Health plans use data to decide on quality improvement initiatives. Having a dashboard that characterizes how equitably plans are serving their enrollees would promote health equity.
A slight decrease in the convenience of ordering a laboratory test led to a dramatic decrease in test utilization.
Building negative incentives into value-based insurance design programs to discourage use of low-value care will involve a number of challenges.
Incorporating functional status in diagnosis-based risk adjustment measures may modestly improve overall expenditure prediction for beneficiaries with substantial disabilities, but not prescription cost prediction.
Automated patient support calls with feedback to informal caregivers and clinicians represent a viable strategy for increasing access to depression monitoring and self-management assistance.
Primary care physicians who address multiple problems during acute care visits achieve better clinical scores, comparable patient experience, and lower annual cost.
The Hospital-in-Home program implemented at the Veterans Affairs Pacific Islands Health Care System in Honolulu, Hawaii, is associated with reduced costs with no compromise in quality.
A cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
The healthcare burden of opioid abuse is substantial; abusers often have complex healthcare needs and may require care beyond that which is required to treat abuse.
The ambulatory intensivist model makes achieving the Triple Aim a reality through improved physician interpersonal, analytic, intuitive, and advanced clinical skills, including the use of telemedicine.
We describe an easy-to-interpret, patient-reported Functional Limitations Index that can be used to monitor care of patients along the disability continuum.
This study examined the relationship among availability of an on-site, employer-provided primary care medical home, and health services use and health plan costs.
Physician practices account for a significant amount of variation in spending.
Multiple chronic conditions among working-age adults lead to high costs over many years. Understanding how to effectively manage such patients is an important challenge.