Case Study by
David R. Scrase, Karla Thornton, Martha L. Carvour, Kimberly Page, Wei-Ann Bay, Joseph Buffaloe, Wanicha Burapa, Erica Archuleta, Imaneh Fallahi, Sanjeev Arora, Brent Earnest & Nancy Smith-Leslie
How managing the benefit coverage expansion for the treatment of HCV in New Mexico was successfully achieved after less than 2 years.
Case Study by
Ranjani K. Paradise, Carla Bettano & Toni McGuire
A group of seven community health centers in Massachusetts collaborated to implement a teledermatology program that improved access to specialty care for patients with skin conditions and reduced overall dermatology spending.
Four points on improving value in health care via vertical integration and aggressive experimentation.
NEJM Catalyst Insights Council members weigh in on the barriers and path forward to value-based health care.
R. John Sawyer II
To effectively control costs and improve value, new models must address our increasingly older patients and chronic care patients, especially those with Alzheimer’s and related dementias.
Adam L. Beckman, Laura Chmar, Travis Broome, Bob Kocher & Farzad Mostashari
A care and payment model that engages primary care physicians in an aligned model built on trust and value could result in better patient care at lower costs.
J. Michael McWilliams, Laura A. Hatfield, Bruce E. Landon, Pasha Hamed & Michael Chernew
After 3 years of the MSSP, participation in shared-savings contracts by physician groups was associated with savings for Medicare that grew over the study period, whereas hospital-integrated ACOs did not produce savings (on average) during the same period.
It should be no surprise that simpler, cheaper, and more convenient care arises from safety-net providers.
To realize the true potential of value-based care, we must update the underlying assumptions in our fraud and abuse regulatory system.
Mary C. Politi, Abigail R. Barker, Catina O’Leary, Diane Webb & M. Ryan Barker
Lessons learned from five years of open enrollment in Missouri.