June 2016

The Hidden Value of Behavioral Health

June 21, 2016

The American Journal of Accountable Care

Carolinas HealthCare System created a behavioral health service line to drive transformation in value-based healthcare. Four projects are described, which demonstrate that modest investment in behavioral health pays dividends in reduced cost and increased quality and experience.

Launching a Payer Venture and Innovation Group: Options and Trade-Offs

June 21, 2016

The American Journal of Accountable Care

Spurred by the migration to new payment methodologies and a rapidly evolving competitive landscape, many managed care companies have launched venture and innovation programs. This article provides a high-level evaluation of the universe of model options accessible to payers who are interested in such programs.

The Ingredients of Success in a Medicare Accountable Care Organization

June 21, 2016

The American Journal of Accountable Care

For 2 successive years, the Hackensack Alliance Accountable Care Organization achieved cost savings and maintained quality by using physicians with patient-centered medical homes and nurse care coordinators focused on high-risk patients.

The Pediatric Medical Home: What Do Evidence-Based Models Look Like?

June 21, 2016

The American Journal of Accountable Care

This study presents practice relevant information and actionable results that can help to operationalize evidence-based patient-centered medical home models in pediatric clinics.

A Novel Nursing-Driven Standardized Diabetes Education Process in Primary Care

June 21, 2016

The American Journal of Accountable Care

A new nursing-driven diabetes education process established within a patient-centered primary care model significantly improved diabetes control for veterans at the Albany Stratton VA Medical Center.

What Performance Measures Do Consumers Find Useful When Selecting Marketplace Health Plans?

June 21, 2016

The American Journal of Accountable Care

Marketplace consumers desire more health plan measures on how well plans support long-term patient—physician relationships. Consumers are skeptical of measures about rewarding providers for high quality.