Primary care must leverage disruptive innovations to ensure that patients receive first-access, comprehensive, coordinated, continuous care that is woven into a seamlessly integrated system.
Jeffrey S. Berns, Aaron Glickman & Matthew S. McCoy
Despite potential benefits, joint ventures between nephrologists and dialysis companies raise legal and ethical concerns because of participants’ conflicts of interest and lack of transparency.
In a survey of the NEJM Catalyst Insights Council sponsored by Optum, respondents express enthusiasm for value-based care but have conflicting opinions about just how far along that path they should go.
Patricia D. Franklin, David C. Ayers & Elise Berliner
Smartly designed patient-centered registries capture longitudinal data to augment EHRs and enhance quality improvement, policy, and research efforts.
The surgeon has a crucial role in defining value for patients in a population — and not just when that patient is in need of the surgeon’s knife.
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.
Samantha Tam, Derek A. Haas, Moran Amit, Michael E. Porter, Randal S. Weber & Ehab Y. Hanna
How multidisciplinary team meetings improve cancer care.
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.