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Category Archives: Industry News

Bellin-ThedaCare HealthCare Partners Ranked #1 in Quality in the Pioneer ACO Model Program

The Centers for Medicare & Medicaid Services (CMS) today issued quality and financial performance results for its two Accountable Care Organizations (ACO) programs, showing the ACOs have successfully improved the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers and keeping patients healthy rather than treating them […]

Report to the President on Better Health Care & Lower Costs

In May 2014, The President’s Council of Advisors on Science and Technology issued a Report to the President on Better Health Care and Lower Costs: Accelerating Improvements Through Systems Engineering.  The report discusses “systems engineering” as the approach to improve healthcare. Two organizations that have embraced lean (or “Toyota Production System”, as it is referred to […]

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 […]

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 […]