Health Care Delivery: Commentary

Retainer-Based Medicine: Where is the Research?

Feb. 8, 2016

About 10 years ago, my primary care physician decided that she would no longer take insurance, and left the practice.  Patients could pay directly to continue in her care in her new practice, or see another physician in the existing practice.  I chose to stay in the practice with another physician.

Can Social Impact Bonds Deliver For Health?

Nov. 5, 2015

Social impact bonds (SIBs), also known as "pay for success financing," are a relatively new way to attract private investment in public goods and social programs. The potential to draw new revenue streams that can fund programs with significant upfront costs but long-term savings has made these bonds attractive in the health care sector.

Physician Incentives - Making Performance Measures Meaningful

Oct. 30, 2015

How can we redesign physician incentives to improve their impact on behavior and performance?  Recently, the Commonwealth Fund published a round-up of expert views on reforming physician incentives, and one of the experts was LDI Senior Fellow Amol Navathe, MD, PhD. Navathe, a physician, health economist, and engineer, studies how to apply behavioral economic principles to physician financial and non-financial incentives.

Reducing ED Use in Medicaid Patients

Jun. 18, 2015

In a new NEJM Perspective, LDI Fellow Ari Friedman, Brendan Saloner, and Renee Hsia analyze different policies to reduce emergency department (ED) use in Medicaid patients. They advocate strongly for providing Medicaid patients with better alternatives to the ED, rather than discouraging nonemergency ED use by imposing steep copayments.

Fix Pennsylvania's Medicaid Policy on IUDs

Jun. 15, 2015

Cross-posted with the Philadelphia Inquirer

Imagine a woman in labor who goes to the hospital with a delivery plan she made in consultation with her obstetrician: yes to antibiotics in labor; no to an epidural for pain control; yes to neonatal circumcision; and yes to having an intrauterine device (IUD) placed immediately after childbirth.

Does Philadelphia Have Primary Care Deserts?

May. 19, 2015

Cross-posted with the Field Clinic blog

Over the past two years, one of the top health care priorities in Philadelphia has been getting people signed up for health insurance. That is still a huge, unfinished task, but alongside it we need to make sure we have enough doctors in the right places to deliver care. For health care reform to deliver on its promise, people need good access to primary care.

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