Comments on: Reforming Medicare’s Governance To Enhance Value-Based Purchasing http://healthaffairs.org/blog/2009/03/20/reforming-medicares-goverance-to-enhance-value-based-purchasing/?utm_source=rss&utm_medium=rss&utm_campaign=reforming-medicares-goverance-to-enhance-value-based-purchasing The Policy Journal of the Health Sphere Thu, 24 May 2012 07:58:29 +0000 hourly 1 By: Michael Halasy, PA-C, MPAS http://healthaffairs.org/blog/2009/03/20/reforming-medicares-goverance-to-enhance-value-based-purchasing/comment-page-1/#comment-24993 Michael Halasy, PA-C, MPAS Tue, 24 Mar 2009 14:09:56 +0000 http://healthaffairs.org/blog/?p=678#comment-24993 Medicare funding is wholly inadequate to support hospital functions and outpatient services. I know of very few, if any providers who solely rely on Medicare for income, as it would bankrupt them fairly quickly. As a member of the Mayo Clinic Health Policy Center, I firmly believe in paying for value, or value based reimbursements. It is time that everyone realizes that there are good and bad institutions and providers. Those that excel, will reap the rewards for providing cost effective, and sound healthcare with improved outcomes. We need to focus on evidence based medicine. We have physicians all over the country treating the same disorder with drastically different treatment modalities. Medicare funding is wholly inadequate to support hospital functions and outpatient services. I know of very few, if any providers who solely rely on Medicare for income, as it would bankrupt them fairly quickly. As a member of the Mayo Clinic Health Policy Center, I firmly believe in paying for value, or value based reimbursements. It is time that everyone realizes that there are good and bad institutions and providers. Those that excel, will reap the rewards for providing cost effective, and sound healthcare with improved outcomes. We need to focus on evidence based medicine. We have physicians all over the country treating the same disorder with drastically different treatment modalities.

]]> By: Health Care. (united health care, universal health care) » Blog Archive » Reform Medicare. Appoint Guardians. Next? http://healthaffairs.org/blog/2009/03/20/reforming-medicares-goverance-to-enhance-value-based-purchasing/comment-page-1/#comment-24984 Health Care. (united health care, universal health care) » Blog Archive » Reform Medicare. Appoint Guardians. Next? Mon, 23 Mar 2009 18:00:24 +0000 http://healthaffairs.org/blog/?p=678#comment-24984 [...] agree. With health care reform proceeding apace, they have a big incentive to let Health Affairs post a quickie cliff notes summary of their 199 page New America Foundation “Making Medicare [...] [...] agree. With health care reform proceeding apace, they have a big incentive to let Health Affairs post a quickie cliff notes summary of their 199 page New America Foundation “Making Medicare [...]

]]> By: james mcniff http://healthaffairs.org/blog/2009/03/20/reforming-medicares-goverance-to-enhance-value-based-purchasing/comment-page-1/#comment-24982 james mcniff Mon, 23 Mar 2009 16:24:07 +0000 http://healthaffairs.org/blog/?p=678#comment-24982 "Until we have thoroughly used current and expanded tools to reduce waste and inefficiency in the delivery system, it is not necessary to increase taxes or arbitrarily cut benefits."..The above statement suggests that the recommendations of the authors can be accomplished before the medicare program loses its ability to function. I would suggest triage has been done by the CBO which leads to a conclusion to first rescue the program and then proceed to revitalize/change its way of surviving. This requires immediate funding and reduced benefits. When i read to CBO report ,i heard the plane was losing fuel . This is not the time to discuss why the plane isn't built to hold more fuel.. “Until we have thoroughly used current and expanded tools to reduce waste and inefficiency in the delivery system, it is not necessary to increase taxes or arbitrarily cut benefits.”..The above statement suggests that the recommendations of the authors can be accomplished before the medicare program loses its ability to function. I would suggest triage has been done by the CBO which leads to a conclusion to first rescue the program and then proceed to revitalize/change its way of surviving. This requires immediate funding and reduced benefits. When i read to CBO report ,i heard the plane was losing fuel . This is not the time to discuss why the plane isn’t built to hold more fuel..

]]> By: Kellyann Curnayn http://healthaffairs.org/blog/2009/03/20/reforming-medicares-goverance-to-enhance-value-based-purchasing/comment-page-1/#comment-24970 Kellyann Curnayn Sat, 21 Mar 2009 19:18:22 +0000 http://healthaffairs.org/blog/?p=678#comment-24970 To receive Medicare funding a facility/institution must meet conditions of participation (cop), whether those conditions are met is determined by an accreditation agency (private business). No accreditation, no Medicare funding. The front runner in the business is The Joint Commission. Bedside care providers are slaves to the accreditation process and the care of the patient is secondary to the necessary documentation required to 'prove' good care. Department of Health and Human Services estimated it spends $20,000,000,000 Billion on Hospital Acquired Infections. Outcomes prove 'good' care. The accreditation process has created many unintended consequences. Processes are mandated by people who do not function close enough to their point of service. http://www.centerforajustsociety.org/press/forum.asp?cjsForumID=1134&nav=publications To receive Medicare funding a facility/institution must meet conditions of participation (cop), whether those conditions are met is determined by an accreditation agency (private business). No accreditation, no Medicare funding. The front runner in the business is The Joint Commission. Bedside care providers are slaves to the accreditation process and the care of the patient is secondary to the necessary documentation required to ‘prove’ good care. Department of Health and Human Services estimated it spends $20,000,000,000 Billion on Hospital Acquired Infections. Outcomes prove ‘good’ care. The accreditation process has created many unintended consequences. Processes are mandated by people who do not function close enough to their point of service.

http://www.centerforajustsociety.org/press/forum.asp?cjsForumID=1134&nav=publications

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