Why quality? Austin Frakt, PhD TheIncidentalEconomist .com A focus on research, an eye on reform. School of Medicine School of Public Health Views expressed are my own and do not necessarily reflect the position or policy of the Department of Veterans Affairs or Boston University.
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Austin Frakt, "Changing How We Pay for Care" webinar, 3.19.15
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Why quality?
Austin Frakt, PhD
TheIncidentalEconomist.comA focus on research, an eye on reform.
School of MedicineSchool of Public Health
Views expressed are my own and do not necessarily reflect the position or policy of the Department of Veterans Affairs or Boston University.
• If it’s so simple, why is it a (relatively) new idea?• Medicare has cut payments to providers before• Bad things can happen• When hospitals are paid less, they cut something.
• ACOs (are they just HMOs all over again?)• Quality measurement• Value-based purchasing• Bundled payments• Penalties and bonuses tied to quality• New IT capabilities• Private-side innovations (e.g., AQC)
For more, see Frakt, NYT, 19 Jan 2015 and Song and Chokshi, JAMA, 6 Jan 2015.
• Consolidation is rampant– More hospital mergers & acquisitions– Physicians coalescing into larger groups– More hospitals employing more physicians– More integrated delivery systems offering
insurance products• Consolidation pushes prices up and rarely
improves quality
For more, see Frakt, NYT, 23 Jun 2014 and Frakt, JAMA, 11 Nov 2014.