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 Showing 1-17 of 17 Articles
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.

Viewpoint  FREE
David Blumenthal, MD, MPP; J. Michael McGinnis, MD, MPP

This Viewpoint discusses an Institute of Medicine report that identifies 15 measures as core metrics for better health at lower cost.

Medical News & Perspectives  FREE
Rita Rubin, MA

Newly inducted US Surgeon General Vivek Murthy tells JAMA about his path to the role of “America’s doctor” and his vision for the health of the nation.

Viewpoint  FREE
Michael Rosenblatt, MD; Bruce Kuhlik, JD

This Viewpoint discusses the principles and practices that should guide decisions regarding early access to experimental therapies.

Medical News & Perspectives  FREE
Bridget M. Kuehn, MSJ

Early in his career, Louis B. St. Petery Jr, MD, a pediatrician in Tallahassee, Florida, attended the funeral of a young patient from his practice who was shot and killed after the child’s sibling found a loaded gun in a bedside drawer.

Viewpoint  FREE
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
Robert Steinbrook, MD

This Viewpoint discusses the repeal of Medicare’s sustainable growth rate formula for controlling physician payment and the implications for health care spending.

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.

Viewpoint  FREE
Brandon M. Welch, MS, PhD; Willard Dere, MD; Joshua D. Schiffman, MD

This Viewpoint discusses the importance of the family health history and the need for novel family history tools in the changing health care environment.

Viewpoint  FREE
Ateev Mehrotra, MD, MPH; Peter Hussey, PhD

This Viewpoint discusses benefits of and barriers to including physicians in Medicare’s bundled hospital care payment system.

Viewpoint  FREE
Ishani Ganguli, MD; Jason H. Wasfy, MD, MPhil; Timothy G. Ferris, MD, MPH

This Viewpoint discusses how physicians and health care organizations could work together to achieve the optimal number of patient office visits.

Editorial  FREE
Philip Greenland, MD; Eric D. Peterson, MD; J. Michael Gaziano, MD

In November 2015, JAMA will publish a theme issue on cardiovascular disease, and this will mark the fifth year the theme issue will coincide with the American Heart Association Scientific Sessions. This issue will include articles about cardiovascular disease that are relevant to the broad readership of JAMA...

Viewpoint  FREE
Honorio T. Benzon, MD; Marc A. Huntoon, MD; James P. Rathmell, MD

This Viewpoint lists some recommendations to improve epidural steroid injections that were developed by a multidisciplinary working group.

Viewpoint  FREE
Donald M. Berwick, MD, MPP; Derek Feeley, DBA; Saranya Loehrer, MD, MPH
Includes: Supplemental Content

This Viewpoint discusses the need for leaders in health care to steer the next phase of health care reform.

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