Explore the latest in health care reform, including innovations in health care delivery and payment models, the politics of reform, and more.
This Viewpoint discusses the benefits and challenges of transitioning to a value-based payment design for health care rather than a fee-for-service system.
This cluster randomized clinical trial evaluates the effectiveness of peer coaching, practice facilitation, or a combination of both approaches, compared with enhanced usual care, in improving blood pressure control among Black participants in the rural South.
This cohort study evaluates the association between a Medicare shared decision-making mandate for use of implantable cardioverter defibrillators with the rate of use for this device.
This cohort study examines the association between transition to valued-based preventive drug list benefits and acute, preventable diabetes complications.
This systematic review examines the evidence on the association between economic policies and hypertension management and control among adults with hypertension in the US.
This cross-sectional study describes and historically benchmarks Medicare Part D coverage in 2019 and 2023 for the first 10 drugs selected for negotiation.
This Viewpoint reviews the Guiding an Improved Dementia Experience (GUIDE) Model to assess its suitability in providing equitable and cost-effective dementia care and to compare it with previously introduced specialty care payment models to identify opportunities for refining payment innovation in dementia care.
This cross-sectional study identifies factors associated with the time to hand surgery for rheumatoid arthritis, surgical incidence, and costs and compares changes in these factors before vs after passage of the Patient Protection and Affordable Care Act.
This JAMA Network Insight demonstrates examples of how clinicians can implement stepwise changes to reduce unnecessary patient harms, using the 4 E’s.
This cohort study analyzes review times and approval outcomes of health technology assessments conducted in 6 high-income countries for novel therapeutic agents approved by the US Food and Drug Administration.
This study investigates whether ACA policies to increase access to breast pumps and lactation care were associated with innovation in the market for breast pumps.
This nationwide cohort study assess whether Medicaid expansion under the Patient Protection and Affordable Care Act is associated with changes in early mortality among adults after surgical resection of non–small cell lung cancer.
This observational study assesses the first-year of the End-Stage Renal Disease Treatment Choices model performance and the financial penalties sustained by facilities that serve patients with high social risk vs facilities that serve populations with lower social risk.
This Viewpoint discusses alternative payments models and the responsibilities of health care professionals.
This Viewpoint discusses the need to reorganize the provision of well-child care whereby responsibility for services is formally divided and coordinated and funding is free from traditional, risk-based health insurance.
This cross-sectional study examines outcomes for patients hospitalized with heart failure to compare changes in the quality and outcomes of care according to hospital participation in the Medicare Bundled Payments for Care Improvement program.
This study tests whether the Centers for Medicare & Medicaid Services’ Comprehensive Primary Care Plus model, which provided payment, data feedback, learning, and health information technology supports for more than 3000 US primary care practices, was associated with lower health care spending and utilization and improved quality of care.
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