Case Studies: Financing and Cost Containment

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Case Study: State of Maine Ranks Providers Based on Quality

April 15, 2009 - A state employee health plan designated hospitals, and later primary care physician practices, that met certain performance criteria as "preferred" providers, and then gave employees incentives to use them. While this initiative appears to have improved the quality of care, its impact on costs has not yet been evaluated.

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Case Study: Proving and Then Improving the Value of Palliative Care Services at Mount Sinai Medical Center

January 23, 2009 - This case study examines the services offered by the Lillian and Benjamin Hertzberg Palliative Care Institute, the palliative care program Meier founded and directs at Mount Sinai Medical Center. It also reviews the outcomes that the Institute, one of the largest academic palliative care programs in the country, has achieved both clinically and financially.

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Cardinal Primary Care Medical Group, Inc.: A Case Study of Patient- and Family-Centered Primary Care Practice

June 26, 2008 - The Cardinal Primary Care Medical Group is one of 12 practice sites featured in Commonwealth Fund case studies of high-performing patient-centered primary care practices.

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The North Dakota Experience: Achieving High-Performance Health Care Through Rural Innovation and Cooperation

May 21, 2008 - North Dakota faces health care challenges common to many rural areas of the U.S., but the state's health care system appears to be performing better than that in many other states--rural or urban. A new Fund report shows how North Dakota is getting it done.

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Case Study: Using Payment Incentives to Improve Care Delivery

July 19, 2007 - By agreeing to a long-term contract that tied a portion of physician income to electronic medical record adoption, Massachusetts' largest payer and one of its largest health care systems were able to shift their joint quality focus from process of care measurements to patient outcomes.

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Case Study: Improving Quality and Efficiency in Response to Pay-for-Performance Incentives Under the Medicare Physician Group Practice Demonstration

March 12, 2007 - Marshfield Clinic of Wisconsin's experience suggests that information systems, care management, process redesign, and physician involvement are important to improving the quality and efficiency of care in response to pay-for-performance incentives.

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Case Study: Front-Line Physicians and Their Patients Reap Benefits from EHRs

October 4, 2005 - A rural physician practice successfully adopted electronic health records in 1993 as part of its strategy to improve clinical quality of care and reduce overhead costs.

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Case Study: The Washington University Medicare Coordinated Care Demonstration Program

June 30, 2005 - CMS has launched several demonstration programs to find out whether chronic care management programs developed in the private sector can be effective for the Medicare population.

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A Case Study of Quality Improvement in Medicaid: New York's Monroe Plan for Medical Care

May 4, 2005 - Taking the lead from corporate purchasers, state Medicaid agencies now incorporate pay-for-performance and other quality incentives into their agreements with managed care plans.

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The Business Case for Drop-In Group Medical Appointments: A Case Study of Luther Midelfort Mayo System

August 23, 2004 - Group medical appointments have the potential to increase access to physicians, improve patient satisfaction, and increase physician productivity.

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The Business Case for a Corporate Wellness Program: A Case Study of General Motors and the United Auto Workers Union

August 23, 2004 - In 1996, General Motors and the United Auto Workers Union launched a comprehensive preventive health program for employees, LifeSteps, which involves education, health appraisals, counseling, and other interventions.

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The Business Case for Pharmaceutical Management: A Case Study of Henry Ford Health System

August 23, 2004 - To shorten hospitalization for deep vein thrombosis, Henry Ford experimented with the use of an expensive new drug, low molecular weight heparin, and set up a lipid clinic to maximize the benefit of powerful new cholesterol-lowering drugs.

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The Business Case for Tobacco Cessation Programs: A Case Study of Group Health Cooperative in Seattle

August 23, 2004 - Group Health Cooperative made tobacco cessation a priority by identifying smokers and engaging them in behavioral counseling.

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The Business Case for Clinical Pathways and Outcomes Management: A Case Study of Children's Hospital and Health Center of San Diego

August 19, 2004 - These standardized processes of care have reduced lengths of stay, increased the health system's organizational capacity, and attracted business.

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Improving Access to Primary Care: Community Care of North Carolina

August 3, 2004 - Community Care of North Carolina develops local networks of primary care providers to coordinate prevention, treatment, referral, and other services for Medicaid enrollees.

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