Explore the latest in health care reform, including innovations in health care delivery and payment models, the politics of reform, and more.
This Viewpoint reviews problems and successes to date in Medicare’s value-based payment programs, and argues for global payment structures across populations, settings, and episodes of care to improve quality, patient-centered outcomes, and efficiency while not disadvantaging safety-net clinicians.
This cross-sectional study evaluates whether implementation of the Patient Protection and Affordable Care Act Dependent Coverage Expansion was associated with changes in the use of insurance for sexual and reproductive services among female young adults.
This Viewpoint discusses barriers to building trust between physicians and patients and offers recommendations to increase that trust, including minimizing emphasis on patient consumerism, promoting authentic partnerships, and accelerating select payment and delivery system reforms.
This cohort study assessed the association of the US Patient Protection and Affordable Care Act (ACA) Balancing Incentives Program with the prevalence and frequency of informal caregiving in the US from 2011 to 2018.
This economic evaluation estimates the association between the enactment of Patient Protection and Affordable Care Act (ACA) reforms and 30-day price-standardized hospital episode spending.
This cost minimization analysis compares the organization-wide cost of managing newly referred dermatology patients within a teledermatology triage system vs a conventional dermatology care model.
This cross-sectional study uses hospital-level Medicaid and geospatial data to analyze the association of state expansion of Medicaid under the Patient Protection and Affordable Care Act with emergency access to acute care hospitals.
This quasi-experimental cohort study assesses the association between Affordable Care Act implementation and asthma treatment by examining changes in ambulance dispatch rates for asthma emergencies in New York City between 2008 and 2018.
This study compares mean levels of institutional spending for Medicare beneficiaries after lower extremity joint replacement at skilled nursing facilities (SNFs) participating vs not participating in Medicare’s bundled payment program, before vs after implementation of the program.
This Viewpoint discusses how disruptions from the coronavirus disease 2019 (COVID-19) pandemic can set the stage for beneficial personal and organizational change, and proposes steps that can be taken to catalyze the posttraumatic growth process.
This cross-sectional study examines whether Medicaid expansion is associated with improved mortality among patients with breast, colorectal, and lung cancer.
This cohort study examines financial burden experienced by families with children from before to after implementation of the Affordable Care Act.
This cohort study uses the National Cancer Database to examine changes in rates of diagnosis of thyroid cancer among Medicaid beneficiaries after Medicaid expansion in 2014.
This case-control study uses data from the State Ambulatory Surgery and Services Database of the Healthcare Cost and Utilization Project to assess the association between state participation in Affordable Care Act Medicaid expansion reform and the use of outpatient surgical care among US adults.
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