This report investigates provider payment methods in Massachusetts. Payments include fee-for-service, the predominant model; global payments, which pay providers a single fee for all or most required services during a contract period; and pay-for-performance models, which layer quality incentives...

This commentary calls for an updated research agenda building on traditional basic science and clinical investigation to emphasize patient- and population-outcome-oriented science. The authors argue this expanded research portfolio will be important to transforming our inefficient and expensive...

This white paper examines key components in the medical neighborhood and how the patient-centered medical home is situated within it. It also addresses barriers to a well-functioning neighborhood, the tools available to achieving one, and the strengths and weaknesses of each tool.

Community health initiatives—locally crafted responses to health care access problems—have been steadfast in their efforts to connect uninsured and medically indigent people to health care services and health insurance. These programs assist in outreach, coordinate and integrate...

This issue brief summarizes findings from a study by the Center for Studying Health System Change (HSC), on behalf of the National Institute for Health Care Reform, to evaluate how health care is organized, financed, and delivered in the Detroit metropolitan area.

A study finds that, although primary care physicians and nurse practitioners mostly agree that nurse practitioners should be able to practice to the full extent of their education and training, they strongly disagree about proposed changes to the scope of nurse practitioners' responsibilities....

A study finds that, although primary care physicians and nurse practitioners mostly agree that nurse practitioners should be able to practice to the full extent of their education and training, they strongly disagree about proposed changes to the scope of nurse practitioners' responsibilities....

This commentary calls for an updated research agenda building on traditional basic science and clinical investigation to emphasize patient- and population-outcome-oriented science. The authors argue this expanded research portfolio will be important to transforming our inefficient and expensive...

The Medicaid Buy-In program, a state Medicaid option since the late 1990s, is designed to encourage adults with disabilities to work by allowing them to buy into Medicaid when their earnings exceed standard Medicaid eligibility limits. This article describes enrollment, expenditures, and...

Reviews the sample and survey design characteristics for this multiyear study and includes figures detailing the 60 study sites, sample components, and weights for each survey. The study includes a household survey, physician survey, and insurer followback survey linked to the household survey.