The former Executive Director of the Commonwealth Health Insurance Connector — a model for the Affordable Care Act and other state marketplaces — reflects on what worked, what didn’t, and what could be done differently in both Massachusetts and at the federal level.
Health care leaders need to focus less on ownership and control of the delivery process, and more on outcomes, cost efficiency, and customer experience.
The consolidation craze continues, but vertical integration has yet to demonstrate real progress toward the Triple Aim. Health care leaders would do well to consider innovative approaches that are working in other industries, including the tech-enabled full stack model.
Karl Y. Bilimoria, John D. Birkmeyer, Helen Burstin, Justin B. Dimick, Karen E. Joynt Maddox, Allison R. Dahlke, John Oliver DeLancey & Peter J. Pronovost
Some promising innovation is taking place among organizations that rate hospital performance, but major systemic change is needed in the field to ensure access to meaningful comparisons through better data and relevant metrics, and to establish integrated oversight through robust audits and peer review.
Involving the private sector in Chinese health care could be beneficial, but a market only works with the right ingredients. An American health care economist shares lessons the U.S. has learned about its downsides.
NEJM Catalyst Insights Council members detail how providers are looking to direct-to-consumer telemedicine and partnerships to meet the differing needs of their patient populations.
A survey of the NEJM Catalyst Insights Council shows conflicting views about both the value of convenient care and what respondents’ organizations should do.
Four points on improving value in health care via vertical integration and aggressive experimentation.
Nicholas Bagley, Amitabh Chandra, Craig Garthwaite & Ariel D. Stern
Three proposals for improving the law to reflect 21st-century drug development practices.
Laura L. Forese
A simple road map for health care organizations to follow when working through integration, which keeps the perspective of the patient in mind.