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Disease management programs address the needs of population cohorts affected by chronic illnesses to reduce their medical costs and the deleterious effects of these conditions. A successful effort involves an effective way to identify worthy patients and engage them...

These are federally funded efforts to test and evaluate care delivery, cost reduction, health improvement, and payment reform models. The goal of these projects is to develop new, effective methodologies for care and payment, which can be expanded to a broader,...

This is an ideological transformation of an organization’s culture that passively accepts rising, unsustainable healthcare costs to a proactive entity that encourages the holistic wellbeing of each of its employees. Such organizations integrate the health status of...

A health insurance plan has been able dictate the maximum number of dollars spent on benefits per individual/family/policy, and these restrictions come in two forms — annual and lifetime.

Computerized Physician Order Entry (CPOE) is the electronic entry of medical practitioner instructions for services, tests, and treatments of patients into a computerized system that relays the orders to the appropriate party such as a hospital pharmacists or...

Presently most research compares a treatment or intervention to a placebo or doing nothing. There are few studies that compare multiple approaches to medical concerns. Comparative Effectiveness Research addresses this problem. According to the Department of Health and...

These are computerized tools that incorporate information-gathering, as well as monitoring and delivery systems, to ensure optimal decision-making on the part of the treating clinician. They assist physicians and other providers at the point of care to follow...

The CMMI was established to test new healthcare delivery and payment models. The threefold focus of the CMMI is to help find better ways to care for individuals, better overall health and reduced costs. The initial focus will be on patient-centered medical homes,...

The care continuum describes the full range of services that a patient may encounter from prenatal care prior to birth to palliative services at end of life. This term also recognizes that care is provided across the full spectrum of healthcare delivery including...

The Cadillac Tax is a 40 percent excise tax on healthcare premiums (employer + employee) that is placed on employers for premiums that exceed $10,200 for individual coverage and $27,500 for family coverage. The Cadillac Tax is part of the Patient Protection and...