September 2016

In Louisiana, Necessity Breeds Innovation to Bring Medicaid Expansion

September 14, 2016

The American Journal of Accountable Care

How does a state with almost no money launch Medicaid expansion? Louisiana health officials used data they already had, and in doing so, have created a model that could be used elsewhere.

Using a Modified Next Generation ACO Benchmark Can Improve the MSSP

September 14, 2016

The American Journal of Accountable Care

The Medicare Shared Saving Program benchmark can be improved by following the example of Next Generation accountable care organizations, but with a larger adjustment level.

Quality Improvement and Leadership Capacity Development Through Lean Methodology

September 14, 2016

The American Journal of Accountable Care

“Lean” methodology creates quality improvement and leadership capacity, which is currently missing in ambulatory care settings. Failure to create this capacity will minimize transformation efforts.

Early Provider Perspectives Within an Accountable Care Organization

September 14, 2016

The American Journal of Accountable Care

The authors’ survey of providers in a new accountable care organization reports that initial perceptions of this care model are ambivalent and vary among participating practices.

Cost Savings From Avoidance of Early Elective Deliveries

September 14, 2016

The American Journal of Accountable Care

Researchers calculated savings available to healthcare insurers if providers of obstetrical services avoided the performance of early elective deliveries. The calculations illustrate a considerable savings.

Is Occupational Type Related to Obesity Risk?

September 14, 2016

The American Journal of Accountable Care

Sociodemographic characteristics of blue-collar workers may be attributed to the higher rates of obesity and chronic disease seen among them compared with white-collar workers.

What US Health Insurers' Data Show for ACA "Repealers"

September 14, 2016

The American Journal of Accountable Care

Analysis of the rich data of US health insurers-pivotal players in the healthcare system-reveals continuing reductions in employer-provided group health insurance and increases in Medicaid members and utilizations following the Affordable Care Act.