Joshua M. Liao, MD, MSc

The authors describe Medicare Advantage plans that screen for and provide supplemental benefits addressing social needs and explore how these benefits meet communities’ social needs.

A national survey demonstrated differences in organizational capacity between hospitals participating in Medicare bundled payment programs and those coparticipating in both Medicare and commercial bundled payment programs.

Outpatient care for dual-eligible beneficiaries is concentrated among a small group of physicians, and these beneficiaries receive less subspecialty care despite having more chronic conditions.

A national survey of physicians elicits beliefs regarding how the Merit-based Incentive Payment System domains drive value.

This study, which provides the first description of episode spending patterns for safety-net hospitals nationwide, demonstrates that episode spending does not vary by safety-net status.

Fee-for-service billing codes can serve as bridges for organizations to build care management capabilities and transition from volume- to value-based payment and care delivery.

Although most physician leaders from 22 organizations saw patients and felt that it improved their leadership performance, their perceptions of the optimal balance of clinical and leadership responsibilities varied.

To support effective care management programs in the context of value-based care, we propose a framework categorizing care management as disease management, utilization management, and care navigation interventions.

Differences in patients’ clinical and social complexity and accountable care organization (ACO) network configuration highlight why specific strategies may have variable effectiveness in different types of ACOs.

This study demonstrates that variation reduction is an important, but not requisite, component of organizational success under orthopedic bundled payment.