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.
Carlos Reines, Laura Miller, J. Nwando Olayiwola, Christina Li & Ella Schwartz
How eConsults unlock medical expertise for the underserved.
NEJM Catalyst Insights Council members agree that despite the challenges and caveats, transparency efforts are essential.
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.
Insights Report by
NEJM Catalyst & University of Utah Health
An independent NEJM Catalyst report sponsored by University of Utah Health on how practicing clinicians and health care leaders view health care costs.
Donald M. Berwick, Melinda B. Buntin, Patrick H. Conway, Raymond P. Vara, Jr. & Edward Prewitt
A discussion from the Institute for Healthcare Improvement National Forum. Part 2 of a two-part series.