Managing Specialty Care in an Era of Heightened Accountability: Emphasizing Quality and Accelerating Savings
The authors report on a conceptual "specialty ACO" design in cardiology in which cardiology-specific historic spending targets are created to capture cardiovascular disease—related reimbursement and a quality measurement system is introduced.
New Thinking on Clinical Utility: Hard Lessons for Molecular Diagnostics
The authors describe 5 basic requirements for planning, implementing, and proving clinical utility for diagnostic tests, drawing on recent reimbursement decisions.
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