Is a strategy focused on super-utilizers equal to the task of health care system transformation? Yes

U Emeche - The annals of family medicine, 2015 - Annals Family Med
Can developing delivery models for a segment of the population equate to system
transformation? Yes, when tied to alternative payment methods; real-time utilization data; …

Is a strategy focused on super-utilizers equal to the task of health care system transformation? No.

WP Newton, A Lefebvre - The Annals of Family Medicine, 2015 - Annals Family Med
9 sive problems with quality of care4, 5 and patient experience. 6 We must keep the Triple
Aim in mind. Moreover, for insurers, foundations, and most importantly the clinically …

State innovation model initiative: a state-led approach to accelerating health care system transformation

LS Hughes, A Peltz, PH Conway - Jama, 2015 - jamanetwork.com
On December 16, 2014, the Centers for Medicare & Medicaid Services (CMS) announced
that it would provide more than $665 million to support states in transforming their public and …

Disentangling the Role of Health Care Systems in Producing High-Quality Care

VA Lewis, GF Murray, DA DeWalt - JAMA, 2023 - jamanetwork.com
Largehealthcaresystemshavebecomeadom…-ture of the US health care delivery system.
While there is clear agreement that current trends in consolidation into large health care …

[PDF][PDF] State innovation models: early experiences and challenges of an initiative to advance broad health system reform

S Silow-Carroll, JA Lamphere - Issue Brief (Commonw Fund), 2013 - statecoverage.org
The Centers for Medicare and Medicaid Services and states are partnering to transform
health care systems by creating and testing new models of care delivery and payment …

Guiding principles for center for medicare & medicaid innovation model evaluations

BL Howell, PH Conway, R Rajkumar - JAMA, 2015 - jamanetwork.com
The Center for Medicare & Medicaid Innovation (Innovation Center) was created by the
Affordable Care Act to testinnovativepaymentandservicedeliverym…, Medicaid, andthe …

Clinical integration: a cornerstone for population health management

KW Kizer - Journal of Healthcare Management, 2015 - journals.lww.com
The primary business of healthcare today is managing chronic conditions such as diabetes,
asthma, heart disease, and arthritis. Approximately three fourths of all healthcare …

Delivering value: provider efforts to improve the quality and reduce the cost of health care

JE Gordon, JM Leiman, EL Deland… - Annual review of …, 2014 - annualreviews.org
Growing concern regarding costs of care and health outcomes in the United States has led
to widespread calls to address the issue of health care spending. Today, providers across …

[PDF][PDF] Innovative care models for high-cost Medicare beneficiaries: delivery system and payment reform to accelerate adoption

K Davis, C Buttorff, B Leff, QM Samus… - Am J Manag …, 2015 - ajmc.s3.amazonaws.com
Objectives: About a third of Medicare beneficiaries are covered by Medicare Advantage
(MA) plans or accountable care organizations (ACOs). As a result of assuming financial risk …

The impact of tailored intervention services on charges and mortality for adult super-utilizers

J Durfee, T Johnson, H Batal, J Long, D Rinehart… - Healthcare, 2018 - Elsevier
Background Interventions designed to improve care and reduce costs for patients with the
highest rates of hospital utilization (super-utilizers) continue to proliferate, despite conflicting …