Background: Small independent practices are increasingly giving way to more complex
affiliations between provider organizations and hospital systems. There are several ways in …

Quality health care is an essential human right, on the agenda of sustainable development
and presents a challenge in the twenty-first century. There are different perspectives …

Background In the Medicare Shared Savings Program (MSSP), accountable care
organizations (ACOs) have financial incentives to lower spending and improve quality. We …

Background Health care providers who participate as an accountable care organization
(ACO) in the voluntary Medicare Shared Savings Program (MSSP) have incentives to lower …

Importance Health systems play a central role in the delivery of health care, but relatively
little is known about these organizations and their performance. Objective To (1) identify and …

Part 1 of this essay argued that the root causes of primary care's problems lie in (1) the low
percent of national health expenditures dedicated to primary care and (2) overly large …

Background: Growing evidence shows that hospitals are increasingly employing physicians.
Objective: To examine changes in US acute care hospitals that reported employment …

We propose a new set of priorities for quality management in primary care, acknowledging
that payers and regulators likely will continue to insist on reporting numerical quality metrics …

PURPOSE Solo and small practices are facing growing pressure to consolidate. Our
objectives were to determine (1) the percentage of family physicians in solo and small …

In 2011 Medicare introduced the annual wellness visit to help address the health risks of
aging adults. The visit also offers primary care practices an opportunity to generate revenue …