New Marketplace
Improving Care by Redesigning Payment
Case Study by Marcia Peterson & Sarah Rolph
A state-run center of excellence uses benefit design to improve outcomes while controlling cost.
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Payer-Provider Integration
Health insurance companies and a healthcare provider may greatly benefit from systems integration. Healthcare payer and provider organizations have different goals but need to work together to generate efficiencies. How can we bridge the gap between the two parties?
Leadership
Personas of Leadership in Value-Based Care
Article by Robert Pottharst
The deliberate nurturing of specific types of leadership personas seems to be a critical factor in the success of value-based care organizations.
New Marketplace
Effective Consolidation: A Model for Reform Through Payer-Provider Integration
Article by 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.
New Marketplace
Reshaping Care Coverage: A Public Good Problem
Clip by 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.
New Marketplace
Amazon and CVS: Short-Lived Unicorns in Health Care, or Healers of the “Tapeworm”?
Interview by Robert Galvin & Leemore Dafny
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.
Patient Engagement
Improving Patient Involvement in Care
Article by Bob Wertz
The CEO of Virginia Mason on facilitating and enhancing patient participation in care.
New Marketplace
Does CVS–Aetna Spell the End of Business as Usual?
Article by Leemore Dafny
What might one of the largest mergers in history mean for the health care delivery system?
New Marketplace
Survey Snapshot: Payer-Provider Alignment Is Difficult Even for Integrated Organizations
Insights Report by Sandra Gittlen
NEJM Catalyst Insights Council members say stronger incentives and better use of analytics could improve alignment.
New Marketplace
New Marketplace Survey: Payers and Providers Remain Far Apart
Insights Report by Leemore Dafny & Namita Seth Mohta
Health care stakeholders are not aligned in important goals and in large part are not working together to achieve value-based care, according to the NEJM Catalyst Insights Council. They are waiting on government regulators to change the payment model — including, possibly, single-payer health care.
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Insights Council
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