In 590,282 California heart attack hospitalizations, a new PCI-capable facility within a 30-minute drive lowered 30-day mortality 20% in communities without prior access but did not change survival where the procedure was already available.
|Articles|January 25, 2011
Primary care-based ACO shows promise
A San Antonio, Texas Accountable Care Organization with a network of Patient-Centered Medical Home clinics but no hospital provides comprehensive, efficient, quality care that improves outcomes, according to results of a case study.
Advertisement
A San Antonio, Texas Accountable Care Organization with a network of Patient-Centered Medical Home clinics but no hospital provides comprehensive, efficient, quality care that improves outcomes, according to the results of a case study by the Robert Graham Center for Policy Studies.
Robert Phillips Jr., MD, MSPH, director of the center, studied data from 2000 through 2008 provided by WellMed Medical Group, which has more than 87,000 patients and plan members.
Each patient has a primary care physician who provides diagnosis, treatment, referral to subspecialists and coordination of all care. Each physician cares for fewer than 500 patients, on average, and works with nurse practitioners, physician assistants, health coaches and social services workers. WellMed improved preventive care for the conditions measured and achieved high guideline compliance for diabetes and blood pressure, and mortality rates remained well below the state average, according to authors.
Advertisement
Related to this article
MedPAC commissioners pile on Medicare’s Merit-based Incentive Payment System, a program they love to hate
The license fee is the number on the proposal. These 10 costs arrive after the contract is signed, and the biggest never shows up on an invoice.
An Oregon Health & Science University-led analysis of nearly 200,000 people found a 20% to 30% higher rate of fatty liver disease and cirrhosis among those who reported eating after dinner or after bedtime.
Urban Institute analysis finds 26% of insured adults owe medical debt, with hospitals the largest source
Recent CMS rule changes reinforce that operational discipline is increasingly shaping reimbursement
Medical Economics spoke with Monique Delgado, former CEO of Integrated Medical Services, about where salary-only pay falls short, which metrics to tie incentives to and how to change physician pay without eroding trust.
The American Medical Association recognized 92 hospitals, health systems and medical groups for system-level work to reduce burnout and support physician well-being.
Advertisement
Advertisement
Trending on Medical Economics
1
NPs are registering new practices at nearly 6 times the 2019 rate
2
Flu activity climbs on West Coast; Boston physician sentenced in telemedicine fraud; AI chatbot interviews primary care patients — Morning Medical Update
3
Patients would rather wait for a clinician’s review than get an instant AI answer to medical questions
4
ACOs are 'the best way to deliver health care,' CMS chief Dr. Oz says
5