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 Showing 1-12 of 12 Articles
Viewpoint  FREE
Josiah D. Rich, MD, MPH; Eli Y. Adashi, MD, MS

This Viewpoint examines federal and state syringe access policies in light of a recent HIV outbreak among injection drug users.

Viewpoint  FREE
Frank B. Hu, MD, PhD; Ambika Satija, BA; JoAnn E. Manson, MD, DrPH

This Viewpoint advocates worldwide policy changes that encourages walking and bicycling and promotes healthful eating by such measures as taxing junk food and subsidizing nutritious food to curb the diabetes epidemic.

Editorial  FREE
Lorenzo Del Sorbo, MD; Niall D. Ferguson, MD, MSc

Postoperative respiratory failure is a common indication for invasive mechanical ventilation, accounting for more than 20% of all patients receiving ongoing ventilatory support.1 Therefore, strategies aimed at liberating patients from ventilation more quickly following surgery or preventing postextubation respiratory failure in this setting have the potential to ...

Original Investigation  FREE
François Stéphan, MD, PhD; Benoit Barrucand, MD; Pascal Petit, MD; Saida Rézaiguia-Delclaux, MD; Anne Médard, MD; Bertrand Delannoy, MD; Bernard Cosserant, MD; Guillaume Flicoteaux, MD; Audrey Imbert, MD; Catherine Pilorge, MD; Laurence Bérard, MD; for the BiPOP Study Group
Includes: Supplemental Content

Importance  Noninvasive ventilation delivered as bilevel positive airway pressure (BiPAP) is often used to avoid reintubation and improve outcomes of patients with hypoxemia after cardiothoracic surgery. High-flow nasal oxygen therapy is increasingly used to improve oxygenation because of its ease of implementation, tolerance, and clinical effectiveness.


Editorial: High-Flow Nasal Cannula vs Noninvasive Ventilation for Respiratory Failure; Lorenzo Del Sorbo, MD; Niall D. Ferguson, MD, MSc
Viewpoint  FREE
Stephen P. Wall, MD, MSc, MAEd; Carolyn Plunkett, MA; Arthur Caplan, PhD

This Viewpoint discusses an approach to expanding the pool of potential donors of solid organs for transplantation.

Viewpoint  FREE
Leana S. Wen, MD, MSc; Joshua M. Sharfstein, MD

This Viewpoint reflects on recent events in Baltimore and the role of public health in the immediate response, in understanding the basis of unrest, and in long-term solutions to health inequities.

Editorial  FREE
Lawrence P. Casalino, MD, PhD

In their article, Nyweide and colleagues1 present results from the first 2 years of the Pioneer accountable care organization (ACO) program. Like the Medicare Shared Savings ACO Program (MSSP), the Pioneer program rewards health care organizations that accept accountability for a population of beneficiaries and score well ...

Editorial  FREE
Mark McClellan, MD, PhD

Accountable care organizations (ACOs) have become a popular topic of speculation in health policy and clinical care. Accountable care sets up an alternative payment track alongside fee for service (FFS): a group of clinicians, and possibly hospitals and other participants in health care delivery, receive higher payments if ...

Original Investigation  FREE
David J. Nyweide, PhD; Woolton Lee, PhD; Timothy T. Cuerdon, PhD; Hoangmai H. Pham, MD, MPH; Megan Cox, MHA; Rahul Rajkumar, MD, JD; Patrick H. Conway, MD, MSc
Includes: Supplemental Content

Importance  The Pioneer Accountable Care Organization (ACO) Model aims to drive health care organizations to reduce expenditures while improving quality for fee-for-service (FFS) Medicare beneficiaries.

Objective  To determine whether FFS beneficiaries aligned with Pioneer ACOs had smaller increases in spending and utilization than other FFS beneficiaries ...

Editorials: Pioneer Accountable Care Organizations; Lawrence P. Casalino, MD, PhD Evidence-based Payment Reform; Mark McClellan, MD, PhD
Viewpoint  FREE
Euan A. Ashley, MRCP, DPhil

This Viewpoint discusses the distinction between personalized and precision medicine and the roles the US initiative can play in addressing unmet needs and remaining challenges.

Benjamin L. Howell, PhD; Patrick H. Conway, MD; Rahul Rajkumar, MD, JD

This Viewpoint discusses the Innovation Center of the Centers for Medicare & Medicaid Services (CMS), which was created to evaluate new health care payment and delivery models.

Viewpoint  FREE
Dan G. Blazer, MD, MPH, PhD; Kristine Yaffe, MD; Jason Karlawish, MD

This Viewpoint summarizes recommendations made by the Institute of Medicine in its April 2015 report on the clinical and public health dimensions of cognitive aging.

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