This Viewpoint from the National Academy of Medicine’s 2016 Vital Directions initiative proposes improvements to the design of health benefits in the United States to enable more effective, efficient, and affordable care for patients.
This Viewpoint argues that if value-based insurance designs are to reduce expenditures, they must offer disincentives to purchasing low-value care in addition to providing incentives for purchasing high-value care.
This study examines access to specialists in US physician networks participating in the Affordable Care Act’s insurance marketplaces in 2015.
This Viewpoint discusses the issues involved in granting insurance companies access to consumers’ genetic information.
Robinson and Miller determine whether total expenditures per patient were higher in medical groups owned by local hospitals or multihospital systems compared with groups owned by participating physicians in California between 2009 and 2012.
Cutler and Scott Morton present data on the growth of integrated health systems, discuss the potential benefits and harms of integration, and consider possible remedies.
Moses and coauthors used public data, principally from 1980 to 2011, to describe and document the current anatomy and historical trends of health care in the United States.