Health Care Delivery

The Affordable Care Act has had a profound impact on how health care is organized and delivered, paid for, and on those delivering the care. A shift in focus to population health management is linked to payment reform – bundled paymentshospital readmission penalties - as well as the development of new models of care delivery such as Patient-Centered Medical Homes and Accountable Care Organizations.

Health Care Delivery

The Affordable Care Act has had a profound impact on how health care is organized and delivered, paid for, and on those delivering the care. A shift in focus to population health management is linked to payment reform – bundled paymentshospital readmission penalties - as well as the development of new models of care delivery such as Patient-Centered Medical Homes and Accountable Care Organizations.

What We Know

Physician incentives – Suggestions for incorporating behavioral economics principles and a trial of incentive structures

Nursing – Briefs on the role of nurses in health system reformevidence of nursing’s contribution to value, and how nursing affects Medicare outcome-based hospital payments

Nursing home report cards – Evidence of how star quality ratings affect consumer demand

Personalized medicine – Clinical and financial outcomes of genomic testing for breast cancer

Patient-centered medical homes - Impact on health outcomes and on appointment availability

Provider consolidation and integrated care – Effects on quality and costs

Primary care access – Research on access, costs, workforce 

Health care and the opioid crisis – Briefs on the importance of primary care, economic evaluations of interventions, and using narratives to engage emergency physicians about prescribing guidelines

What We're Watching

New delivery models – Accountable Care Organizations continue to evolve; practice transformation into a Patient-Centered Medical Home may be prohibitively costly

Expanding nurse practitioner practice authority Action at the state level

Prescription drug prescribing – States take steps to implement monitoring programs; experts question strict prescribing restrictions on treatment for opioid addiction

Price and spending variation – Health Care Pricing Project analysis shows geographic variation in health spending for privately insured

Providing care to newly insured  Commonwealth Fund survey shows primary care providers able to meet demand

Shifting location of care Utilization and spending effects of retails clinics

Research

Commentary

Health Care Delivery

The Affordable Care Act has had a profound impact on how health care is organized and delivered, paid for, and on those delivering the care. A shift in focus to population health management is linked to payment reform – bundled paymentshospital readmission penalties - as well as the development of new models of care delivery such as Patient-Centered Medical Homes and Accountable Care Organizations.

What We Know

Physician incentives – Suggestions for incorporating behavioral economics principles and a trial of incentive structures

Nursing – Briefs on the role of nurses in health system reformevidence of nursing’s contribution to value, and how nursing affects Medicare outcome-based hospital payments

Nursing home report cards – Evidence of how star quality ratings affect consumer demand

Personalized medicine – Clinical and financial outcomes of genomic testing for breast cancer

Patient-centered medical homes - Impact on health outcomes and on appointment availability

Provider consolidation and integrated care – Effects on quality and costs

Primary care access – Research on access, costs, workforce 

Health care and the opioid crisis – Briefs on the importance of primary care, economic evaluations of interventions, and using narratives to engage emergency physicians about prescribing guidelines

What We're Watching

New delivery models – Accountable Care Organizations continue to evolve; practice transformation into a Patient-Centered Medical Home may be prohibitively costly

Expanding nurse practitioner practice authority Action at the state level

Prescription drug prescribing – States take steps to implement monitoring programs; experts question strict prescribing restrictions on treatment for opioid addiction

Price and spending variation – Health Care Pricing Project analysis shows geographic variation in health spending for privately insured

Providing care to newly insured  Commonwealth Fund survey shows primary care providers able to meet demand

Shifting location of care Utilization and spending effects of retails clinics