Category: Health Outcomes

  • State Primary Care Strategy: Nine Key Levers

    A Framework for Implementing States’ Primary Care Investment Strategies “High-quality primary care is the foundation of the health care system. Without access to high-quality primary care, minor health problems can spiral into serious illness, chronic diseases go unmanaged, and the opportunity to prevent illness is lost.”[1] While high-quality primary care is the foundation of an…

  • Key Lever 9 – Strengthening Statewide Primary Care through Continuous Quality Improvement

    States that have committed to “investing” in primary care are making a large bet that strengthening primary care will improve health, expand access, moderate costs, and reduce avoidable hospital and emergency department use. Quality measurement must determine whether that bet is succeeding and whether it is improving over time. But quality measurement is not merely…

  • A Brief History of Managed Healthcare: 1970 to present

    The January 1970 issue of Fortune magazine, which focused entirely on healthcare issues and solutions, coincided with a time when healthcare spending was 7% of GDP. As an associate at McKinsey & Company during that period, I was inspired by this issue and by a subsequent meeting with Dr. Paul Ellwood to dedicate my professional…

  • Maximizing the Value of Employee Benefits with Quality Measurement & Reporting

    Peter A. Wadsworth (LinkedIn 8/8/2024) Investing in healthcare quality initiatives is a cost-effective strategy for employers. This approach aims to maximize the value of their expenditures on employee health benefits. READ MORE

  • The Better Care Plan: a blueprint for improving America’s healthcare system 

    Stephen M Shortell, , John S Toussaint, , George C Halvorson, Jon M Kingsdale, Richard M Scheffler, Allyson Y Schwartz, Peter A Wadsworth, Gail Wilensky HealthAffairs Scholar 6/20/2023 Abstract The United States falls far short of its potential for delivering care that is effective, efficient, safe, timely, patient-centered, and equitable. We put forward the Better Care Plan, an overarching blueprint to…

  • Publicly Reported Health Outcomes: A National Initiative To Improve Care

    Peter A. Wadsworth,  Stephen M. Shortell,  John S. Toussaint (Health Affairs Forefront 7/19/22) In this article, we describe the rationale and design criteria for a public-private approach to improving the quality and value of health care in the United States: a Publicly Reported Health Outcomes (PRHO) program. This long-term, aspirational initiative, focused on results and…