News

Truly Reducing Health Care Spending

The April 13 issue of the New England Journal of Medicine includes an important article on how comparative effectiveness research can pay for itself.  In it, the authors describe two procedures to treat osteoporotic vertebral fractures (compression fractures caused by osteoporosis): one in which cement is injected into the vertebral body to support the fractured bone; and one in which …

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What do we mean when we say “population health”?

Lately I’ve noticed a resurgence of the term “population health” in the health policy literature. It seems to me that the term is being used differently today than in the past, and I wonder how that might affect our ability to actually affect and improve population health. Like many who read this blog, I was trained in a school of …

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A Better Approach to Quality Improvement

In the April issue of the journal Health Affairs, my colleagues and I descibe the success of a broad collaborative effort that has been in place in Michigan to improve quality of health care. The focus of the April Health Affairs is what has happened since the seminal work by the Institute of Medicine – Crossing the Quality Chasm – was published. The Quality …

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His story should be history

I met a young man last week who lost his job in December of 2009, and despite his best efforts, still hasn’t found another. He told me he had excellent health benefits through his previous employer, but rarely needed to use them. He described himself as a typical young and healthy patient – going in for routine cleanings at the dentist’s …

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Michigan’s collaborative quality improvement programs cut health care costs and improve quality of care; Serve as successful national model for improvement

In a paper published today in the professional health care journal, Health Affairs, Blue Cross Blue Shield of Michigan and the University of Michigan report that their model for collaborative health care quality improvement has measurably improved safety and quality in several clinical areas, and has saved millions in health care costs. Collaborative Quality Initiatives (CQI), the term given to …

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What Does One Year Mean?

Well, the polling data are in! And, the results: people are just as confused about health reform today as they were when it passed a year ago; maybe, more so. In fact, 22 percent of those polled by the Kaiser Family Foundation believe health care reform has already been repealed and another 26 percent aren’t sure. How could it be …

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What are “essential benefits”?

The Affordable Care Act uses a number of terms that could never have been field tested by a marketing team. One that is very confusing to most people is the term “essential benefits” – a concept key to the way health insurance exchanges will work and the health benefits people will actually get under health reform. Health insurance exchanges will …

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Bipartisan Opportunities in Health Care: the Push for Transparency

Despite the “Strum und Drang” over health care reform in Congress these days, there is actually some interesting bipartisan activity occurring. While the stridency on health care reform often gets the most notice, the bipartisan activity offers some hope that challenging problems can move forward in a constructive way. Not surprisingly, this activity is taking place principally in the Senate …

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The State and Federal Dance on Health Reform

The Affordable Care Act is a complicated law, in part because it builds off the current health care system to achieve some far reaching goals: significantly expanded access to care and control over the rate of cost increase. Though some describe the Act as a federal takeover of health care, in fact, much of the law is to be carried …

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