Archive for August, 2012
Wednesday, August 29th, 2012


During the painful economic downturn, the Legislature has implemented a series of very tough payment cuts to providers. No surprise there. (more…)
Tags: recoupments, WSHA
Posted in Hospitals, Medicaid |
Tuesday, August 28th, 2012


“Aligning incentives with outcomes” is all the rage these days. However, while the general concept has been around some time – years, actually, going back to previous efforts at reform – today’s policy discussion continues to miss some very important lessons from the past that undermine the success of future risk-based payments. (more…)
Tags: DJ Wilson, downside risk, payment reform, risk based contracts, upside risk
Posted in Commentary, Payment reform |
Tuesday, August 21st, 2012


“Dear Governor: About The State of Reform” is a collection of voices from across the health care spectrum, from four states: WA, OR, ID, and AK. The book will be published in Sept. Excerpts will appear here.
______________________________________________
Dear Governor:
You are responsible for serving the same people we are. Every single resident of your state will eventually need our services – for hospitalization, immunization, or anything in between. And that starts us off on common ground as (more…)
Tags: Alan Yordy, Dear Governor, PeaceHealth
Posted in Dear Governor, Latest |
Monday, August 20th, 2012


Recently, Premera has led an outreach campaign against Guardian Flight to brokers and employers charging that the company was inflating prices well beyond the market – or what the market could bear. That has taken hold in a number of areas as others in healthcare are taking action to mitigate against the cost increases. (more…)
Tags: Apollo MT, Guardian Flight, Jeff Ranf, Premera
Posted in Alaska, Latest |
The Great Oversight of Risk Based Payments: Carrots and Sticks
Tuesday, August 28th, 2012“Aligning incentives with outcomes” is all the rage these days. However, while the general concept has been around some time – years, actually, going back to previous efforts at reform – today’s policy discussion continues to miss some very important lessons from the past that undermine the success of future risk-based payments. (more…)
Tags: DJ Wilson, downside risk, payment reform, risk based contracts, upside risk
Posted in Commentary, Payment reform |