RESEARCH
Medical Care
Barnato AE, Herndon MB, Anthony DL, Gallagher, Skinner JS, Bynum, JPW, Fisher ES
We sought to test whether variations across regions in end-of-life (EOL) treatment intensity are associated with regional differences in patient preferences for EOL care.
Health Affairs
Wennberg JE, Fisher ES, Skinner JS, Bronner KK
The care of Americans with severe chronic illnesses is disorganized, unnecessarily costly, and undisciplined by sound clinical science. The federal government should invest in a crash program to improve the scientific basis of managing chronic illness, and the Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to ensure that within ten years all Americans with severe chronic illnesses have access to accountable health care organizations providing evidence-based prospective care. This paper recommends a strategy for achieving this goal.
