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I concur with Scott that we must not over react to preliminary findings from all the Medicare demos. I made this same “patience” speach back when the early Medicaid pilots on Florida were not going well and were getting a lot of bad press.

Notwithstanding, my concern is not so much with the actual negative results now being reported for some of these programs but with the fact the early results , as reported in the weekly IDMA DM World e-Report [http://www.dmalliance.org/index.php?page=report] are not providing the type of outcomes analysis needed to help develop better models. This, to me is a real waste of our taxpayer dollars, i.e., merely know whether these programs “work”or “don’t work” is not enought. We need to be designing our outcomes studies to tell us “what works” and “works does not work” or “what works less well.” With all the funds allocated to “measuring” the MHS, pilots, the Medicare Coordinated Care programs, etc. I would hope that we would have more answers and some better direction on how to improve our programs.

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