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MediCaring Blog: Purchasing Value- Not Yet Right for Medicare’s Frail Elders

Republished with permission from: http://medicaring.org/2015/02/25/purchasing-value/ By Joanne Lynn In late January, Department of Health and Human Services Secretary Sylvia Matthews Burwell announced that Medicare would purchase most services on the basis of value rather than volume, aiming for 90% of fee-for-service payments by 2018 [http://www.hhs.gov/blog/2015/01/26/progress-towards-better-care-smarter-spending-healthier-people.html]. Of course, paying on the basis

MediCaring Blog: High and Worsening Symptom Prevalence in the Last Year of Life

Republished with permission from: http://medicaring.org/2015/02/02/symptom-prevalence/ by Adam Singer Symptoms such as pain and confusion are very distressing for those nearing the end of life and their families. That’s why increasing attention to end-of-life care is spurring greater interest in alleviating such symptoms as a critical component of quality of life. Yet there

Partnership for Patients: Task 2 Evaluation Progress Report

Partnership for Patients: Task 2 Evaluation Progress Report / February 2014 The Partnership for Patients (PfP) campaign was launched in April 2011 with the ambitious goals of reducing preventable hospital-acquired conditions (HACs) by 40 percent and 30-day hospital readmissions by 20 percent. To reduce harm at this level of magnitude, the

MediCaring Blog: CMS CCTP Metrics Have Serious Flaws

Republished with permission from: http://medicaring.org/2015/01/26/evaluation-flaws/ by Joanne Lynn The Centers for Medicare and Medicaid Services (CMS) has quietly put out two evaluations of the readmissions work-- and both documents are remarkable for their failure to evaluate the programs fairly or to provide insights as to what works in what circumstances. The

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