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Puget Sound Health Alliance Discusses New Multi-Payer Pilot

Posted on by CATALYSIS

We sit down with Reena Koshy of the Puget Sound Health Alliance to discuss the Multi-Payer Medical Home Payment pilot. Organization Overview: The Puget Sound Health Alliance is a non-profit, multi-stakeholder regional health improvement collaborative. The Alliance is part of the Robert Wood Johnson Foundation’s Aligning Forces for Quality program, having joined the program in 2006 […]

BidRx: A Competitive Electronic Marketplace for Pharmacy

Posted on by CATALYSIS

Dr. Ralph F. Kalies, founder of BidRx, explains how changing the traditional business model in the pharmacy industry can help lower costs. Organization Overview: BidRx® creates a competitive electronic marketplace (CEMTM) for medications that allows patients and providers to engage in active, transparent commerce on-line and in real time. The model fosters head-to-head, value-driven competition among […]

Health Affairs outlines key payment and delivery reform issues

Posted on by John Toussaint

As I have stressed in my book Potent Medicine and in other articles I have authored payment reform is one of three critical factors required to transform health care. In this issue of Health Affairs, there are several opinion pieces describing what we need to do next. This includes getting capitation right. In the article by […]

Medical home pilots spur delivery and payment reform

Posted on by CATALYSIS

Patient-centered medical home models have proven that they reduce hospital admission and emergency room use in recent pilots. WellPoint and other payers were involved in medical home test models in Colorado and New Hampshire that demonstrated not only higher-performing care delivery but an example of payment reform with its incentives for care coordination and improved […]

The Supreme Court Upholds Healthcare Reform Law

Posted on by John Toussaint

The Center’s three-pronged strategy for true health reform relies on two parts of the bill that are most important — payment reform and the release of Medicare data with public reporting. We believe the experiments established by CMMI to test bundled payments, comprehensive primary care payments and the Pioneer ACO program, which moves to global […]

Building the Case for Change

Posted on by John Toussaint

John Toussaint, MD, summarizes the three core elements needed to dramatically improve healthcare value in the U.S. John Toussaint, MD, CEO of the ThedaCare Center for Healthcare Value and author of the recently published Potent Medicine: The Collaborative Cure for Healthcare is featured in this presentation summarizing the three core elements needed to dramatically improve […]

Building the Case for Change

Posted on by John Toussaint

John Toussaint, MD, CEO of the ThedaCare Center for Healthcare Value and author of the recently published Potent Medicine: The Collaborative Cure for Healthcare is featured in this presentation summarizing the three core elements needed to dramatically improve healthcare value in the United States: Delivery of Care Designed around the Patient. Meaningful care delivery is […]

PCORI sets the stage for research on lean healthcare

Posted on by John Toussaint

PCORI was established as a result of the Patient Protection and Affordable Care Act in 2009. PCORI has recently released it’s research agenda for public comment.Release of approximately $125 million dollars for the research will occur this year. The proposed research agenda includes: 1.Comparative assessments of prevention,diagnosis and treatment options. The research goal is to […]

CMMI announces The Healthcare Innovation Challenge

Posted on by John Toussaint

A billion dollars will be awarded in grants open to providers,payers,local government,public-private partnerships,and multi-payer collaboratives. Yesterday, the Innovation Center announced the Health Care Innovation Challenge. On the call, ThedaCare was mentioned by Dr. Gilfillin as an example of an innovative organization. This new program will award up to a total of $1 billion in grants […]

CMMI looking for 200 “Innovation Advisors”

Posted on by John Toussaint

Today the Innovation Center announced a new initiative – the Innovation Advisors Program.  Innovation Advisors will support the Innovation Center in testing new models of care delivery, use their knowledge and skills in their organization in pursuing the three-part aim, work with local organizations and groups to drive delivery system reforms, and gather new ideas […]

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