In a January 2018 post in NEJM Catalyst by Onil Bhattacharyya, MD, PhD, David Blumenthal, MD, MPP & Eric C. Schneider, MD, MSc, authors note that innovating in clinical care redesign involves creating new products, services, or processes which is fraught with uncertainty.
The authors make the point that given the choice, most organizations are more comfortable with the predictability of quality improvement, labeling it innovation in some cases, but shunning the risk-taking that characterizes true innovation work. Read More
According to David Blumenthal of the Commonwealth Fund, Americans are dying younger which is a reflection of the failure of the American health system.
Blumenthal notes that while it is easy to blame the nation’s opioid epidemic, the abysmal new life expectancy data from the Centers for Disease Control and Prevention show the data for what they are — an indictment of the American health care system.
According to the CDC, the average life expectancy at birth in the U.S. fell by 0.1 years, to 78.6, in 2016, following a similar drop in 2015. This is the first time in 50 years that life expectancy has fallen for two years running. In 25 other developed countries, life expectancy in 2015 averaged 81.8 years. Read More
According to a Commonwealth Fund study, a multipayer medical home program piloted in Colorado led to a sustained reduction in emergency department use and costs over three years, although there were no overall cost savings for practices or patients. Primary care visits also decreased. The impact on quality was mixed: cervical cancer screening rates improved, yet colon cancer screenings and hemoglobin testing for diabetes patients decreased.
The goal of Patient Centered Medical Homes (PCMH) are to deliver primary care services in a proactive, coordinated manner and improve quality of care, including patient health outcomes– particularly those with multiple or complex care needs. In addition, the PCMH goal is to lower by reducing the need for expensive hospital stays and emergency department visits.
The Commonwealth Fund research evaluated a pilot program involving 15 PCMH practices in Colorado serving approximately 98,000 patients both prior to the program’s launch and then again at two and three years. Read More
According to a new report by the Commonwealth Fund, health care spending in the U.S. far exceed that of other high-income countries, although spending growth has slowed in the U.S. and in most other countries in recent years.
The U.S. spends more public dollars on health care than all but two of the other countries. Americans have relatively few hospital admissions and physician visits, but are greater users of expensive technologies like magnetic resonance imaging (MRI) machines. Despite its heavy investment in health care, the U.S. sees poorer results on several key health outcome measures such as life expectancy and the prevalence of chronic conditions. Mortality rates from cancer are low and have fallen more quickly in the U.S. than in other countries, but the reverse is true for mortality from ischemic heart disease. Read More
A study by the Commonwealth Fund has found that programs to reduce energy use and waste and achieve operating room supply efficiencies could achieve savings exceeding $5.4 billion over five years and $15 billion over 10 years. Read More
Rapidly rising health insurance premiums and higher cost-sharing continue to strain the budgets of U.S. working families and employers, according to a report by the Commonwealth Fund. Read More
The use of decision aids may reduce rates of elective surgery and lower costs for elective surgeries including knee and hip osteoarthritis, according to a study by the Commonwealth Fund. Read More
The United States has more deaths that are avoidable through access to health care than Germany, France, and the United Kingdom, according to a study in Health Affairs. Read More
Thirteen percent of hospitals are currently participating in an Accountable Care Organization or plan to do so within the next year, according to report by the Commonwealth Fund. Read More
Massachusetts physician groups participating in a global budget reimbursement model were able to reduce the rate of increase in health care spending in year 2 by 3.3 percent, up from 1.9 percent in year 1, according to the Commonwealth Fund. Read More
The public sector paid for 45 percent of total spending on health care in 2010, up significantly since 1987, where it was approximately one third, according to an article by the Commonwealth Fund. Read More
Between 2009 – 2010, higher healthcare spending was mainly due to price increases, rather than changes in the use of health care services, according to a report by the Health Care Cost Institute. Read More
Low income adults who were part of a medical home and had health insurance had fewer cost-related access problems, were more likely to be up-to-date with preventive screenings, and reported greater satisfaction with the quality of their care, according to a report by the Commonwealth Fund. Read More
A Commonwealth Fund report calls for the federal government to develop a comprehensive, disciplined implementation plan that takes full advantage of the new opportunities provided by the Affordable Care Act, the American Recovery and Reinvestment Act, and the Health Information Technology for Economic and Clinical Health (HITECH) Act. Read More
A survey by the Commonwealth Fund has found that one out of four adults ages 19 to 64 experienced a gap in their health insurance in 2011. Read More
A simulation found that increasing the Medicare payment for ambulatory primary care visits by 10 percent can save Medicare dollars in the long run, according to a report by the Commonwealth Fund. Read More