Payment Reform
by Jenna Ogilvie | Feb 6, 2014 | Discussion Paper, Perspectives
Texas’s health will more likely be transformed through an obscure set of health care reform measures called the Medicaid 1115 Waiver/Texas Healthcare Transformation and Quality Improvement Program than through the much-publicized Affordable Care Act (ACA). The...
by Jenna Ogilvie | Jan 6, 2014 | Discussion Paper, Perspectives
The Institute of Medicine (IOM) defines a learning health system as a system that has the capacity to both apply and generate reliable scientific evidence in the delivery of care (IOM, 2007). Although it may seem obvious that both the demands for higher...
by Jenna Ogilvie | Dec 6, 2013 | Commentary, Perspectives
As health plans, hospitals, doctors, and others work together to transform U.S health care into a system that delivers greater value to all Americans, we are increasingly partnering to design and implement new models of care that yield consistently higher...
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 Jenna Ogilvie | Aug 21, 2013 | Discussion Paper, Perspectives
These are historic times for health care and health. The Affordable Care Act (ACA) has unleashed novel initiatives such as the Health Care Innovation Awards and State Innovation Models (SIMs), and we applaud Congress and the Center for Medicare and Medicaid Innovation...
by Laura DeStefano | Aug 8, 2013 | Discussion Paper, Perspectives
The emergence of Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMHs), and related payment and delivery system innovations provides an unparalleled opportunity to advance the health of the U.S. population. The key to understanding this...
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 | Jul 15, 2013 | Commentary, Perspectives
Introduction In this commentary, Dr. Regina Benjamin highlights accomplishments of the National Prevention Council, an unprecedented gathering of multiple federal departments and agencies whose policies and practices bear on health. Authorized under the Affordable...
by Jenna Ogilvie | Jul 10, 2013 | Discussion Paper, Perspectives
Although the U.S. health system excels in several areas, its overall performance remains uneven in terms of safety, quality, value, and the health outcomes achieved. One important lever to address these performance gaps is the use of structured, evidence-based...
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...