PAPER OF THE WEEK: Care Fragmentation and Chronic Illness

Harvard's Ashish Jha, MD, MPH, was senior author on a popular 2015 paper that addressed care fragmentation among those with chronic illness.

Welcome to you Paper of the Week, which looks back at some of the most important research and commentary of the past 25 years in The American Journal of Managed Care® and why they matter today.

This week’s paper was among our top papers of 2015, and concerns care among the chronically ill. “Care Fragmentation, Quality, and Costs Among Chronically Ill Patients,” led by senior author Ashish Jha, MD, MPH, found that those patients whose care was least coordinated were most likely to have poor quality care with the highest costs.

For the full paper, visit

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