Ashish K. Jha, MD, MPH

High-cost patients are only modestly concentrated in specific hospitals and healthcare markets.

Although concerns remain that expanding insurance coverage may have a “crowding-out” effect, we saw no evidence of this for Medicaid beneficiaries in Massachusetts following statewide health reform.

The Hospital Readmissions Reduction Program has had a major impact on hospital leaders’ efforts to reduce readmission rates; however, important concerns about the program remain.

New delivery models are altering the connections between physicians, which may lead to a decreased capacity for innovation and the slower spread of new ideas.

As reimbursement shifts toward value-based payments, patient experience measures should play a pivotal role in how we measure quality.

Increased care fragmentation among chronically ill, commercially insured patients is associated with higher costs and lower quality of care.

The authors' study identifies a key factor, management quality, which modifies the association between electronic health record adoption and hospital performance.

This study finds no evidence of a deleterious impact of pay-for-performance on minority patients in the Premier Hospital Quality Incentive Demonstration.

Nearly every Institute of Medicine report or blueribbon panel tasked with developing ideas for fixing our healthcare delivery system points to the same solution: greater use of health information technology (HIT).

While there is enormous potential for big data to lead to groundbreaking insights in healthcare, realizing the potential requires specific attention to issues of data quality.

While more than 75% of hospitals are participating in the federal electronic health record incentive program, small hospitals and Critical Access hospitals lag behind.

Broad enthusiasm exists among hospitals for participation in Meaningful Use. However, many hospitals have a long road ahead to implement the advanced systems required for the program.

Few US hospitals exchange data electronically with unaffiliated providers. Factors associated with competitiveness appear to influence hospitals' decisions to engage in clinical data exchange.

Patterns of electronic health record adoption among highand low-quality hospitals indicated that high-quality institutions had far greater use of most electronic health record functions.