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Making Local Community Health a Financial Imperative in Maryland

When former Speaker of the House Tip O’Neill coined the phrase “all politics is local,” he knew that successful politicians addressed the everyday “kitchen-table” concerns of voters. Health care policy...

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What Funders Can Do to Advance Payment Reform

The movement to transform how we pay health care providers has taken a dramatic turn in the past several years as more and more purchasers, providers, and other stakeholders seek financial incentives...

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Care Team Redesign: Transforming Medical Assistant Roles in Primary Care

The health care industry is in a period of dramatic change. The uninsured rate is rapidly dropping; physicians are joining group practices in record numbers; medical cost inflation has slowed; and now...

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Addressing Behavioral Health Integration With Payment Reform

Editor’s note: This post is part of a periodic Health Affairs Blog series, looking at payment and delivery reforms in Arkansas and Oregon. The posts will be based on evaluations of these reforms...

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Beyond SGR: Aligning The Peanut Butter Of Payment Reform With The Jelly Of...

Increasingly, payment reform initiatives aim to achieve greater value from the provision of health care services.  The emphasis on alternative payment models in the recent bipartisan, legislation...

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A Wannabe Winemaker Plots The Path To A New Health Care Delivery System

Health Affairs Editor-in-Chief Alan Weil recently surprised readers with his comments on “Why I Oppose Payment Reform.” Those of us who fell for that bit of click bait discovered that, of course, he...

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Arkansas Payment Improvement Initiative: Expanding Episodes To Other Clinical...

Editor’s note: This post is part of a periodic Health Affairs Blog series, looking at payment and delivery reforms in Arkansas and Oregon. The posts are based on evaluations of these reforms performed...

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Dynamic Vision Is A Cornerstone Of State Payment Reform Initiatives

Faced with rising health care costs, states are designing and implementing payment reforms that fundamentally transform how the health care market provides and pays for services. Two states in...

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Physician Payment Reform In A Post-SGR World: Challenges Remain

On April 16, 2015 President Barack Obama signed the Medicare Access and CHIP Reauthorization Act (MACRA) which, among other things, finally repeals the Sustainable Growth Rate (SGR) mechanism of...

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Not Your Usual Suspects: Roles For State Agencies In PCMH Payment Reforms

The growth of multipayer patient centered medical home (PCMH) reform across the country, accelerated by the Affordable Care Act, offers the opportunity to widely transform the primary care delivery...

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English Developments In Value-Based Care: The Beginnings Of A Revolution?

Watching from England, one of the most remarkable and well-documented developments in US health care of recent years has been the rapid adoption of a value-based approach to health care and the...

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State Options To Control Health Care Costs And Improve Quality

The recent debate on health care reform has occurred mostly at the national level. The Affordable Care Act, or ACA, was a momentous change for the American health care system. So far, 20 million people...

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Let’s Stop Making Excuses For Egregious Medical Errors

To save the life of a child, a zoo sacrifices a prized, endangered gorilla. In exchange for one nearsighted Israeli soldier captured in Gaza, Israel released 1,000 Palestinian prisoners. (This example...

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