In a Perspective in today’s New England Journal of Medicine, David Grande, LDI's Co-Director of Health Policy, and colleagues write about new digital forms of pharmaceutical and medical device marketing to physicians. The same technologies that can be used to support clinical practice—such as electronic health records, social media, and mobile applications—can also be used to conduct market research and to market directly to physicians. Grande and colleagues write:
In a study published today in JAMA, LDI Senior Fellows Mark Neuman and Rachel Werner cast doubt on the strategy of reducing hospital readmissions by preferentially choosing skilled nursing facilities (SNFs) with high quality ratings on Nursing Home Compare, Medicare’s five-star rating system.
The Affordable Care Act has generated carrots and sticks for hospitals to reduce readmissions. With the goal of achieving the Triple Aim (improving quality of patient care, improving population health, and reducing overall cost of care), innovative care delivery models are being tested locally and nationally, including the roll-out of Accountable Care Organizations and bundled payment programs. These programs create incentives in terms of shared savings for health care systems that provide high quality, coordinated care.
Federally-Qualified Health Centers: Key Access Point to Primary Care for Expanded Medicaid Population
Pennsylvania recently became the 27th state to expand its Medicaid program, a move that will make nearly 300,000 uninsured adults newly eligible for coverage in 2015. As in other states, questions arise about the health system’s ability to meet higher demands for primary care.
In Health Services Research, Guy David and colleagues evaluate whether patient-centered medical homes (PCMHs) reduce emergency department (ED) visits among patients with and without chronic conditions. The authors use data from approximately 460,000 Independence Blue Cross patients enrolled in 280 primary care practices, all of which converted to PCMH status between 2008 and 2012. PCMH certification was associated with a 5-8% reduction in ED visits among a practice's chronically ill patients, but had no effect on patients without chronic medical conditions. These findings were...
It’s not easy to make the case that health care innovation can come from within…from the physicians and nurses on the front lines of patient care. Clinically-trained, path-driven, and time-starved, these clinicians may not appear to be the best source of disruptive change in health care.