Delivery System Redesign

This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, Minnesota, New Mexico, Ohio, and Virginia) that participated in a learning collaborative to advance health equity using select ACA and state policy levers.

According to a new national study by the Center for Studying Health System Change (HSC), the majority of emergency department (ED) visits by nonelderly Medicaid patients are for symptoms suggesting urgent or more serious medical problems rather than for routine care.This research brief highlights that there are clearly opportunities to develop less-costly care options than emergency departments for both nonelderly Medicaid and privately insured patients.

The study, “After-Hours Care and its Coordination with Primary Care in the U.S.,” by the Center for Studying Health System Change (HSC) published online in The Journal of General Internal Medicine (JGIM) identified five models of after-hours care coordinated with primary care.

The Institute of Medicine (IOM) and 11 health systems have developed a checklist to help health systems provide high-value health care — better results with lower costs

This brief by the Center for Health Care Strategies describes the two-year pilot programs in Southeast and Southwest Pennsylvania and gives preliminary findings based on an analysis of key informant interviews and performance measures.