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Articles

Practical insights, based on experience, from the experts’ point of view on what’s working in their own organizations and beyond.

New Marketplace
New Risk, New Business Models

A View from the Front Line — Physicians’ Perspectives on ACA Repeal

A new survey finds that primary care physicians strongly endorse key elements of the Affordable Care Act that enable individuals to obtain insurance coverage and that very few support repealing the law.

New Marketplace
New Risk, New Business Models

Moving Past the EHR Interoperability Blame Game

Why can't EHRs talk to one another? We never created the right incentives, but we pretend that we did.

Care Redesign
Relentless Reinvention

P4 Medicine and the Democratization of Health Care

“P4 health care” — predictive, preventive, personalized, and participatory — will use the astonishing power of systems medicine and big data to bring cutting-edge scientific wellness to everyone, improving health and saving money.

New Marketplace
New Risk, New Business Models

Improve Quality, Control Spending, Maintain Access — Can the Merit-Based Incentive Payment System Deliver?

Under MACRA, the MIPS payment plan grants much discretion to clinicians. The result may be unintended practice responses that require adjustments from CMS.

New Marketplace
New Risk, New Business Models

Blockchain in Health Care: Decoding the Hype

It could revolutionize health care, but how much is just hype?

Patient Engagement

Why Real-World Results Are So Challenging for Digital Health

User engagement outside of clinical trials is the critical factor.

Care Redesign
Relentless Reinvention

A Model for Implementing Evidence-Based Practices More Quickly

How Kaiser Permanente Southern California reviews high-quality published research and implements evidence-based practices on an accelerated track.

Care Redesign
Relentless Reinvention

Progress and Path Forward on Delivery System Reform

The basic goals of delivery system reform — to promote quality and value in our health care system — remain at the core of bipartisan efforts in health care, and it is therefore essential that such efforts continue.

Care Redesign
Relentless Reinvention

Limits of Lean — Transformative Care Redesign Must Go Beyond Typical Lean-Based Improvements

Successfully improving targeted processes through Lean can yield major improvements, but change does not come easily, and real transformation requires more far-reaching steps.

Care Redesign
Relentless Reinvention

Solving Puzzles and Problems: Linking Biomedical Research and Improvement Science

To accelerate the translation of evidence into practice, we need to link biomedical research to improvement science. In this way, health care professionals can think like research scientists to solve puzzles and like engineers to solve problems, thereby improving patient outcomes.

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