million in tax penalties if TennCare is not expanded under the ACA. The employer penalties could materialize if employees, who otherwise would qualify for TennCare under the new expansion policy, seek insurance coverage through the exchange instead of taking unaffordable employer-sponsored... Read More
Posted by Cristie Travis at Wednesday, March 13, 2013

Engaged Employees Exercise More, Eat Healthier

The Gallup Daily tracking interviews in 2012 showed that engaged employees eat healthier and exercise more than non-engaged employees or disengaged employees.  This is not the first connection Gallup research shows between employee engagement and health. Previous Gallup research shows that engaged employees: Are healthier overall with fewer chronic diseases and lower obesity rates Are 21% more likely to participate in worksite wellness programs Gallup points out that it is not... Read More
Posted by Cristie Travis at Wednesday, March 13, 2013

National Commission Calls for Changes in Physician Payment Methods

On March 4, 2013, the National Commission on Physician Payment Reform  issued a report detailing a series of recommendations aimed at reining in health spending and improving quality of care by fundamentally changing the way doctors are paid. The Commission’s 12 recommendations provide a five-year blueprint for transitioning to a blended payment system that will yield better results for both public and private payers, as well as patients.Highlights from the recommendations include: 1.... Read More
Posted by Cristie Travis at Monday, March 11, 2013

More Physician Groups Release Lists of Tests and Procedures We May Not Need

On February 21, 2013,  the Choosing Wisely® campaign released an additional 18 lists of tests or procedures to question, highlighting potentially unnecessary — sometimes harmful — care provided in the United States.   More than 130 tests and procedures to question have been released as part of the ABIM Foundation’s Choosing Wisely® campaign, which aims to spark conversations between patients and physicians about what care is really necessary.   Each specialty society... Read More
Posted by Cristie Travis at Monday, March 11, 2013

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