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	<title>Health Care Payment Reform &#187; Hospitals</title>
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	<description>A reporter&#039;s notebook</description>
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		<copyright>Copyright &#xA9; 2012 Health Care Payment Reform </copyright>
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		<itunes:summary>Here's What I Think</itunes:summary>
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			<title>Health Care Payment Reform</title>
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		<item>
		<title>Save health care system from Congress?</title>
		<link>http://lolabutcher.com/wordpress/archives/199</link>
		<comments>http://lolabutcher.com/wordpress/archives/199#comments</comments>
		<pubDate>Mon, 11 Jan 2010 14:28:03 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[MedPAC]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health care reform]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=199</guid>
		<description><![CDATA[The idea of an independent Medicare commission to set rates for health care providers &#8211;but not physicians or hospitals&#8211;seems wacky to me. In yesterday&#8217;s New York Times, Albert R. Hunt makes a good case of why the commission concept should be strengthened during the Senate-House compromise on health care reform:
One constructive action lawmakers could take [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>How payment policy influences patient safety</title>
		<link>http://lolabutcher.com/wordpress/archives/190</link>
		<comments>http://lolabutcher.com/wordpress/archives/190#comments</comments>
		<pubDate>Wed, 02 Dec 2009 15:50:31 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health care quality]]></category>
		<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[Health Affairs]]></category>
		<category><![CDATA[health care payment reform]]></category>
		<category><![CDATA[Robert Wachter]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=190</guid>
		<description><![CDATA[Writing in a web-first article in  Health Affairs, Dr. Robert Wachter,  professor and associate chair of the Department of Medicine at the University of California, San Francisco, reviews the past decade of patient safety and gives it a B- score.
In updating a five-year review, Wachter examines the role of health care payment in promoting patient [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>RAND: Bundled payments would save most</title>
		<link>http://lolabutcher.com/wordpress/archives/188</link>
		<comments>http://lolabutcher.com/wordpress/archives/188#comments</comments>
		<pubDate>Mon, 30 Nov 2009 19:59:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[MedPAC]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health care reform]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=188</guid>
		<description><![CDATA[RAND researchers writing in the New England Journal of Medicine give a big thumbs-up for bundled payments to replace fee-for-service medicine.
In an article titled &#8220;Controlling U.S. Health Care Spending &#8212; Separating Promising from Unpromising Approaches,&#8221; the researchers estimated the likely impact of 12 policy options:// 
 Bundled payment provides a mechanism for reducing both the [...]]]></description>
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		<slash:comments>3</slash:comments>
		</item>
		<item>
		<title>Transparency is only one step toward change</title>
		<link>http://lolabutcher.com/wordpress/archives/186</link>
		<comments>http://lolabutcher.com/wordpress/archives/186#comments</comments>
		<pubDate>Thu, 12 Nov 2009 14:54:36 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[health insurance]]></category>
		<category><![CDATA[Center for Studying Health System Change]]></category>
		<category><![CDATA[health care transparency]]></category>
		<category><![CDATA[New Hampshire HealthCost]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=186</guid>
		<description><![CDATA[Price transparency alone does not lead to lower prices for health care services, according to an analysis of the New Hampshire HealthCost transparency program by the New Hampshire Insurance Department and the Center for Studying Health System Change.
..the study found public price reporting had no impact on price  variation across providers, a result attributed [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Hospital chairmen live in Lake Wobegon</title>
		<link>http://lolabutcher.com/wordpress/archives/184</link>
		<comments>http://lolabutcher.com/wordpress/archives/184#comments</comments>
		<pubDate>Tue, 10 Nov 2009 13:04:24 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health care quality]]></category>
		<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Health Affairs]]></category>
		<category><![CDATA[Wall Street Journal Health Blog]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=184</guid>
		<description><![CDATA[A new payment system that would reward hospitals based on the quality of care they deliver would apparently shock hospital board leaders. According to a report on the Wall Street Journal&#8217;s Health Blog, a new Health Affairs survey finds virtually all board chairmen believe their hospital is at least average:
Ninety-nine percent of hospital board chairmen [...]]]></description>
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		<title>What alignment is most important?</title>
		<link>http://lolabutcher.com/wordpress/archives/169</link>
		<comments>http://lolabutcher.com/wordpress/archives/169#comments</comments>
		<pubDate>Wed, 21 Oct 2009 13:40:54 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health insurance]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=169</guid>
		<description><![CDATA[Everyone interested in the future of health care watches Geisinger Health System to see how its innovations in health care payment and delivery are working.
Paul Levy, CEO of Beth Israel Deaconess Medical Center, posted a blog entry based on a Philadelphia Inquirer article about policymakers&#8217; interest in Geisinger. He posed an important question designed to [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Episode-based payment system poses challenges</title>
		<link>http://lolabutcher.com/wordpress/archives/165</link>
		<comments>http://lolabutcher.com/wordpress/archives/165#comments</comments>
		<pubDate>Mon, 12 Oct 2009 13:03:55 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[Health Affairs]]></category>
		<category><![CDATA[health care payment reform]]></category>
		<category><![CDATA[RAND]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=165</guid>
		<description><![CDATA[Although the idea of paying hospitals, physicians and other care providers for defined episodes of care makes intuitive sense, working out the details of how to do so is not for the faint of heart.
In the current issue of Health Affairs, RAND researchers point out the key problem with episode-based payment: the fragmented nature of [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Are global payments working in MA?</title>
		<link>http://lolabutcher.com/wordpress/archives/161</link>
		<comments>http://lolabutcher.com/wordpress/archives/161#comments</comments>
		<pubDate>Tue, 06 Oct 2009 13:29:17 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[Health Affairs]]></category>
		<category><![CDATA[health care payment reform]]></category>
		<category><![CDATA[Mount Auburn Cambridge IPA]]></category>
		<category><![CDATA[Mount Auburn Hospital]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=161</guid>
		<description><![CDATA[Check out a great case study of  Mount Auburn Hospital and the Mount Auburn Cambridge IPA in the current issue of Health Affairs.
The report suggests that Massachusetts, which is considering global payments to replace fee-for-service medicine for all payers in the state, may have found the way to align physicians&#8217; and hospitals&#8217; financial interests with [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>This sums it up, IMO</title>
		<link>http://lolabutcher.com/wordpress/archives/115</link>
		<comments>http://lolabutcher.com/wordpress/archives/115#comments</comments>
		<pubDate>Thu, 24 Sep 2009 13:52:38 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health care reform]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=115</guid>
		<description><![CDATA[The role of doctors in health care reform cannot be overstated&#8211;and yet it is rarely mentioned.
Arnold S. Relman, MD, has a valuable perspective in today&#8217;s New England Journal of Medicine.
]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Mayo seeks payment reforms from government</title>
		<link>http://lolabutcher.com/wordpress/archives/112</link>
		<comments>http://lolabutcher.com/wordpress/archives/112#comments</comments>
		<pubDate>Thu, 24 Sep 2009 13:38:02 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[Lola Butcher]]></category>
		<category><![CDATA[Mayo Clinic]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=112</guid>
		<description><![CDATA[Mayo Clinic points out a problem with health care reform proposals on the table.  Since President Obama likes to highlight Mayo as an example of the way health care should be delivered, the nation&#8217;s health care payment system needs to support its high-quality, low-cost model.
According to a story on Minnesota Public Radio:
Mayo contends that there [...]]]></description>
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