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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…
Many physicians are becoming employees of hospitals, medical groups or affiliate organizations. For the physician making a career move—and looking to do so with greater knowledge and confidence—the American Medical Association offers Annotated Model Physician-Hospital Employment…
In 1996, as the growth in managed care increased the role for general internists and primary care physicians, the term hospitalist was coined.
Acute care hospitals have been establishing palliative programs at a rapid pace; the United States now has more than 1,600 of these team-based programs that focus on relieving symptoms and improving quality of life for patients with serious illness. But when patients leave the hospital setting, the…