In 2017, the healthcare industry in America held its breath, and braced for change.
Politically, it was the most bitterly contentious, suspenseful, erratic year for healthcare since the passage of the Affordable Care Act in 2010. Businesses across every sector felt the shocks. But for all the debate — policy stayed more or less the same.
That’s not to say, however, that change isn’t coming. Whether reacting to word from Washington, or innovating on their own terms, healthcare businesses are trying to anticipate what could happen next year. Read more »
Perceptions of patients have changed. They’re not just “patients” anymore — they’re also “customers.”
And that small semantic difference has big implications for the healthcare industry. One of them is the abundant use of customer-satisfaction surveys.
Enshrined into official healthcare policy in 2010, patient satisfaction now carries serious implications for providers. Hospitals that fail to sufficiently satisfy their patients see significant cuts in their reimbursement for Medicare and Medicaid services. Read more »
When you need surgery, it matters who performs the procedure.
Top-performing surgeons give you the best odds of a smooth surgery, with minimal complications and a short recovery time. Less skilled surgeons, on the other hand, are more likely to produce adverse outcomes. These can mean longer hospital stays, bigger bills, or even permanent disability or death.
Clearly, it’s worth your time to choose the best surgeon available. But finding high-performing surgeons has never been easy. Reliable outcomes data is hard to find, and even harder to interpret. We believe that should change, so we’ve done the work for you. Read more »
On its surface, ‘Centers of Excellence’ looks like an intelligent strategy.
Self-insured employers, pursuing cost-efficiencies and streamlined care for employees, select certain hospitals to become provider-partners. They label these partners ‘Centers of Excellence’, and design their benefits packages around them.
But this model only works if employers rigorously scrutinize the provider’s quality of care. Unfortunately, their due diligence sometimes falls short. MPIRICA’s analysis has found that employers frequently select hospitals that may not have the strongest track record for surgical success.
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The term “Center of Excellence” (CoE) is a powerful distinction. Self-insured employers have begun to apply this label to hospitals they partner with to deliver high-ticket, high-volume surgeries — like total knee replacements — to their employees.
For employers, the bundled pricing that CoEs offer (in exchange for a volume of patients) is an attractive prospect. But for the employees, the label means much more.
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Note: This post, from MPIRICA CEO Shakil Haroon, originally appeared at BenefitsPRO.
Narrow networks might have been born in the 90s, but they came of age in the last five years.
Recent surges in care costs, plus the effects of the Affordable Care Act, have made these plans more attractive to payers. By funneling patients toward a relatively small range of providers, narrow networks help insurers contain costs and improve outcomes. Read more »
Dr. Michael Haglund, of Duke Health in North Carolina, recently appeared in The Raleigh News and Observer. The Observer story showed that Dr. Haglund earned an MPIRICA Quality Score of 720, for three spinal fusion procedures. This makes him the single-highest scoring provider of these procedures in the country.
This is an extraordinary achievement. We caught up with Dr. Haglund to see what insight he might have to offer. He shared what, in his view, contributes to his success. Read more »
Please note: this post was inspired by a version that originally appeared at the blog of Axene Health Partners. The article here was written with their permission. A big thanks to Josh Axene for the fantastic post!
Fantasy football might seem a strange place to look for insight into the healthcare industry.
But look past the athletes on the gridiron, and you start to understand — this game is absolutely steeped in statistics. And fantasy ‘owners’ are absolutely fanatical about analyzing them. Read more »
The graphic below shows hospital surgery quality scores for specific procedures and facilities requested by and reported on by Chad Terhune of Kaiser Health News.
Find out more about the MPIRICA Quality Scores for surgeons and hospitals at https://www.mpirica.com/quality-score.
You’re invited to attend a webinar on:
Friday, July 28th – 10am Pacific Standard Time
“A Scientific Methodology for Scoring the Outcomes of Surgery Providers”
(This is a replay of our webinar from May 25, 2017)
-> REGISTER NOW
If you’re in network development (from a health plan), quality improvement (from a health system), benefits consulting (for self-insured employers), referral management (primary care), a patient, or anywhere in between, this webinar will be extremely valuable for you.
How can one metric be robust enough to summarize the outcomes of a hospitals or surgeon for a specific procedure? Read more »