Delivery System Redesign

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NeHC-Secrets of HIE Success Revealed: Lessons from the Leaders

Aug 2011

This report from The National eHealth Collaborative, reports on a study of 12 health information exchanges (HIEs) showing that providers have increasingly tapped these types of data clearinghouses in hopes of streamlining and improving the care they deliver.

 

CMWF-Achieving Efficiency: Lessons from Four Top-Performing Hospitals

Aug 2011

This report from the Commonwealth fund looks at findings from four hospital case studies highlighting opportunities for all hospitals to achieve greater efficiency.

 

HA/CMS-U.S. Health Spending Projected To Grow 5.8 Percent Annually

Jul 2011

This article highlights the CMS ACA Spending Report that notes by 2020, health care spending in the U.S. will account for nearly a fifth of GDP, while expanding insurance coverage to 30 million more Americans.

 

UHG-Modernizing Rural Health Care: Coverage, Quality and Innovation

Jul 2011

A report from UnitedHealth Center for Health Reform & Modernization highlights the extreme lack of primary care physicians and need for care in rural areas.

 

NYSHF-Considerations for the Development of Accountable Care Organizations in New York State

Jul 2011

A new NYSHealth report written by Manatt, Phelps, and Phillips LLP,  provides a framework for State officials and health care industry stakeholders to consider the policy issues raised by the development of Accountable Care Organizations in New York.

 

NASHP-Health IT, Quality Reporting and Medicaid Well Child Benefits: An Assessment of Progress and Potential in D.C.

Jul 2011

This report, commissioned by the United States District Court for the District of Columbia, details the opportunities available to the District of Columbia – and potentially other states as well - to use this emerging quality framework and HIT/HIE infrastructure to enhance the quality and oversight of Medicaid EPSDT benefits.

 

CMWF-Promising Payment Reform: Risk-Sharing with Accountable Care Organizations

Jul 2011

This paper describes and reports on the implementation of eight private ACOs that use, or are planning to deploy, a shared payer–provider risk payment model.

 

Milliman-Health Insurance CO-OPs: Challenges and Opportunities

Jul 2011

This Milliman brief discusses the organizations that are most likely to create CO-OPs, the challenges to developing CO-OPs, and areas where CO-OPs can help improve quality and reduce costs.

 

HHS- Proposed Rule on Establishment of Consumer Operated and Oriented Plan (CO-OP) Program

Jul 2011

The Department of Health and Human Services (HHS) released draft rules on the implementation of Consumer Operated and Oriented Plan (CO-OP) program under the Affordable Care Act.  This program will fund the creation of CO-OPs to offer qualified health plans in insurance exchanges.

 

SHADAC-A Framework for Tracking the Impacts of the Affordable Care Act in California

Jul 2011

This report, funded by a grant from the California HealthCare Foundation, makes recommendations for how California can measure the impact of health reform in three areas of health insurance coverage, affordability and comprehensiveness of coverage, and access to health care services.

 
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