Case Study by
Christiana Beveridge, A. Sofia Warner, Greg Leya & Thomas W. Feeley
A focus on bundled payments for specific episodes of care — versus the broad changes required in an ACO model — may be a more effective method for ACO participants to develop capabilities required to measure utilization, cost, and revenue metrics.
How Oak Street Health, a full-risk, value-based primary care model and social determinants practice, embeds itself in the community to keep its elderly population, “happy, healthy, and out of the hospital.”
Caleb Stowell & Ari Robicsek
How Providence St. Joseph Health devised a Value-Oriented Architecture to guide physician practice.
Roslyn Murray, Andréa E. Caballero & Suzanne F. Delbanco
Despite some successes among the many efforts to execute value-oriented payment models, the lack of rigorous independent research studies impedes robust progress.
Ateev Mehrotra, David Schleifer, Amy Shefrin & Andrea M. Ducas
What policymakers, providers, and payers need to do to make price transparency successful.
Dan Liljenquist, Ge Bai & Gerard F. Anderson
A consortium of hospitals and health plans is establishing a nonprofit generic-drug manufacturer to produce a steady supply of affordable essential drugs and stimulate competition in generic-drug markets.
William H. Shrank, Diane Holder & Steven D. Shapiro
UPMC’s payer-provider partnership integrates real-time data to support improved clinical decision-making and optimizes clinical and financial performance.
Michael Nurok, Thoralf Sundt & Bruce Gewertz
In a value-based world, the sickest patients need the benefit of a comprehensive team to provide evidence-based treatment that will deliver desirable clinical outcomes while optimizing the cost of care.
Kunal D. Patel & Scott Reeves
To overcome current failures within our health systems, we need to improve interprofessional education and collaboration.
Leemore Dafny, David Lansky, Robert Galvin & Lynn Garbee
The companies most capable of leading transformation in health care coverage are the ones that least need to.