Pay-for-performance

Never let a good salary signal go to waste. Here is a meta-assembly of hospitalist, as well as comparator specialties, of 2018-19 salary moves courtesy of Modern Healthcare. It is useful seeing the various estimates from the leading consultants, placement firms, and intelligentsia to get some bearings on the pay trends, Covid notwithstanding.

Hospital medicine has been the fastest growing medical specialty since the term “hospitalist” was coined by Dr. Bob Wachter in the 1996 NEJM article. The growth and change within this specialty is also reflected in the changing and migrating target of hospitals and hospital systems as they continue to effectively and safely move from fee-for-service […]

This from NEJM: “However, it is unclear whether current rating systems are meeting stakeholders’ needs. Such rating systems frequently publish conflicting ratings: Hospitals rated highly on one publicly reported hospital quality system are often rated poorly on another. This provides conflicting information for patients seeking care and for hospitals attempting to use the data to identify real […]

Look up from your stack of journals lately? You will note DNA analysis has gotten awfully popular. Mom, dad, and the rest of the clan want in and the temptation to obtain the blueprint that makes you, you has an almost hypnotic-like draw. You are curious if what grandma told you—half of your “G, C, […]

Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]

You have read constant references about ACOs (accountable care organizations) in every journal you pick up until you are blue in the face, I’m sure. You or your hospital might even be participating in one. Mostly all straight Medicare patients (the two-thirds not in Managed Medicare) are eligible for inclusion. You need two things to […]