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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.

virtual visits nonvisit health care

Care Redesign

In-Person Health Care as Option B

What if health care were designed so that in-person visits were the second, third, or even last option for meeting routine patient needs, rather than the first?

Conceptual Framework for Evaluating Specialty Care Partnerships

New Marketplace

How to Engage Specialists in Accountable Care Organizations

Should an ACO insource or outsource specialty care? Here’s a framework to help leadership decide.

NEJM Catalyst single-payer survey results

New Marketplace

Why Clinicians Support Single-Payer — and Who Will Win and Lose

Single-payer health care is gaining adherents among physicians and other providers. But as-yet-undetermined details will matter greatly.

Leadership

Why Give It Up? My Late-Career Fellowship

Instead of retiring, a physician in his 70s pursued a fellowship in telehealth and found a piece of the future.

Patient Engagement

Consumerism in Health Care

Will personalized interventions transform how we improve an individual’s health? A frequent-flyer expert believes that it will.

Innovative Health Care Organizations - Organizational Designs for Innovation

Care Redesign

Small Improvements versus Care Redesign: Can Your Organization Juggle Both?

What are the best ways to introduce innovation capacity into your organization?

Leadership

A Look in the Mirror: The Role of Medical Training in Physician Burnout

Any rational actor in today’s medical industrial complex wonders, at times, whether the labor is sensible and the effort sustainable.

Illustrative Examples of Health Policies, Possible Goals, and Relevant Evidence Base

New Marketplace

Evidence-Based Health Policy

Having a clear framework for characterizing what is, and isn’t, evidence-based health policy is a prerequisite for a rational approach to making policy choices.

Figure 3 Physician Feedback Reports Quality Improvement Structure Options for Tailored Output and Capacity to View Patient-Level Data

Leadership

Making Physician Feedback Reports More Effective

Feedback reports can lead to the success or failure of performance improvement efforts, depending on their underlying architecture and adherence to evidence-based design guidelines.

Leadership

Small Change, Big Consequences — Partial Medicaid Expansions under the ACA

The stakes are high in the debate over partial Medicaid expansions, with far-reaching consequences for patients, state governments, and the federal budget.

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