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...physicians already have some kind of pay-for-performance incentive written into their plan contracts, and 28% of group practices include performance benchmarks. Since 2007, Massachusetts has required all its citizens to have health insurance, about 20% of which involves some kind of global coverage - handling all of a patient's health-care needs for the duration of the policy. In July, the state announced plans to go further, eliminating fee-for-service entirely within five years and mandating global care statewide. Similar plans are ramping up in Minnesota and Wisconsin. "We're going to do this incrementally," says JudyAnn...
Geisinger docs have since put together similar checklists for hip-replacement, bariatric and cataract surgeries and another for patients taking lifesaving kidney drugs. The kidney results have been especially striking: by better determining the proper dosage for individual patients and training them to self-administer their meds, the hospital has saved $3,800 per patient per year while more than doubling the number who score within the parameters of good kidney health...
Geisinger's financials are undeniably rock-solid: the system pulls in about $1.5 billion per year from its premiums and from other insurers, and it has a AA credit rating. But part of that is due to the similar solidity of its patient base - a homogeneous population with a predictable range of ills. The financial team prefers things this way and has resisted any calls for expansion. "We've purposely stuck to our knitting in central Pennsylvania," says Dr. Duane Davis, chief medical officer of Geisinger Health Plans. But larger plans trying to serve more-diverse communities don't have...
Nabel, who Moriarty said emphasized patient care during her term at NIH, has also worked personally with local residents in Washington, D.C. This experience, he said, has prepared her to lead a premier research institution that also serves as a community hospital for the Jamaica Plain, Dorchester, and Roxbury neighborhods...
Nabel said that both Brigham and Faulkner will continue to emphasize innovation in diagnostics, therapeutics, and other areas of patient care...