This study examines the value of state Medicaid program spending by exploring the relationship between both sides of the efficiency coin—costs and outcomes. The authors create measures that relate spending per beneficiary to quality indicators, compare states’ performance, and build a...

The IDEATel demonstration tested the effects of providing home-based telemedicine services to a large number of eligible Medicare beneficiaries who had diabetes and lived in medically underserved areas in New York City and upstate New York. This report updates two earlier reports to Congress and...

There are 3 demand sources in healthcare systems: the patient, provider and payor. Patient-determined demand is characterised as `random access' and emotionally charged. Provider-determined demand occurs within working environments that do not inherently support integration activities....

Objectives: To compare the experience of one managed care organization (MCO) [Anthem Blue Cross and Blue Shield Midwest Region] to the experience of a reference group of 15 other MCOs participating in a study designed to test the usefulness of outcomes management information in developing and...

Over the past 50 years the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has relied primarily on an assessment of standards compliance to make judgments about the capability of a healthcare organization to provide good quality care. Over the last decade, the focus has...