Kenneth Croen

Recent Contributions

Reply to The Experts Were Wrong About the Best Places for Better and Cheaper Health Care

Dec. 20, 2015
I am delighted to see a discussion of the Quealy/Sanger-Katz article from the TImes this week. This is the most encouraging development towards a transparent healthcare system that I have seen. The three insurance companies have really crossed the secrecy barrier with submission of this database to HCCI. The data ...

Reply to Provider Driven Benchmark System

Dec. 2, 2015
The issue of benchmark is critically important. I agree with Edgar WIlson. The MSSP ACOs have benchmarks that range from $5000 to $22,000 per person per year. In my community, there is an ACO with a benchmark of $8900. A few miles away, a Pioneer ACO has a benchmark of ...

Reply to Costs of Care community poll

Nov. 29, 2015
I think we are all on the same page. The system is broken and design. It works this way because the critical information that we all need is not available. Consumers with a high deductible that need an MRI of the spine are not able to select a place ...

Reply to Costs of Care community poll

Nov. 28, 2015
Your points about our healthcare system are on the mark. Our solutions to date are not. Giving providers an incentive to spend less without engaging patients is a losing proposition. The 2014 ACO program saved Medicare 0.01% of costs. That does not inlcude administrative costs which made the ACO program ...

Reply to More Tests = Fewer Lawsuits?

Nov. 14, 2015
I agree, excess ordering for the sake of defensive medicine is an unfortunate reality of our system. An ER doc that has no relationship with a patient that shows up with a headache si going to order a CT of the head almost 100% of the time. A PCP that ...

Recent Recommendations

"Provider Driven Benchmark System"

Provider Driven Benchmark System