Allowing Americans aged 50 to 64 to buy into Medicare would lower health care premiums for the group. But it would also drive up costs for younger people who buy health insurance on Affordable Care Act exchanges.
Medicare appears to be overpaying surgeons for many medical procedures. Federal officials should incorporate ways to more objectively measure the amount of postoperative care surgeons provide to patients.
Examines co-occurrence of iatrogenic events in US hospitals. Using Agency for Healthcare Research and Quality patient safety indicators (PSIs), the authors defined multiple patient safety events (MPSEs) as the occurrence of multiple PSIs during a single hospitalization.
The aim of this study was to examine the views of key stakeholders in health care payer organizations on the use of practice redesign strategies to improve the delivery of well-child care (WCC) to low-income children aged 0 to 3 years.
In the 1960s, a new paradigm for training physicians emerged: one that combined clinical training and its focus on individual patients with a research training focused on studying the health of populations.
We describe overall rates and analyze predictors of unit and item nonresponse for the 695,197 Medicare beneficiaries selected for the 2007 MCAHPS survey (335,249 unit respondents, 49% overall response rate).
Current federal standards for hospital "meaningful use" of health information technology--which requires electronic medication orders for 30 percent of eligible patients--are probably too low to reduce deaths from heart failure and heart attack among hospitalized Medicare beneficiaries.
Medicare's National Pilot Program on Payment Bundling should use hip fracture and joint replacement as the conditions to include and use longer episodes, capturing a higher percentage of costs and hospital readmissions but adding little financial risk.
Quality improvement in Medicare managed care plans should target care for particular subgroups such as beneficiaries who have low incomes, are less healthy, older, female, and who did not complete high school.
Effective January 1, 2012, Medicare will require insurers and self-insured companies to report settlements, awards, and judgments over $5K that involve a Medicare beneficiary. Over three years the $5K threshold will be phased out and all claims will have to be reported—but the potential revenue recovered from low-value claims may not be worth the reporting costs.
Using lessons learned from similar institutions, this monograph outlines the need for and scope of an office of institutional research to assist the joint medical education and training campus at Ft. Sam Houston in attaining its organizational goals.
Two goals of the joint medical training and education campus at Ft. Sam Houston are to become a high-performing learning organization and an accredited, degree-granting institution. A research and evaluation capability would help it meet these goals.
The Military Health System faces a range of challenges, and effective leadership is key to meeting them. Approaches used by other organizations could guide improvements in how military health care leaders are selected, developed, and incentivized.
Lessons learned in the civilian and government sectors hold importance for transforming the way in which the Military Health System identifies and develops health care officers with high leadership potential for senior executive positions.