Effect of Value-Based Payment Programs on Providers That Serve the Poor

Financial Incentives and Vulnerable Populations — Will Alternative Payment Models Help or Hurt?

Understanding APMs’ potential consequences for vulnerable populations is critical if we wish to maximize benefits and reduce harms.

Example 4-Quadrant Analysis and Price Setting for a Single-Procedure Bundle - Lessons Learned from DRG Implementation

Making Bundled Payments Work: Leveraging the CMS DRG Experience

Given its clout and experience, CMS is uniquely positioned to lead the U.S. health system toward high-value care. Bundled pricing based on real costs, leveraging lessons from DRG implementation, would establish the right types of provider incentives.

The Unrealized Potential of EMRs: Interoperability and the Opportunity for Disruption

NEJM Catalyst hosted clinical and business leaders, along with the originator of “disruptive innovation,” to consider the user frustration, high cost, and lack of interoperability of electronic medical records.

Steven Seltzer Andrew Menard Clayton Christensen Edward Prewitt Electronic Medical Records Roundtable Head Shots

The Unrealized Potential of EMRs: Why They Fall Short and the Unexpected Source of a Solution

NEJM Catalyst hosted clinical and business leaders, along with the originator of “disruptive innovation,” to consider the user frustration, high cost, and lack of interoperability of electronic medical records.

Change the Model - Change the Medical School Curriculum Panel Clip Still

Change the Model → Change the Curriculum

If we’re going to change the health care payment model, do we need to change medical school curricula and how we train physicians?

Robert Gavin head shot

Amazon and CVS: Short-Lived Unicorns in Health Care, or Healers of the “Tapeworm”?

Will Amazon–Berkshire Hathaway–JP Morgan and CVS-Aetna change the health care game? To one health care employer purchaser, these announcements feel a lot like Groundhog Day.

Fiona Scott Morton head shot

We Can’t Spend All Our Money on Health Care

We have to think about how much we want to spend on health according to how much it’s worth to us at the margin.

Primary Care ACO Models - Way of the Future? Panel Clip Still

Primary Care ACO Models: Way of the Future?

Evidence shows that primary care–led, risk-bearing, ACO-like practices and independent physician group models generate more savings.

Is There Room for Small Independent Practices Panel Clip Still

Room for Small, Independent Practices?

Is there room for small, independent practices in a reengineered health care payment system, or are too many obstacles in the way?

Simplified Chain of Production for Primary Care Services Generating Retail Prescriptions. Solid arrows indicate contractual relationships or ownership, and the dashed arrow indicates referral for prescription.

Does CVS–Aetna Spell the End of Business as Usual?

What might one of the largest mergers in history mean for the health care delivery system?

Load More
Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

Most Viewed

  1. The Big Business of Dialysis Care

  2. What Is Value-Based Healthcare?

  3. Predicting the Future — Big Data, Machine Learning, and Clinical Medicine

  4. New Marketplace Survey: Physicians and Hospitals Differ on How to Reduce Costs

  5. Caring for Older Adults in a Value-Based Model

Insights Council

Have a voice. Join other health care leaders effecting change, shaping tomorrow.

Apply Now