Payment Reform
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 | May 29, 2013 | Discussion Paper, Perspectives
Introduction We are entering a critical time in health care in the United States. The Patient Protection and Affordable Care Act (ACA) changes the American health care system in many ways. Of major importance is the fact that it expands access to health insurance for...
by Jenna Ogilvie | Mar 22, 2013 | Commentary, Perspectives
Fundamental changes are reshaping the nation’s health care system—from purchaser and payer demands for greater quality and value to new legislative and regulatory requirements stemming from the Affordable Care Act. Also driving change is the growing recognition that a...
by Laura DeStefano | Nov 30, 2012 | Commentary, Perspectives
While there has been an enormous amount of attention paid to the transformation of the United States Health Care delivery system under the Affordable Care Act (ACA), little has been said about the many opportunities in the ACA for population health systems improvement...
by Laura DeStefano | Nov 16, 2012 | Commentary, Perspectives
More than a decade ago, the board of directors and executive leaders of Virginia Mason (VM) Health System in Seattle, WA, held a series of meetings to determine the future direction of the organization. It was a new century, we had a new CEO, and the Institute of...
by Laura DeStefano | Jun 5, 2012 | Discussion Paper, Perspectives
As leaders of health care organizations, we are acutely aware of the pressures that rising health care costs place on individuals, employers, and the government, as we are of unacceptable shortfalls in the quality and efficiency of care. But we have also learned,...
by Laura DeStefano | Apr 6, 2012 | Commentary, Perspectives
With all the attention being paid to emerging accountable care organizations throughout the country, a California model is delivering measurable results. Catholic Healthcare West (CHW) (now Dignity Health), Hill Physicians Medical Group, and Blue Shield of California...
by Laura DeStefano | Feb 24, 2012 | Commentary, Perspectives
Amidst the politicized and polarized debate on health care policy, it is encouraging to know that the goal of this discussion remains unchanged; Republicans, Democrats, conservatives, and liberals all seem to agree that we should be working to create a high-value,...
by Laura DeStefano | Jan 27, 2012 | Commentary, Perspectives
The challenging economics of health care require today’s innovators to demonstrate value against a number of criteria, including access to care, the current standard of care, and the economic capacity of payers. One way innovators have sought to address the paradox of...
