Winter 2010

Winter 2010

No room for error

No room for error

We need to make global payments for everyone involved in health care

part one of Massachusetts’s courageous leap into health system reform offered something for everyone. It brought health care coverage to uninsured residents; it promised (but could not deliver because of the soured economy) improved reimbursement for care to providers; and it brought more than 100,000 new members to insurance companies. It also required something of(...)

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Pay for quality, not quantity

Pay for quality, not quantity

Global payments can keep health costs from spiraling out of control

it is clear in 2009 that fee-for-service medicine is not the most efficient or effective payment system we can devise. It should be pretty obvious to almost everyone, even those who benefit from the current system, that this form of payment hinders patients from receiving coordinated and patient-centered health care. Massachusetts can and should take(...)

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Correspondence

Correspondence

IT’S TIME TO LEARN WHAT WORKS IN THE CLASSROOM Who doesn’t want to believe that teachers matter? It makes intuitive sense. It’s what any good teacher knows instinctively. And now there’s mounting evidence to support the notion that the quality of teaching in the classroom impacts the performance and engagement of the students in that(...)

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Hail to the chief

Hail to the chief

Supreme Judicial Court Chief Justice Margaret Marshall says funding the state court system properly is not a choice but a constitutional mandate

Margaret Marshall ushers me down a series of hallways, turning on lights as she goes. It’s nearly 5 p.m. on the 10th anniversary of her appointment as chief justice of the Massachusetts Supreme Judicial Court, and Marshall wants to show me the consultation room where she and her six colleagues deliberate. It’s a large wood-paneled(...)

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Probation head responds to reports of excessive spending

Some see a haven for patronage

john j. o’brien, the reclusive state commissioner of probation, is coming out of his shell. Faced with two reports suggesting that spending at his agency is excessive, O’Brien is suddenly talking. Well, not talking exactly, but sending out emails and letters through his spokeswoman denying many of the accusations and suggesting that his agency is(...)

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All aboard

Can the new Massachusetts transportation board get things moving?

Sen. Steven Baddour, the co-chair of the Legislature’s Joint Committee on Transportation, was ticked off. The five members of the new Massachusetts Department of Transportation board of directors had been invited to appear before a November oversight hearing called by the committee. Only one showed up. The Methuen Democrat made it clear he wasn’t happy.(...)

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Nonprofit shows results with troubled kids

Nonprofit shows results with troubled kids

where some see reason for despair, Matt Stone sees possibility. Stone is the Massachusetts manager for Youth Villages, a nonprofit that aims to replace some residential services for troubled youth with intensive in-home counseling. Founded in Tennessee in 1986, Youth Villages expanded throughout the southeast and, in 2007, opened its first Bay State office. Stone(...)

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