Word: bonus
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...starters, a bonus-pay system could help reduce medical errors. Such errors are associated with an estimated 100,000 unnecessary deaths in the U.S. each year, and cost the health care system as much as $30 billion annually. Binder and others argue that currently there's little motivation for doctors to reduce such errors: Insurers typically reimburse medical providers according to the number of patients they see, rather than the quality of care they deliver. It's a payment structure riddled with problems. "Under the status quo, doctors get paid if they make a mistake," says Dr. Richard Neubauer, chief...
...along the way. Early efforts have shown positive signs. In the first three years of an ongoing pay-for-performance demonstration project led by the Centers for Medicare and Medicaid, more than 250 participating hospitals were assessed in five clinical areas. The hospitals performing in the top quintile received bonuses of an unspecified amount. In findings released in January, researchers following the project concluded that quality scores in the five measured clinical areas had improved on average 17%, and costs had been reduced $1,000 per patient on average. Researchers estimated that if all American hospitals adopted similar bonus schemes...
...change at any time. The unfairness of this bait-and-switch game - to both patients and doctors - is pretty nasty. The hospitals and facilities you signed up for originally might suddenly be replaced by facilities that are - you guessed it - cheaper. While your premium (and the CEO's bonus) goes up, the dollar value of what you're getting - i.e., what the company will pay your hospital or doctor for their services - goes down...
...have been incredibly innovative in overcoming water shortages and maximizing production under trying conditions," says the National Farmers' Federation's Heffernan. "If they just get a bit of rain, you'll see production kick in very quickly because they've done the preparation." Any Australian rebound would be a bonus on top of expected bumper wheat crops out of the U.S. and Canada...
...once they've arrived. Brad Smith of Portland, Ore., is taking his two kids, ages 7 and 8, on a three-day bike ride along the southern Oregon coast sponsored by a nonprofit group called Cycle Oregon. Smith, 45, says exercising as a family is a new priority. Bonus: "I can have a beer at the end of the day, and I don't feel guilty about...