Robert E. Mechanic & Robert Galvin
Without more private-sector leadership, U.S. health care will remain stuck in a fee-for-service system for the foreseeable future.
Case Study by
Marcia Peterson & Sarah Rolph
A state-run center of excellence uses benefit design to improve outcomes while controlling cost.
Poonam L. Alaigh
The integration of primary care and specialty care physicians through adoption of both payment models will lead to synergistic value.
Hoangmai Pham & Paul B. Ginsburg
To truly redesign a system, one has to take a holistic approach and move multiple levers in concert, rather than fiddling with individual factors serially and hoping for a coordinated effect.
Lynda Chin, Joseph B. McCormick & Raymond S. Greenberg
Disrupted by technologies, health care needs ecosystem-based solutions for integration and equitable access.
To realize the true potential of value-based care, we must update the underlying assumptions in our fraud and abuse regulatory system.
Just as there is no such thing as good marketing or good manufacturing, there is no such thing as good primary care — it completely depends on how that care is tailored to meet the needs of patients with a particular medical condition.
Mary C. Politi, Abigail R. Barker, Catina O’Leary, Diane Webb & M. Ryan Barker
Lessons learned from five years of open enrollment in Missouri.
John D. Birkmeyer
A perspective on the growth of NPPs and the ideological divide between for-profit and nonprofit providers.
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.