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For the last century, the major causes of disease and death among Americans have changed, shifting from predominantly communicable diseases spread by germs to chronic ailments. This shift has been accompanied by a deeper understanding about what keeps people healthy or leaves them vulnerable to…
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Many hospitals feel they have adequately addressed the issue of bloodstream infection prevention if they mandate a conventional central-line bundle. Yet central-line-associated bloodstream infections persist as a major problem in health care today. Sutter Roseville Medical Center, Roseville, Calif…
This cross-site comparison of the early experience of four provider organizations participating in the Brookings-Dartmouth Accountable Care Organization Collaborative identifies factors that sites perceived as enablers of successful ACO formation and performance. The four pilots varied in size,…
The implementation of accountable care organizations, a new health care payment and delivery model designed to improve care and lower costs, is proceeding rapidly. We build on our experience tracking early ACOs to identify the major factors—such as contract characteristics; structure,…
Health care reform presents academic health centers with an opportunity to test new systems of care, such as accountable care organizations, that are intended to improve patients' health and well-being, mitigate the anticipated shortage in primary care providers, and bend the cost curve. In its…
Cigna's Collaborative Accountable Care initiative provides financial incentives to physician groups and integrated delivery systems to improve the quality and efficiency of care for patients in commercial open-access benefit plans. Registered nurses who serve as care coordinators employed by…
Hospital trustees considering a merger or other affiliation should ask themselves if they are treating a short-term problem with a long-term solution. In the din of experts' predicting the decline and fall of the independent community hospital, trustees may feel obliged to prescribe medicine…
For the last 15 years, public hospitals have pursued multiple strategies to help maintain financial viability without abandoning their mission to care for low-income people, according to findings from the Center for Studying Health System Change's site visits to 12 nationally representative…
Medicaid is the nation's health coverage program for the low-income population, covering , more than 60 million people or one in five Americans.It is a diverse group: low-income partents, children and pregnant women, low-income Medicare beneficiaries and people with disabilities. Beginning in…