A new brief describes attribution, a key component of payment reform. Attribution done wrong in a shared savings payment model can create incentive to cherry pick out less lucrative or difficult patients and disrupt existing provider-patient relationships. Attribution is the process of defining the population that a provider network is responsible for managing under a…

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In a letter sent yesterday, nine members of various SIM committees rejected the weak ethics policy promoted by SIM leaders. The weak policy does little to limit conflicts of interest, such as those that tainted the awards of SIM’s first grants. Instead they urged SIM to limit conflicts of interest and adopt the State Code…

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Unfortunately CT’s progress toward health reform dropped again this month to 26.2% this month, adding to last month’s dip. Growing ethics and transparency problems at SIM led the concerns. CT hospital’s continuing poor performance on Medicare readmissions, consolidation and loss of services across hospitals added to the drop. In good news, if adopted SIM’s underservice…

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