tag:blogger.com,1999:blog-9181810725696409953.post2801637483770007305..comments2024-03-17T04:20:11.083-04:00Comments on The Population Health Blog: Going Long on the Patient Centered Medical Home (PCMH) Despite the Prattling Pinheads of PessimismJaan Sidorovhttp://www.blogger.com/profile/05072456803925863874noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-9181810725696409953.post-54874477085396180122012-12-26T06:49:22.817-05:002012-12-26T06:49:22.817-05:00Al Lewis December 26, 2012 at 3:47 am
We could c...Al Lewis December 26, 2012 at 3:47 am <br /><br />We could create a futures market — Not only will I take the other side of that bet, but I have aleady offered $50,000 Milliman a bet that an independent panel of biostatisticians would find for me on Communiy Care of North Carolina. Plus my $50,000 includes apologies to them and the state. No takers. CCNC is obviously wrong and they know it –at this point no longer open to dispute — and a couple of the others cited in your links are also clearly wrong on their face. <br /><br />Like most medical centers who do pop health studies of any kind, Alaska Native Medical Center looked only at the people who had interactions with them in the baseline period, meaning people who were higher-cost in the baseline. This creates regression to the mean exactly as described in my award-winning book, Why Nobody Believes the Numbers.<br /><br />Read the HealthPartners one more carefully in its entirety. It includes a “350% reduction in waiting time” — you really trust a study by someone who would put that in print? <br /><br />And Capital’s 40% reduction in admissions? That wipes out all ambulatory care-sensitive admissions for all members, plus all disease management-sensitive admissions for all members, plus a large chunk of admissions that are not considered avoidable.<br /><br />Call me a prattler, call me a pinhead, call me a pessimist…but if you’d like to take Milliman’s side on the CCNC bet, call me anytime.Al Lewishttp://www.dismgmt.comnoreply@blogger.com