As state Medicaid programs move toward value-based payment, states interested in improving adult oral health care access and outcomes are testing creative strategies to integrate dental care into primary care delivery. Through State Innovation Model (SIM) grants from the federal Center for Medicare and Medicaid Innovation, for example, participating states can include oral health integration in...

Bodenheimer, T., Wagner, E. H., & Grumbach, K. (2002). Improving primary care for patients with chronic illness. JAMA : The Journal of the American Medical Association, 288(14), 1775-1779. The chronic care model is a guide to higher-quality chronic illness management within primary care. The model predicts that improvement in its 6 interrelated components-self-management support, clinical infor...

mcdonough’s perspective on healthcare reform in the us provides a clear, coherent analysis of the mix of access and delivery reforms in the affordable care act (aca) aka obamacare. as noted by mcdonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured americans. additionally, this legislation includes s...

This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. The analysis shows that the failure of reforms during the 1980s and 1990s was in part due to inadequate attention to key aspects in health governance, such as strategic interactions among government, providers and users, as well as incentive structures shaping their preferences and behavi...

The most important challenge at the forefront of the national agenda is the need for health care reform. Major concerns of the current system are cost and access to care. This article discusses numerous congressional proposals and strategies for addressing these concerns. ET nurses are in a unique position to influence health care delivery. The Wound Ostomy and Continence Nurses Society has imp...

f healthcare reform is not a political activity, it's going to be an economic o n e , " predic ted James Bentley, American Hospi ta l Association (AHA) senior vice president for policy, in a conversation. A look at recent hospital trends and an analysis from Wall Street bears this out. As competitive economic pressures increase in the healthcare system, in large part fueled by the growth of man...

internationally early intervention programmes for infants and preschoolers with disabilities have proved to be remarkably successful. in many countries, they began with teachers for visually impaired or hearing impaired children visiting the family home to teach parents how they could overcome the child's impairments. the logic of early intervention was inequitable. for example, the sooner...

Developing new models of primary care will demand a level of managerial expertise that few of today's primary care physicians possess. Yet medical schools continue to focus on the basic sciences, to the exclusion of such managerial topics as running effective teams. The approach to executing reform appears to assume that practice managers and entrepreneurs can undertake the managerial work of t...

The Clinton Administration has implied that short-run failures to control health care costs may cause a reexamination of wage and price controls as elements of comprehensive health care reform. The most recent imposition of mandatory wage and price controls was the Economic Stabilization Program (ESP) of the early 1970s. We analyze trends in hospitals' economic behavior and utilization before, ...