HealthCommentary

Exploring Human Potential

Listening Roadtrip on Education: A Model for Health Care?

Marc Porter Magee Ever wonder if people in New England think differently about education than people in the South? The West vs. the Midwest? We did and the result is 50CAN’s Education Roadtrip, an interactive journey through the education views of 6,400 Americans across the eight major regions of the country. The idea for this project […]

The 62 Billion Dollar Question: Can Health Care Overcome Geography?

Mike Magee Sixty-two billion. That is what Medicare spent in 2012 on post-acute care. (1,2) “Post-Acute Care” is the term applied to various types of intermediate care provided to newly released patients from an acute care hospital. The care is provided by home health agencies in the home or by brick and mortar employees at […]

Home Health Care: Meeting The Patient Half Way.

Mike Magee In a 2013 article in JAMA, Steve Landers laid out the argument for money following the patient. Destination? Home, where family caregivers and others are increasingly doing their best to manage health care complexity. In the article Landers states: “Most older Americans want to age in place. The Medicare home health benefit is […]

Health Care Costs: “Slain or Sleeping”? Avoiding Brick & Mortar.

Mike Magee The Affordable Care Act has officially arrived. Obstructionism persists, but appears increasingly desperate and politically ill conceived. What remains in the policy backwaters is the legitimate debate over whether Accountable Care Organizations, and a host of other structural changes, are to be credited with the slowing of health cost inflation, and with maintaining […]

Personalized Health Care in 2013: A Status Report on the Impact of Genomics

Ralph Snyderman M.D. Dr. Snyderman, Chancellor Emeritus of Duke University Health System, and champion of personalized and prospective health care, updates his vision and predicts where we are heading next. “As Chancellor for Health Affairs at Duke University in the latter part of the 1990s, I recognized emerging opportunities to abandon our reactive, sporadic, ‘one […]

Medicare Funded Home Health Care

Steve Landers MD New England Journal of Medicine Feature this week on Home Health Care funding. “Most older Americans want to age in place.1 The Medicare home health benefit is a prominent national policy supporting older Americans at home and provides for visiting nurse and therapist services from home health agencies (HHAs). In 2012, Medicare […]

Steven Landers MD in JAMA: “Payment reform initiatives in the ACA offer opportunities for improving the value of home health care.”

“Payment reform initiatives in the ACA offer opportunities for improving the value of home health care. These include independence at home programs, accountable care organizations, bundled payments, patient-centered medical homes, and readmission reduction initiatives. These approaches incentivize physicians and hospitals to partner with HHAs to avoid unnecessary hospitalization and institutionalization while also avoiding marginal HHA […]

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