Source: Kaiser Health News, Philly.com, Science Daily, News Medical, Stat On Call, Healio, McKnight's, Nephrology News, Managed Care Magazine, Medscape, Benefits Pro, Becker's Hospital Review, Fierce Healthcare, Beloit Daily News, Managed Healthcare Executive, January 3, 2017
Bundled payment models can push Medicare and health system costs down considerably without sacrificing quality of care, according to new research from Amol Navathe, MD, PhD. The study, the first to combine hospital cost and Medicare claims data to identify drivers of joint replacement cost savings – evaluated costs and care quality at for hip and knee replacements performed from 2008-2015 at the five-hospital Baptist Health System (BHS) network in San Antonio, Texas. Results, published online in JAMA Internal Medicine, show that the average cost dropped 20.8 percent while the effect on quality of care was unchanged or improved.
Interviewed by Kaiser Health News, Navathe described the impact of bundled payments on clinician behavior: “Preplanning, setting of expectations and communicating up-front is resource intensive, when they have the incentive to do that they were willing to expend the extra resources to make that happen.”
Source: LDI eMagazine, January 3, 2017
The University of Pennsylvania LDI Center for Health Incentives and Behavioral Economics' 2016 Behavioral Economics and Health Symposium was both a spotlight on the latest research work as well as the conclusion of a Robert Wood Johnson Foundation and Donaghue Foundation funded program that began seven years ago. CHIBE played a lead role in the initiative whose goal was to explore the ways behavioral economics principles might be applied to health-related behaviors.
Source: Huffington Post, September 29, 2016
In a Huffington Post blog, CHIBE Fellow Joshua Liao, MD discusses his recent JAMA article on the value of using medical professional norms as a context for social comparisons between physicians. "Because patients can be negatively affected when doctors are compared to each other, leaders and policymakers should guard against unintended consequences in all circumstances by contextualizing comparisons within a set of values that reflect appropriateness and patient well-being," says Liao.
Source: Commonwealth Fund, June 2, 2016
On June 2, 2016, The Commonwealth Fund, Healthcare: the Journal of Delivery Science and Innovation, and The University of Pennsylvania hosted an event at the National Press Club, in Washington, D.C., that explored how leading policymakers, health system executives, and payers are crafting innovative incentive programs to support value-based models of care. The event, MACRA-Economics: Nudging Physicians Toward Value, focused on programs at three regional health systems—Advocate Healthcare in Chicago, Baptist Health System in San Antonio, and Partners HealthCare in Boston—and consider how insights from behavioral economics are shaping new models of provider incentives. Speakers from Penn were Ezekiel Emanuel, M.D., Ph.D. and Amol Navathe, M.D., Ph.D.