How 30 Percent Became the “Tipping Point”

Received wisdom for meaningful change in health care payment and delivery system reform.

Two-Year Costs and Quality in the Comprehensive Primary Care Initiative

Midway through this four-year intervention, participating practices report progress in transforming the delivery of primary care. But savings and improvements in the quality of care or patient experience are lagging.

The Coming Battle over Shared Savings — Primary Care Physicians versus Specialists

The way physicians are organized and reimbursed in the United States is undergoing a once-in-a-generation transformation from a fee-for-service system to alternative payment models. PCPs are well positioned economically and strategically, but specialists must adapt.

How a Pediatric ACO Coordinates Care for Children with Disabilities

Ohio-based Partners for Kids is charting new territory in care coordination for a high-need population.

My Favorite Slide: Transitions in Health Insurance Coverage Type Are the Norm

Age and income play a role in both short- and long-term fluctuations.

Mixed Early Performance of Medicare Accountable Care Organizations

The earliest participants in MSSP contracts reduced Medicare spending, but the second cohort did not. Meanwhile, some quality measures improved among MSSP participants, while others were unchanged.

Why UnitedHealthcare’s Withdrawal Is Not the Main Concern for Exchanges

United’s announcement will affect some local markets, but the giant insurer has not been a major player in health insurance exchanges. And exchanges are only one part of the complex payment reforms under way.

Insights in Detail: Plusses and Minuses of Value-Based Care

Commentary from the NEJM Catalyst Insights Council on the advantages of value-based care — and the problems posed for physicians.

Can Transparency Legislation Help Control Medication Costs?

Spending on prescription drugs has shot up. Ten states are debating transparency laws to require pharmaceutical companies to disclose research and development costs. Here’s why that effort is unlikely to work.

New Marketplace Insights Report: Value-Based Payment Gains Traction Amid Active M&A Environment

Analysis of the second NEJM Catalyst Insights Council survey on the New Marketplace theme examines the pace of adoption of value-based payment models and the dynamics of consolidation across health care.

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