This study uses Medicaid administrative data to quantify health plan exit from Medicaid managed care between 2006 and 2014 and to evaluate the change in health care quality associated with plan exit.
This study compares trends in Medicare payment adjustments to safety-net vs non–safety-net hospitals under Hospital Readmission Reduction Program (HRRP) and Value-Based Purchasing programs, intended to incentivize higher-quality health care.
This Viewpoint from the National Academy of Medicine's 2016 Vital Directions initiative discusses strategies to align payment reform with efforts to improve health care quality, value, and health outcomes that are important to patients.
This Viewpoint proposes that reminders about professional standards might prevent counterproductive responses of physicians to report card comparisons intended to improve health care quality and reduce waste.
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 the Medicare Access and CHIP Reauthorization Act and the key features of the law and the opportunities it presents to shape the future of payment and medical practice.
In this Viewpoint, Medicare administrators describe the intended role and proper use of its Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey as a measure of patients' hospital-based experience.
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.
In this Viewpoint, Berwick discusses 2 “eras” of the medical profession and offers changes that would be useful to move into a new “moral era.”
In this Medical News & Perspectives piece, Robert O Bonow, MD, the editor-in-chief of JAMA Cardiology, discusses his editorial vision for the new journal.
This Viewpoint discusses the clinical performance of aging physicians as a factor in the larger question of how best to evaluate physician competency.
This Viewpoint discusses barriers to innovation in health care delivery and outlines a program for driving such innovation while maintaining a focus on accountability.
This Viewpoint discusses the newly released Institute of Medicine report about diagnostic error and the most effective strategies for improving the diagnostic process.
This analysis of data from the NCDR CathPCI registry reports that hospital volumes of nonacute percutaneous coronary intervention (PCI), and proportions of PCI classified as inappropriate, have decreased since publication of the Appropriate Use Criteria for Coronary Revascularization.
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