Ziad Obermeyer & Ezekiel J. Emanuel
By now, it’s almost old news: big data will transform medicine. It’s essential to remember, however, that data by themselves are useless.
Using patient stratification and more primary care visits, Chicago-based Oak Street Health aims to reduce hospitalizations.
David Blumenthal, Bruce Chernof, Terry Fulmer, John Lumpkin & Jeffrey Selberg
Five foundations committed to improving U.S. care for complex patients outline promising program models and keys to success.
Stephen M. Shortell
Received wisdom for meaningful change in health care payment and delivery system reform.
Stacey B. Dale, Arkadipta Ghosh, Deborah N. Peikes, Timothy J. Day, Frank B. Yoon, Erin Fries Taylor, Kaylyn Swankoski, Ann S. O'Malley, Patrick H. Conway, Rahul Rajkumar, Matthew J. Press, Laura Sessums & Randall Brown
Midway through this four-year intervention, participating practices report progress in transforming the delivery of primary care. But savings and improvements in the quality of care or patient experience are lagging.
Robert Kocher & Anuraag Chigurupati
The way physicians are organized and reimbursed in the United States is undergoing a once-in-a-generation transformation from a fee-for-service system to alternative payment models. PCPs are well positioned economically and strategically, but specialists must adapt.
Case Study by
Paula H. Song, Brian Hilligoss & Sean Gleeson
Ohio-based Partners for Kids is charting new territory in care coordination for a high-need population.
Andy Allison, Erica Coe & Nina Jacobi
Age and income play a role in both short- and long-term fluctuations.
Michael McWilliams, Laura A. Hatfield, Michael Chernew, Bruce E. Landon & Aaron L. Schwartz
The earliest participants in MSSP contracts reduced Medicare spending, but the second cohort did not. Meanwhile, some quality measures improved among MSSP participants, while others were unchanged.
Christopher F. Koller
United’s announcement will affect some local markets, but the giant insurer has not been a major player in health insurance exchanges. And exchanges are only one part of the complex payment reforms under way.