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  • Global Budgets for Safety-Net Hospitals

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    JAMA. 2017; 318(18):1759-1760. doi: 10.1001/jama.2017.14957

    This Viewpoint discusses steps necessary to develop an all-payer hospital global budgeting system as one means to incentivize health systems to emphasize preventive care that reduces health service utilization and costs.

  • Transforming the Military Health System

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    JAMA. 2017; doi: 10.1001/jama.2017.16718

    This Viewpoint describes the five lines of reform the US Department of Defense is implementing for its TRICARE health plan, the main provider of health care services to enlisted service members in all military branches, their families, and retirees.

  • Investing in Housing for Health Improves Both Mission and Margin

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    JAMA. 2017; doi: 10.1001/jama.2017.15771

    This Viewpoint reviews the contribution of housing instability to health care outcomes and costs and proposes ways hospitals and health systems could address homelessness to prevent the health problems that result from it.

  • Homelessness—Challenges and Progress

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    JAMA. 2017; doi: 10.1001/jama.2017.15875

    This Viewpoint reviews the causes of homelessness and models and programs that have been effective at housing homeless people and families, and proposes roles hospitals and health systems might play in addressing the problem.

  • The Evolution of Patient Diagnosis: From Art to Digital Data-Driven Science

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    JAMA. 2017; doi: 10.1001/jama.2017.15028

    This Viewpoint discusses how a clinical information commons, a health care system’s database of all its patient-based data, could make genetically based clinical diagnoses more scientific and potentially improve patient outcomes.

  • Advancing the Research Mission in a Time of Mergers and Acquisitions

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    JAMA. 2017; 318(14):1321-1322. doi: 10.1001/jama.2017.11812

    This Viewpoint discusses the risks posed by the merging of academic medical centers (AMCs) with nonacademic hospital networks and health systems to AMC investigators and the research enterprise.

  • Our Next Health Care Debate

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    JAMA. 2017; 318(13):1212-1213. doi: 10.1001/jama.2017.14471
  • Improving Blood Pressure Control and Health Systems With Community Health Workers

    Abstract Full Text
    JAMA. 2017; 318(11):1009-1011. doi: 10.1001/jama.2017.11464
  • Challenges in International Comparison of Health Care Systems

    Abstract Full Text
    JAMA. 2017; 318(6):515-516. doi: 10.1001/jama.2017.9392

    This Viewpoint discusses the challenges in cross-national comparisons of health care system performance, including defining the responsibilities of the health system, managing limitations of data, and accounting for different values in different nations.

  • Making Health Care Markets Work: Competition Policy for Health Care

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    JAMA. 2017; 317(13):1313-1314. doi: 10.1001/jama.2017.1173

    With increasing consolidation of US physician practices and hospitals into health care systems, this Viewpoint discusses the negative effects on quality of patient care and health care costs, and it proposes potential solutions.

  • Health Care in the United States: A Right or a Privilege

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    JAMA. 2017; 317(1):29-29. doi: 10.1001/jama.2016.19687
  • Implementation of a Value-Driven Outcomes Program to Identify High Variability in Clinical Costs and Outcomes and Association With Reduced Cost and Improved Quality

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    JAMA. 2016; 316(10):1061-1072. doi: 10.1001/jama.2016.12226

    This study compares health care costs and outcomes for patients with joint replacement or sepsis before and after implementation of a value-drive outcomes program designed to give physicians information about clinical outcomes, costs, and variation.

  • Reframing Prevention in the Era of Health Reform

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    JAMA. 2016; 316(10):1039-1040. doi: 10.1001/jama.2016.10405

    This Viewpoint discusses progress in disease prevention facilitated by the Affordable Care Act.

  • Association of Integrated Team-Based Care With Health Care Quality, Utilization, and Cost

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    JAMA. 2016; 316(8):826-834. doi: 10.1001/jama.2016.11232

    This cohort study compares patient outcomes, health care utilization, and costs for patients receiving primary care in integrated team-based care (TBC) vs traditional practice management (TPM) practices (usual care).

  • United States Health Care Reform: Progress to Date and Next Steps

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    JAMA. 2016; 316(5):525-532. doi: 10.1001/jama.2016.9797

    In this Special Communication, President Barack Obama reviews the Affordable Care Act: why he pursued it, what it has effected, and how the health care system can still be improved.

  • The Potential to Advance Health Care in the US Criminal Justice System

    Abstract Full Text
    JAMA. 2016; 316(4):387-388. doi: 10.1001/jama.2016.7651

    This Viewpoint discusses potential opportunities to advance health care in the US criminal justice system based on recent developments.

  • Toward a Safer Health Care System: The Critical Need to Improve Measurement

    Abstract Full Text
    JAMA. 2016; 315(17):1831-1832. doi: 10.1001/jama.2016.3448

    This Viewpoint discusses how policy makers might develop and implement standardized, validated metrics to track the progress of patient safety improvements.

  • Better Health Care: A Way Forward

    Abstract Full Text
    JAMA. 2016; 315(13):1333-1334. doi: 10.1001/jama.2016.0590

    This Viewpoint discusses what can realistically be expected from the US health care system and how the nation achieve it.

  • Learning From the Past to Improve VA Health Care

    Abstract Full Text
    JAMA. 2016; 315(6):560-561. doi: 10.1001/jama.2016.0243
  • Academic Health Systems’ Third Curve: Population Health Improvement

    Abstract Full Text
    JAMA. 2016; 315(5):459-460. doi: 10.1001/jama.2015.18550

    This Viewpoint discusses opportunities and challenges facing academic health systems as they move beyond providing individual-patient care and population-specific management to providing health improvement at the population level.