A few years ago, a friend was describing her visit to an outpatient oncology site. The facility was located in a run-down urban area, the office needed a coat of paint, the furniture needed to be refreshed and the other patients were a bit dowdy. Her impression was less than stellar and led her to choose a different facility for Read More
Motivating Physicians: Dollars and Sense
Jo and I had a great conversation last week with Dr. Joe Bujak, MD, FACP, the author of several books including Inside the Physician Mind: Finding Common Ground with Doctors (2008). Bujak’s premise is that physicians are driven by their personal visions and goals, and that organizations need to align their interests Read More
AHRQ Health Care Innovations Exchange Profiles NJHA/AMS Medicare Gainsharing Pilot Demonstration
The July 16, 2014 issue of the Agency for Healthcare Research and Quality (AHRQ) Health Care Innovation Exchange (http://innovations.ahrq.gov/profiles/hospital-gain-sharing-program-offers-incentives-physicians-based-their-efficiency-producing) reviews the results of the 3-year NJHA/AMS Medicare Gainsharing Pilot Read More
Modern Healthcare report on the squeeze in hospital operating margins (June 23, 2014)
Operating margin is the easiest way to determine a company’s pricing strategy and operating efficiency. It is the simplest way to understand how much a company makes on each dollar of sales. For non-profit hospitals, a positive operating margin means that there is money available to fund additional services; with
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The Revolution Continues
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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