Delivery System Reform Advisory Group Meeting

Background materials:

• Summary of Health Care Delivery System Reform Program
• "The Commonwealth Fund’s Health Care Delivery System Reform Program: Goals, Strategies and Priorities for 2014," Melinda Abrams, Anne-Marie Audet, Stuart Guterman, Pamela Riley, Mark Zezza: PowerPoint
   

Welcome, Introductions, and Charge to the Advisory Group

Session 1. High-Need, High-Cost Patients: Who Are They? How Should They Be Defined? What Is Their Service Use?

• Karen Joynt, Atul Gawande, John Orav & Ashish Jha: Contribution of Preventable Acute Care Spending to Total Spending for High-Cost Medicare Patients, JAMA, June 2013: PDF 
• Analysis of Medical Expenditure Panel Survey by Gerard Anderson and Eric Roberts
  • Table 1: Demographic characteristics of high-cost patients
  • Table 2: Demographic characteristics of persistently high-cost patients
  • Table 3: Demographic characteristics of high-need patients
• Haydn Bush, Health Care’s Costliest 1%, Hospital and Health Networks, September 2012

Session 2. Models That Seem to Work: Common Attributes and Challenges

• Doug McCarthy, What Do We Know about Care Models That Work for High-Need, High-Cost Patients?: PowerPoint
• Chad Boult et al., Successful Models of Comprehensive Care for Older Adults with Chronic Conditions: Evidence for the Institute of Medicine’s “Retooling for an Aging America” Report, Journal of the American Geriatrics Society, Dec 2009: PDF
• Randall Brown et al., Six Features of Medicare Coordinated Care Programs that Cut Hospital Costs for High Risk Patients, Health Affairs, June 2012: PDF 
• C. S. Hong, A. L. Siegel and T. G. Ferris, Caring for High-Need, High-Cost Patients: What Makes for a Successful Care Management Program? CONFIDENTIAL Document

Session 3. What Is High Performance Health Care for High-Need, High-Cost Patients?

• Anthony Shih et al., Organizing the U.S. Health Care Delivery System for High Performance (Executive Summary), August 2008
• Mary Tinetti, Designing Health Care for the Most Common Chronic Condition—Multimorbidity, JAMA, June 2012: PDF
• Commonwealth Fund Commission on a High Performance Health System, The Performance Improvement Imperative: Utilizing a Coordinated, Community-Based Approach to Enhance Care and Lower Costs for Chronically Ill Patients (Executive Summary), April 2012

Additional reading:

• Commission on a High Performance Health System, Confronting Costs: Stabilizing U.S. Health Spending While Moving Toward a High Performance Health Care System, January 2013
• Congressional Budget Office, Lessons from Medicare’s Demonstration Projects on Disease Management, Care Coordination, and Value-Based Payment, January 2012
• John Holahan, Cathy Schoen et al., The Potential Savings from Enhanced Care Policies, Nov 2011
• Joanne Lynn, Using Population Segmentation to Provide Better Health Care for All: The “Bridges to Health” Model, Milbank Quarterly, June 2007

• J. Brenner, A World of Darkness: What If Thomas Edison Had to Write Grant Proposals to Invent the Light Bulb?, Grantmakers in Health, Feb 2014