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	<title>Health Care Payment Reform &#187; Medicare</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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		<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>
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		<title>Commission for entitlements being considered</title>
		<link>http://lolabutcher.com/wordpress/archives/180</link>
		<comments>http://lolabutcher.com/wordpress/archives/180#comments</comments>
		<pubDate>Wed, 28 Oct 2009 13:13:23 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Medicare]]></category>
		<category><![CDATA[health care reform]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=180</guid>
		<description><![CDATA[The reality that health care reform will not solve America&#8217;s Medicare and Medicaid crisis is beginning to sink in, and the idea of creating a commission to face that challenge&#8211;and the Social Security crisis to boot&#8211;appears to be gaining traction, according to a story by Kaiser Health News.
The federal government is on track to his [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<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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		<title>Medicare governance must change</title>
		<link>http://lolabutcher.com/wordpress/archives/155</link>
		<comments>http://lolabutcher.com/wordpress/archives/155#comments</comments>
		<pubDate>Mon, 05 Oct 2009 13:20:03 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[MedPAC]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[Health Affairs]]></category>
		<category><![CDATA[Lola Butcher]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=155</guid>
		<description><![CDATA[The current issue of Health Affairs addresses an important precursor to health care payment reform: the need to change Medicare governance so that the nation&#8217;s largest health care payer can make changes without undue political influence.
The article, &#8220;Medicare Governance and Provider Payment Policy,&#8221; written by Hoangmai Pham and Paul Ginsburg from the Center for Studying [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>How Baucus plan advances payment reform</title>
		<link>http://lolabutcher.com/wordpress/archives/101</link>
		<comments>http://lolabutcher.com/wordpress/archives/101#comments</comments>
		<pubDate>Mon, 21 Sep 2009 13:56:32 +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[accountable care organizations]]></category>
		<category><![CDATA[Lola Butcher]]></category>
		<category><![CDATA[Max Baucus]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=101</guid>
		<description><![CDATA[Senator Max Baucus&#8217;s health care proposal would provide financial incentives to hospitals and physicians willing to work together as accountable care organizations. Here&#8217;s what is required, according to his proposal:
To qualify as an ACO, an organization would have to meet at least the following criteria: (1) agree to become accountable for the overall care of [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Here&#8217;s to a new beginning?</title>
		<link>http://lolabutcher.com/wordpress/archives/95</link>
		<comments>http://lolabutcher.com/wordpress/archives/95#comments</comments>
		<pubDate>Thu, 17 Sep 2009 13:36:14 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Medicare]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[health insurance]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=95</guid>
		<description><![CDATA[The Department of Health and Human Services, building off work started by private insurers and Medicaid in Vermont, finally is starting its medical home demonstration.

It will be interesting to see if universal alignment of payment systems achieves the efficiencies and care improvement that we are all hoping for.  According to HHS press release:
This demonstration will [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>Physicians have their say</title>
		<link>http://lolabutcher.com/wordpress/archives/88</link>
		<comments>http://lolabutcher.com/wordpress/archives/88#comments</comments>
		<pubDate>Tue, 15 Sep 2009 13:26:30 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Physicians]]></category>
		<category><![CDATA[health insurance]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=88</guid>
		<description><![CDATA[We have not been hearing enough about what physicians think about the health care reform debate, so yesterday&#8217;s New England Journal of Medicine was especially interesting to me.
I was surprised by the survey results that a solid majority of physicians support a public option to increase competition competition for private insurers. I probably should not [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Never-event policy revisited</title>
		<link>http://lolabutcher.com/wordpress/archives/62</link>
		<comments>http://lolabutcher.com/wordpress/archives/62#comments</comments>
		<pubDate>Tue, 04 Aug 2009 13:30:43 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health care quality]]></category>
		<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://lolabutcher.com/wordpress/?p=62</guid>
		<description><![CDATA[Medicare&#8217;s never-event policy was a good way of announcing CMS&#8217; intent to pay for value, but the more scrutiny it gets, the more difficult it is to believe this is the best way to proceed.
Check out Bob Wachter&#8217;s take on the matter.
]]></description>
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