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Referrals, quality of care and the human connection

Healthcare ECONOMIST

As a health economist who likes to think about the world in a quantitative manner, I do whatever I can to measure quality in a numeric manner. Thus, if I was visiting a primary care physician (PCP) and needed some specialist care, I would want the PCP to refer me to the specialist with the best quality ratings.

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Impact of star ratings on provider demand

Healthcare ECONOMIST

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., For some payers, higher quality scores/higher star ratings lead to direct increases in reimbursement through a value-based purchasing arrangement.

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Recruitment Announcement – Technical Expert Panel (TEP) for the Expanded Home Health Value-Based Purchasing Model (HHVBP)

Briggs Healthcare

The Call for TEP materials, including the draft TEP Charter and Nomination Form, are available at the Current TEP Opportunities webpage.

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Posting of Nursing Home Ownership/Operatorship Affiliation Data on Nursing Home Care Compare Website and data.cms.gov

Briggs Healthcare

The data include averages of ratings for the overall, inspection, staffing, and quality measure star ratings, staffing measures, quality measures, select enforcement remedies imposed, percent of facilities for-profit and not-for-profit, number of Special Focus Facilities, and COVID-19 vaccination rates.

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P3Care Investigates: QPP MIPS 2021 Proposed Rules

p3care

For instance, CMS asks physicians to focus on the quality of care rather than the volume of patients. However, with the pandemic, there was no choice left other than catering to the volume of patients while being careful and value-driven to every extent possible. Quality Category: Weighs 50%.

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Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We still don’t have universally accepted measures, quality measures are typically process measures, not outcome measures, and we don’t have the tools to identify what is “quality” – or consensus on how to measure quality. “Burn the boats.”

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Payor-Provider Convergence with John Moore, Founder of Chilmark Research – Harlow On Healthcare

Health Blawg

We still don’t have universally accepted measures, quality measures are typically process measures, not outcome measures, and we don’t have the tools to identify what is “quality” – or consensus on how to measure quality. “Burn the boats.”