Features a discussion with Michaela Kerrissey, PhD, associate professor of management at the Harvard T.H. Chan School of Public Health, on primary care practice experiences with care integration and how Medicaid policy can influence integration.

Features a conversation with Ateev Mehrotra, MD, MPH, professor of health care policy at Harvard Medical School, that explores opportunities to use value-based payment strategies to support telehealth for people with complex needs.

Explores study findings on why provider organizations decide to participate in a Medicare accountable care organization program, what factors impact successful value-based payment uptake, and what this means for complex care.

Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.

For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time.

For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.