Delivery System Redesign

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.

This white paper for the Agency for Healthcare Research and Quality explores the current landscape of PCMH services for patients with complex needs. It details five programs that have addressed the challenges of caring for these patients, and offers programmatic and policy changes that can help smaller practices better deliver services to all patients, including those with the most complex health needs.

A report from the Rhode Island Healthcare Commission's Payment and Delivery Reform work group.

This report addresses the potential of integrated delivery systems and effective state policy options to encourage changes in that direction.

With the help of six, national health care experts, the Blue Cross Blue Shield of Massachusetts Foundation's 2011 annual report explores how to tame rising health care costs.

This chart pack pulls together many of the major findings and analyses from recent state and national research efforts on Massachusetts health care spending.

In this paper, Georgetown University researchers discuss the phenomenon of employers increasingly turning to workplace wellness initiatives to curb rising health care costs and the growing prevalence of chronic conditions.