Valuable input? Risk-adjusted data credited for better outcomes

Article Abstract:

Cardiac surgery mortality rates in New York state hospitals are declining because court-ordered mortality rate data released in 1991 created changes in the way surgeons and hospitals do their jobs. In one hospital, a specialist was hired to manage a project aimed at lowering mortality rates, and changes were made in operating room, nursing, and perfusion personnel. A physician assistant program was started, and internal education programs were increased. The release of the mortality data also means that high-risk patients are now congregating at facilities best equipped to handle their needs.

Hospitals, Surgery

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Capitation offers 'window of opportunity' for doctors

Article Abstract:

Physicians should consider joining capitated Medicare plans, where they are paid a set fee for each person they care for. If doctors run efficient practices, they can save money and reap high profits. In addition, medical risk contracting can help physicians if Congress enacts a freeze on Medicare reimbursement rates. Some organizations are offering a fee-for-service system for primary care and a capitation fee for all other services. Physicians should avoid this system because the organization, and not the physician, will profit from the physician's efficiency.

Admin. of social & manpower programs, Usage, Finance, Insurance claims adjustment, Medicare, Capitated payment systems (Medical care)

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Rating doctors; Penn. joins trend in releasing physician-specific mortality data

Article Abstract:

The Pennsylvania Health Care Cost Containment Council has just issued a report assessing the physician-specific mortality rates for coronary bypass operations. The average cost of the operation was also studied and found to vary from $21,063 to $83,851, depending on the hospital where it was performed. The data allows consumers to compare and evaluate physicians and hospitals. In 1992, the American Medical Assn voted to support the release of such mortality data when it is backed by careful research.

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