David Introcaso, Ph.D. is an independent health care research and policy consultant based in Washington, D.C. He does regulatory policy analysis for the American Medical Group Association.

Recent Posts by David Introcaso

The Many Problems With Medicare’s MIPS Exclusion Thresholds

If the Medicare Access and CHIP Reauthorization Act is ever to be a catalyst for change, the proposal to increase the exclusion thresholds is neither right nor effective.

Medicare’s Programs Should Compete

Fielding three Medicare programs might make sense if they were designed to compete against one another.

Synchronizing Medicare Advantage And ACOs To Support The Secretary’s Quality And Value Payment Goals

In January 2015, HHS Secretary Sylvia Burwell announced the Department will tie an increasing percentage of Medicare reimbursement to quality or value. The Secretary's goals, however, exclude Medicare Advantage, which is expected to double its enrollment to 22 million beneficiaries between 2010...

MSSP Year Two: Medicare ACOs Show Muted Success

Performance Year Two results for the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) show muted success. We summarize these results, analyze some of the challenges facing the MSSP, and suggest what policymakers can do to meet those challenges and invigorate the program.

Medicare’s Rush To Risk: Confounding Theory And Practice, Leaving ACOs Vulnerable

While tying payment to value makes perfect sense, transforming the Medicare program without the evidence that explains how to do this does not. By confounding theory and practice, CMS has made pay for value, a means by which cost efficiency and clinical practice can be improved, an end in itself.

The Time Is Now To Fix Medicare ACOs

This past January 20th, the Department of Health And Human Services established national Medicare pay-for-value goals. By 2016, the Department intends to tie 30 percent of Medicare payments, and by 2018 50 percent of payments, to quality or value through alternative payment models. Medicare...

Not Even Discussed In Private Rooms: Childhood Sexual Abuse and Abuse Survivors

There is a health crisis in this country (as well as worldwide) that adversely affects one-fifth of the US population. Consequences of this crisis manifest in a wide variety of serious disease conditions. Physically it can exhibit as cancer and/or as any number of equally severe mental...

January 30, 2013Costs and Spending, Public Health

PCORI’s Problem: Reasons Are Not Causes

Editor's note: In another Health Affairs Blog post also published today, Joe Selby, the executive director of the Patient-Centered Outcomes Research Institute, responds to David Introcaso's post below. For more on the concept of patient centeredness, comparative effectiveness research, and the...