The AMS Performance Based Incentive System® has now received 3 approvals by Medicare for use in large scale gainsharing demonstrations. But the roots of our methodology date back to 1976, to the New Jersey demonstration that designed, developed and implemented “payment by the case”. A recent article in the Annals of Internal Medicine lauded payment by DRG as “…arguably the most influential innovation in the history of health care financing”. In this blog we fill in missing pieces, including the fact that the
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Lessons From Ice Hockey: How Gainsharing Fits Into a Population Health Strategy
I was a big Philadelphia Flyers fan in the heyday of their Stanley Cup Championships in the 1970s. One of the saddest events I can recall is when Flyer Hall of Fame goalie Bernie Parent’s career ended in February 1979 when an errant stick hit him in the eye, finding an unprotected area through his fiberglass mask. Now
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Care Redesign – Its Time Has Come
My dog has kidney disease. She’s had it for some time and it really hasn’t changed her life. Once a couch potato, always a couch potato. She is on the maximum doses of drugs for the disorder, which she takes begrudgingly. On her last visit to the nephrologist (yes, she has a nephrologist), an ultrasound was
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Financial Incentives are Only Part of the Strength of Physician Alignment
Seems everyone is talking about physician alignment. In March 2014, Tom Atchison presented at ACHE’s Congress (2014) the session: “Physician Alignment: Dos and Taboos.” Atchison reinforced to attendees to make sure to not call employed physicians “owned”. He reflected that just because a health system
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Using Recipes: Sugar In The Jelly
I like to cook. When I first started, I would diligently follow the recipes exactly as printed. My kitchen cupboards hold a variety of measuring cups and spoons that attest to this. Over time, as I became more familiar with the chemistry of cooking and became surer of myself, the need to follow the instructions so closely waned. Accurate measuring became an “eyeball” event. Ingredient substitution became
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