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Eye on Quality

This compilation of ASQ columns provides insight on lowering costs, rewarding efficient care and metrics for success.

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While the specifics of healthcare reform might be cloudy, an American Society for Quality survey of CEOs, CFOs, COOs and CNOs from top-performing organizations suggests one certainty: The ease for politicians to target healthcare to help solve national and state budget crises will drive reimbursement at least 15 percent lower than current levels. Many predict that within three years, Medicare might be our best payor.

Peter Orzag, former director of OMB, has spoken frequently about the danger that rising Medicare expenses will crowd out other areas in the discretionary spending budget. There is also some evidence that we are not getting our money's worth in terms of either quality of care or outcomes. Within the U.S., there is wide variation in the amount spent per capita and the results of care, but the two are not correlated; spending more does not guarantee better care or better results.

What are the proposed solutions and responses?


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