Public Reporting Alone Will Not Fix Nursing Home Problems

Yesterday, the New York Times had an interesting piece looking at the star rating system that Medicare has been using to evaluate long-term care facilities. Coincidentally, I was moved to learn that a family friend, my “Aunt Betsy,” has been in an institution for going on 10 years, exceeding almost every…

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Toward a More Effective CMMI

Last week on Health AGEnda, I stuck up for  the Center for Medicare and Medicaid Innovation (CMMI) in the face of what seemed to me fairly unrealistic criticism from a Wall Street Journal op-ed. I approached the issue from my perspective as a funder and as a very, very, much…

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Debate Role of CMMI? Absolutely. Abolish it? No

When I first saw the Wall Street Journal op-ed attacking the Center for Medicare and Medicaid Innovation (CMMI) for many purported sins, my first thought was that I should just congratulate CMMI for having arrived. After all, in our hyper-partisan environment, you aren’t anybody unless you are considered worth…

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Practice Change Leaders Improve Care for Older Adults

Change is hard. It takes leadership to drive change. Robert Jarvik—a former John A. Hartford Foundation grantee and inventor of the artificial heart—once said, “Leaders are visionaries with a poorly developed sense of fear and no concept of the odds against them.” Today’s successful leaders need that…

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