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.
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.
Case Study by
Paul N. Casale, Jonathan Gordon, Michael G. Stewart, George A. Cioffi, David Alge & Emme Deland
How NewYork Quality Care achieved shared savings — by strengthening collaboration, enhancing care management with telehealth, and transparently sharing performance data.
Pennsylvania addresses social determinants of health by bringing together managed care and social services organizations to expand access to vital resources.
Teryl Nuckols, Scott Weingarten & Thomas M. Priselac
Academic medical centers must become as dedicated to advancing operational and clinical efficiency as they have been to advancing the science of medicine.
Cathy Schoen, Karen Davis & Amber Willink
A proposal to improve the Medicare benefit package.
How two thought leaders in the fields of home-based medical care, geriatrics, and palliative medicine advanced a quality-of-care agenda for homebound adults.
Hearing loss isn’t a normal consequence of aging. But it is associated with a higher risk of dementia, depression, and falls. The Chief Medical Officer for AARP Services talks about combating this huge but silent epidemic that impacts all ages.
Mahesh Krishnan & Kent Thiry
The U.S. dialysis sector has been criticized for its lack of innovation, but this criticism disregards the kidney community’s success in creating — and continuously improving on — dialysis as a safe, globally scaled, quality-oriented outpatient therapy.
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.