Meredith B. Rosenthal, PhD

Experience with risk-based contracting best predicts active engagement of accountable care organizations in reducing low-value medical services, mainly through physician education and encouraging shared decision making.

Health insurance plan type may be an important lever for reducing low-value healthcare use among patients with commercial insurance.

Electronic health records data can accurately quantify overuse of clinical services and the risk factors that may trigger low-value testing and screening.

This article details strategies based on principles from psychology and economics that health systems may use to align with physicians.

The authors surveyed physicians regarding “Choosing Wisely” and hypothesized drivers of overuse, finding high reported prevalence of hypothesized drivers of overuse and widespread support for cost-consciousness.

Thirty medical home pilot primary care practices had high structural capabilities at baseline and performance improved substantially after 24 months in practices starting with lower capabilities.

As calls for improving the quality and cost efficiency of oncology increase, future empirical work is needed to examine the responsiveness of oncologists' treatment decision making to incentives among patients of all ages and insurance types.

There is a critical need for comparative information about plan resource use to support value-based purchasing efforts.

When preventive care was exempt from the deductible, well-child visits did not change for children switching from traditional plans to high-deductible plans.

A patient-centered medical home with intensive case management and a payer partner can significantly improve hospital utilization and may decrease total medical costs for a Medicare population.

A consumer survey on awareness, use, and trust of tiered provider networks indicated the need for increased consumer awareness of the networks.

We examined patient response to a narrowing of a preferred provider organization network that effectively raised the out-of-pocket price for a few physicians.

Physicians recognized as high quality by Bridges to Excellence performed better than their peers on claimsbased quality measures and, in some cases, on resource use measures.

This survey of 252 HMOs found that almost all measure their performance on multiple indicators of quality and most use these data in quality improvement activities.