Sachin H. Jain, MD, MBA

Here are 10 concrete, immediately implementable, and highly impactful measures that could significantly improve the US health care system by expanding access and reducing costs.

We must rethink our one-size-fits-all approach to social determinants of health interventions and instead target patients who truly need and would benefit from these interventions.

Complex care management for high-need, high-cost Medicaid patients significantly reduced total medical expenditures and inpatient utilization in a randomized quality improvement trial.

In this commentary, the authors argue for moving away from state-based medical licensure and describe policy, technological, and administrative changes necessary for implementing portable medical licensure.

Converting from analogue insulin to human insulin is associated with a clinical insignificant increase in glycated hemoglobin of 0.16% but with improved insulin adherence.

Sociobehavioral phenotypes are actionable risk profiles based on empirically derived social, economic, and behavioral factors that, if applied appropriately, can help healthcare organizations address social determinants of health.

Large-scale analysis of Harvard Business School’s physician graduates yields new insights into physician-MBA career choices and the utility of these programs.

New delivery models are altering the connections between physicians, which may lead to a decreased capacity for innovation and the slower spread of new ideas.

What would Pioneer ACOs say to their "next-gen" counterparts? Matthew Hayward and Sachin H. Jain deliver some comic humor to accountable care.

Accountable care is forcing providers to develop new capacities and strategies for managing cost and quality trends. Prospectively managing the health of populations requires shifting the focus of care delivery from episodic interventions to continuous population management. As a result, accountable care organizations (ACOs) are dedicating considerable focus to developing the infrastructure and tools needed to help patients manage their chronic conditions. This is a significant departure from traditional care-delivery models and will require provider organizations to develop new partnerships and embrace new methods.

Improving attention paid to patient preferences when matching patients and physicians on the basis of value and quality rather than costs and outcomes can help a patient achieve the overall healthcare experience.

This article reviews the mobile clinic sector's impact on access, quality, and costs, and explores postreform opportunities for leveraging them nationally.

Merck and the Heritage Provider Network forge a new kind of relationship, with the goals of spawning innovation in healthcare delivery and of providing an outline for future collaborations between ACOs and other healthcare stakeholders.

As delivery reform unfolds and leads to new models of care delivery, social capital will be a powerful concept to incorporate into their design and evaluation.

Recent legislative action and private sector innovation, driven by the unsustainability of the current system, may gradually create a business case for performance improvement.

Despite increasing availability of healthcare information technology, a literature review showed few clinical data on medication adherence interventions using this technology.

With the transition to "meaningful use" of electronic health records, medical educators should consider ways to meaningfully improve how physicians are trained for practice.

The authors discuss the wide-reaching impact of recent legislation spurring the adoption of health information technology and provide an overview of the content found in this special issue.

Pharmacy benefit managers can increase value through promoting use of cost-effective medications, timely initiation of essential therapy, and adherence to that therapy.