Medicaid Maternity Outcomes
…August 4, 2016
August 4, 2016
July 15, 2016
Relationship Between Payment and Information Sharing
…April 16, 2015
The "One-Stop" Medical Experience Fails to Gain Traction
…October 17, 2014
June 27, 2014
January 14, 2014
Chronic Conditions: PAC Costs Drive Total Cost Variation
Of Regional Cost Variation is a set of two slides showing how potentially avoidable complication (PAC) costs drive total cost variation in chronic conditions as well the variation in PAC rates across states.…May 31, 2013
Understanding Sources of Variation in Healthcare Costs
These slides (PDF format) allow you to explore and understand sources of variation in healthcare costs using graphs and charts based on empirical data.…May 23, 2013
Potential cost savings and bonuses for Tom's routine care
Traditional fee-for-service costs In a traditional fee-for-service payment system, the overall claims costs for one year of Tom’s routine care totals $6,700—assuming no complications. PROMETHEUS Payment budget Under the PROMETHEUS model, the treatment budget is calculated as a patient-specific “Evidence-informed…September 28, 2011
Potential cost savings and bonuses for Ron's bypass surgery
Traditional fee-for-service costs Under a fee-for-service payment system, the hospital is paid $47,500 for Ron’s bypass procedure. In addition, all professional services for performing the procedure and providing care, including surgeon fees, cost $15,000. The complications caused by Ron’s uncontrolled…September 28, 2011
Potential cost savings and bonuses for Karen's knee replacement
Traditional fee-for-service costs Under a fee-for-service payment system, assuming no complications, Karen’s knee replacement surgery would likely cost $24,000. Of course, there is a great deal of variability based on regional payment standards, what services are performed, and whether there…September 28, 2011
Potential cost savings and bonuses for Charles' CHF treatment
Traditional fee-for-service costs Under a fee-for-service payment system, Charles’ ED visit, hospital stay and all associated lab tests and radiology exams cost a total of $11,228. This is in addition to his earlier ED visit, which cost $2,125. Charles is…September 28, 2011
The CFO's Dilemma May 2011
The CFO’s Dilemma…September 28, 2011
Ten Year % Increase in Price and Use
…September 9, 2011