Read Full Story A new study suggests that so-called “pay-for-performance” programs—in which hospitals are financially rewarded for better patient outcomes and penalized for worse outcomes—may not be working. Ashish Jha, senior author of the study, discusses the implications.Pay-for-performance programs have been touted as an important way to improve hospital care, but your study suggested otherwise. Did this surprise you?We were surprised. We looked at the Hospital Value-Based Purchasing (HVBP) program, a national program that Medicare introduced in 2011, the largest of its kind in the world, under which hospital performance in a number of areas—such as patient outcomes, hospital efficiency, and patient experience of care—is tied to Medicare reimbursements. Our study focused on patient outcomes, specifically mortality. While improving outcomes is hard, we had hoped that hospitals would have taken the pay-for-performance program as a signal to improve their care. But we found that the program had no impact on mortality rates within 30 days of patients’ hospitalizations for heart attack, heart failure, or pneumonia—three conditions that are specifically incentivized under the program.Even when we examined just the worst performing hospitals—the ones that started with poor outcomes at the beginning of the study—we found that the program had no effect on helping them improve.In retrospect, one could argue that the results were predictable. Two other big hospital-based pay-for-performance programs, one in the U.S. and one in the U.K., have also failed to make a big impact on patient outcomes.
Indiana Farm Bureau has announced a new three-year program with Polaris Industries Inc. which is now available for eligible members.“Farm Bureau members in Indiana are accustomed to having exclusive access to superior, high-quality brands, programs and products,” said IFB President Don Villwock. “This generous program from Polaris will help our members save money on high-quality, all-terrain vehicles that can stand up to rugged farm use.”Through the new program, eligible Farm Bureau members receive a $300 per unit discount on all Polaris utility and sport vehicles, $200 per unit on all all-terrain vehicles and $300 per unit on all GEM electric vehicles. Members are eligible for the discounts 30 days after joining Indiana Farm Bureau. Discounts are available for the purchase of specified Polaris off-road vehicles without exclusion in states that participate in the Polaris program.The Polaris program discounts can be accessed through FB Member Advantage!, members website. A certificate will be made available online that must be printed and taken to the dealership of choice for presentation to the sales person. Certificates expire after 60 days.
Manziel, 26, was the first freshman to win the Heisman Trophy. He went on to be selected in the first round of the NFL Draft by the Browns in 2014.He played just two seasons with the team before he was released.He went on to sign with the Hamilton Tiger Cats of the Canadian Football League in 2017. He was traded to the Alouettes in 2018 and released on Feb. 27. AAF offers Johnny Manziel workout after CFL ban Johnny Football could be back on the field soon.Just three weeks after being released by the Montreal Alouettes for violating the team’s contract, Manziel signed the Alliance of American Football’s Standard Player Agreement. He has been assigned to the Memphis Express after going through the league’s waiver process.Welcome to the 901 @JManziel2✈️ | #AllAboard pic.twitter.com/06qoyXzi5z— Memphis Express (@aafexpress) March 17, 2019The agreement is a three-year deal worth $250,000. Related News