Carefully done research on small numbers in a few settings will not be enough to guide practical implementation of process redesign.
While hospice provides a good model of care for the cancer patients it was originally designed to serve, it does not deliver efficiently or comprehensively what the majority of us will need.
The core of health care now is the support of persons living with chronic conditions. Building a care system that can meet this new need requires more than tinkering with some bandages.
Hospital readmissions in the HeartLink group versus regular care are lower. And when they do get readmitted … they aren’t as sick, and don’t stay in the hospital as long.
The economics literature has not consistently found that cost shifting exists, and when it is discovered, the rate of shifting tends to be far lower than a dollar for dollar transfer.
Senior Fellow for Health and Economics, National Federation of Independent Business Research Foundation
Health Economist, London School of Economics
Vice President and Director, Altarum Center for Sustainable Health Spending