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Blog Archives

Why Some Health Systems Aren’t “Systems” at All

Dr. Toussaint was in Chicago last week for the American College of Healthcare Executives 2014 Congress. There, he accepted ACHE’s 2014 Dean Conley Award for his article, “A Management, Leadership and Board Road Map to Transforming Care for Patients,” which published in the spring 2013 issue of Frontiers of Health Services Management. Dr. Toussaint took some […]

CMS Estimates That a One-year Delay of ICD-10 Could Cost Between $1 billion and $6.6 billion

On Monday, the Senate is scheduled to vote on a bill (HR 4302) that would implement a temporary fix for Medicare’s sustainable growth rate formula and delay the ICD-10 compliance deadline until 2015, The Hill’s “Floor Action” reports. The House-approved “doc fix” proposal, introduced by Rep. Joseph Pitts (R-Pa.), would push back the ICD-10 compliance […]

ThedaCare Center for Healthcare Value Recognized with ACHE’s Dean Conley Award and Local Small Business of the Year Award

John Toussaint, MD, CEO of the ThedaCare Center for Healthcare Value, received the American College of Healthcare Executives’ (ACHE) 2014 Dean Conley Award for his article, “A Management, Leadership and Board Road Map to Transforming Care for Patients,” published in the Spring 2013 issue of Frontiers of Health Services Management…Also this week, the Center was […]

Massachusetts Payment Reform Model: Results and Lessons

In 2009, Blue Cross Blue Shield of Massachusetts introduced a payment reform model called the Alternative Quality Contract (AQC). The AQC employs a population-based global budget coupled with significant financial incentives based upon performance on a broad set of quality measures. The twin goals of the AQC are to significantly reduce health care spending growth […]

‘Alternative Quality Contract’ Lowered Medical Spending And Improved Quality for Provider Organizations in Massachusetts

Authors: Zirui Song, Dana Gelb Safran, Bruce E. Landon, Mary Beth Landrum, Yulei He, Robert E. Mechanic, Matthew P. Day, and Michael E. Chernew Seven provider organizations in Massachusetts entered the Blue Cross Blue Shield Alternative Quality Contract in 2009, followed by four more organizations in 2010. This contract, based on a global budget and pay-for-performance for […]

Clinical Business Intelligence Network Welcomes Aspirus, Shares Insights from HIMSS Conference Symposium

Appleton, Wis. (March 13, 2014) — The Clinical Business Intelligence Network (CBIN), a peer‐to‐peer learning community that brings together healthcare leaders in performance improvement, clinical analytics, business intelligence and IT, is pleased to announce its newest member, Aspirus in Wausau, Wis. For full story click here.

Improving the Value of Healthcare Delivery Using Publicly Available Performance Data in Wisconsin and California

Abstract Authors: John Toussaint, Stephen Shortell, Melissa Mannon The healthcare industry must change in order to provide higher quality care and lower costs for patients; one method to improve both cost and quality used in Wisconsin and California is leveraging publicly reported claims and costs data. Wisconsin has been building comprehensive, publicly available clinical and administrative data sets: […]

Medicare Data Show Wide Differences In ACOs’ Patient Care

A Wisconsin ACO formed by two health systems, Bellin Health and ThedaCare, had the most success in keeping its diabetes patients’ blood sugar levels below the target set by Medicare, the data show. Eighty-four percent of that ACO’s patients hit that target, much better than the average ACO rate of 65 percent.  Just 24 percent of patients with the Accountable Care Coalition […]