Inside Angle

From 3M Health Information Systems

Tag: fee-for-service

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How is your doctor like your auto mechanic?

Oct. 18, 2021 / By Steve Delaronde

Bringing your car to a mechanic is a lot like going to the doctor. Auto mechanics and doctors both work within a predominantly fee-for-service system where information asymmetry prevails. Information […]

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What will it take to truly align payment with value in health care? It’s time to move beyond tepid pilot programs

Feb. 10, 2021 / By L. Gordon Moore, MD

State budgets have been pushed to extremes driven in part by ballooning Medicaid costs and ballooning Medicaid rolls. According to the Kaiser Family Foundation:  “Early estimates indicate that states are […]

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Should we redesign how we pay for primary care?

Sept. 14, 2020 / By Travis Bias, DO, MPH, FAAFP

The COVID-19 pandemic has revealed and magnified some nonsensical elements that drive health care delivery in the U.S. One of the most glaring is the method by which primary care […]

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COVID-19 exposes gaps in the U.S. health care system

Sept. 2, 2020 / By Steve Delaronde

Before COVID-19, U.S. health care was being called out for unfair billing practices. Surprise bills, confusing and excessive hospital chargemaster rates, balance billing and overreliance on fee-for-service had become familiar […]

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“Culture Eats Strategy for Breakfast” – Does it apply to health care?

Feb. 7, 2018 / By Steve Delaronde

Business management guru Peter Drucker is credited with saying that “culture eats strategy for breakfast.” The message is that an organization will not adopt any change or effectively pursue any […]

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Five things “payviders” can’t afford to overlook

July 25, 2016 / By Kristine Daynes

One surprising development as health care shifts toward risk-based payment is how many health systems intend to become insurers. According to one study, half of health systems have applied or […]

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New subsidy approach could level playing field between Medicare Advantage and fee-for-service

July 1, 2016 / By Gretchen Mills

There is an interesting concept called per capita premium subsidy that was included in the MedPAC June 2016 report to Congress and the Republican white paper related to reforming healthcare.  […]

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CMS isn’t kidding about payment reform

March 11, 2016 / By Clark Cameron

When was the last time you saw a government program, any government program, implemented ahead of schedule? Or on time, for that matter? We’ve grown accustomed to setbacks and delays […]