News

Regional variation in rates of cardiac procedures on the rise in Michigan

Regional differences in rates of cardiac procedures have increased in Michigan over the past decade—not fully explained by differences in health risk factors, heart attack or cardiac mortality rates—according to a report released today by the Center for Healthcare Research & Transformation (CHRT). The report compares the state’s hospital referral regions (HRRs) using claims data from Blue Cross Blue Shield …

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Cardiac Care – A Case Study in Practice Variation

In 2010, when we published our study on healthcare variation in Michigan, we were able to show considerable geographic variation around the state of Michigan on a variety of procedures and services. We intentionally chose services where the research indicated either a tendency toward over-utilization (relative to evidence-based guidelines) or where the guidelines were unclear. While we adjusted for age, …

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One Courageous Woman

Everyone should read this article in Health Affairs. It is the moving story of a woman diagnosed with terminal breast cancer who chose palliative treatment over interventionist strategies. Amy Berman is one knowledgeable and connected patient. She is a nurse, works for a health foundation in New York, and is a long time policy leader in health care. She received a terrible …

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Can we speak the same language?

On April 13, 2012, CHRT is sponsoring a symposium geared to health policy-makers, funders and researchers, to ask this question: can individuals from these three worlds do a better job of working together? I come from the health policy world at the state level, and more recently have a toe in the academic world, so I’ve had the chance to …

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After SCOTUS: The Status Quo is Not an Option

Everybody and their brother will be blogging about the Supreme Court arguments on health care reform over the next several weeks. I do not want to add to the noise by focusing on the arguments and/or who has the winning position: many others will offer that kind of analysis. Instead, I want to focus on what will happen if the …

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Who Can Tell the Public the Truth About Health Care Costs?

The Feb. 16 issue of the New England Journal of Medicine had an excellent commentary by Peter Newman about how difficult it is to talk to the public about health care costs. He captures the issue well: “The problem is that no one in charge seems willing to acknowledge that getting a handle on cost growth will also involve uncomfortable …

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