Coverage and Access
by Jenna Ogilvie | Oct 3, 2013 | Commentary, Perspectives
Three years ago, the Institute of Medicine (IOM) released its landmark report The Future of Nursing: Leading Change, Advancing Health, made possible by the support of the Robert Wood Johnson Foundation (RWJF). In light of the tremendous need for nurses in...
by Jenna Ogilvie | Sep 3, 2013 | Commentary, Perspectives
The U.S. health care system is in the early stages of transitioning from a payment system driven by volume to one based on value. New payment models are being tested at scale by both private and public payers, and payers are learning to align their financial models...
by Laura DeStefano | Aug 13, 2013 | Commentary, Perspectives
In 2013, the Centers for Medicare & Medicaid Services (CMS) reported that the 30-day, all-cause readmission rate had decreased to 17.8 percent, after averaging 19 percent for the past 5 years. This improvement translates to 70,000 fewer readmissions in 2012, but,...
by Laura DeStefano | Jul 16, 2013 | Commentary, Perspectives
Rising health care costs, increasing prevalence of chronic disease, persisting health care disparities and access issues, and the aging population underlie the urgent need for change in the U.S. health care system to simultaneously improve health and reduce costs...
by Jenna Ogilvie | Jun 25, 2013 | Discussion Paper, Perspectives
Introduction Good health is important—for our work, our play, and our everyday lives. There are many things we can do to maintain good health. We can exercise, eat healthy foods, and not smoke. But sometimes we need medical care to help keep us from getting sick or...
by Laura DeStefano | Jun 21, 2013 | Discussion Paper, Perspectives
In April 2013, in collaboration with the Connecticut Health Foundation, the Institute of Medicine’s (IOM’s) Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities convened a public workshop with community leaders and health policy...
by Laura DeStefano | Jun 14, 2013 | Commentary, Perspectives
According to the Institute of Medicine report Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, as much as $750 billion—or 30 percent [1]—of health care expenditures may be wasted, including a substantial share from services that are...
by Jenna Ogilvie | May 17, 2013 | Commentary, Perspectives
A generation ago, the doctor always knew best. Medical decision-making was cloaked in secrecy. Medical charts and Xrays were handled clandestinely. And hospitals’ outcomes, volumes, and mortality rates were not available for general consumption—if the data were...
by Jenna Ogilvie | Apr 19, 2013 | Commentary, Perspectives
More than ever, health care providers need to help purchasers make intelligent, value-based decisions. Providers are being asked to reduce the total cost of care, figure out what works and what doesn’t, and move quickly on innovations that add value. But without...
by Jenna Ogilvie | Jan 11, 2013 | Commentary, Perspectives
When I was a resident, I cared for an asthmatic boy who had been in and out of the hospital 3 times in 8 weeks. Each time, we sent him home with an escalating regimen of medications, and each time, his symptoms only worsened. After his mother told me that they lived...
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