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 […]
Category Archives: Industry News
Dr. Toussaint has published another blog post on the Huffington Post, this time focused on the Military Health System review of quality. The private sector should take a lesson. Click here to read.
BlueCross BlueShield reports big wins in both cost and quality with their innovative, value-based programs which are focused on changing payment incentives, partnering with clinicians, and engaging patients throughout the country. Read more here: Blue Cross Value Based Programs Provide Solid ROI
John Toussaint, MD, CEO and founder of the ThedaCare Center for Healthcare Value, shares his thoughts about the root cause of the VA’s current problems in a recent guest blog post with the Huffington Post. Read the entire article here.
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 […]
Learn how one of our Network members, Spectrum Health, is putting lean into action in Michigan. Read the press release here.
Read what healthcare leaders think about the reasons behind disparities in healthcare costs and how the issue can be addressed. Full article here.
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 […]
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 […]
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 […]