Medicare to Pay for Value

I have spilled much ink on this blog discussing the pros and cons of pay-for-performance approaches to medicine.  Incentivizing high quality care is good in theory, but in practice changes in quality have been modest and providers may be able to readily game the system.  Despite these challenges, Medicare announced this week that it would being  tying 30…

Quality and Quality of Life

There have been numerous efforts to measure quality of health care, especially among the elderly.  For instance, Nursing Home Compare measures of quality of care for nursing homes.  However, these quality measures focus on health and safety.  They do not measure quality of life.  Atul Gawande’s book Being Mortal describes why nursing homes focus more on…