Payment & Delivery

How insurers and providers are organized and paid to deliver care. Research by LDI Senior Fellows examines the shift from fee-for-service payments to newer models of paying for and delivering value, such as Accountable Care Organizations and Patient-Centered Medical Homes.

Patient Handoffs: A High-Stakes Game of Telephone

Nov. 20, 2014

As a past, present, or future patient, you might hope that your health care providers are consistently and reliably involved in your care. Just like you, though, your providers need rest and time off. When they go off-duty, responsibility for you is transferred, or "handed off", to someone else.

Digital Marketing to Physicians: Policy Lags Behind Practice

Nov. 12, 2014

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:

Carrots and Sticks to Reduce Readmissions and Improve Home Health Care

Oct. 1, 2014

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.

Do Patient-Centered Medical Homes Reduce Emergency Department Visits?

Aug. 12, 2014

Guy David, Candace Gunnarsson, Philip A. Saynisch, Ravi Chawla, Somesh Nigam

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...

Photo Page: SUMR14 at The Morris Arboretum

Jul. 31, 2014
Photography by Hoag Levins and Megan Pellegrino [Click images for larger] Lounging in the 50-foot-high nets (above left) that provide a bird's eye view of a heavily wooded section of the Morris Arboretum are Summer Undergraduate Minority Research (SUMR) scholars Sarah Appeadu, Nehanda Khemet, Karena Taylor, Shamarlon Yates, Siya Ndwandwe and Tyler Chavez. Above right, Arboretum guide Jim Diamond explains the Katsura tree, a 90-foot high, 67-foot wide botanical behemoth imported from Japan in the early 1900s. Originally created in the 1880s for the personal pleasure of two heirs to a...