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.
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.
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.
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.
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.
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.
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.
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.
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.
This Viewpoint discusses progress in disease prevention facilitated by the Affordable Care Act.
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).
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.
This Viewpoint discusses potential opportunities to advance health care in the US criminal justice system based on recent developments.
This Viewpoint discusses how policy makers might develop and implement standardized, validated metrics to track the progress of patient safety improvements.
This Viewpoint discusses what can realistically be expected from the US health care system and how the nation achieve it.
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.
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