National Academy of Medicine

Standardized Screening for Health-Related Social Needs in Clinical Settings: The Accountable Health Communities Screening Tool

The impacts of unmet health-related social needs, such as homelessness, inconsistent access to food, and exposure to violence on health and health care utilization, are well-established. Growing evidence indicates that addressing these and other needs can help reverse their damaging h
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Vital Directions for Health & Health Care: Priorities from a National Academy of Medicine Initiative

The United States is poised at a critical juncture in health and health care. Powerful new insights are emerging on the potential of disease and disability, but the translation of that knowledge to action is hampered by debate focused on elements of the Affordable Care Act that, while
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Payment Reform for Better Value and Medical Innovation

Over the past 50-60 years, biomedical science and technology in the United States have advanced at a remarkable pace, allowing Americans to live longer, healthier lives. And while we have gained tremendous benefit from continuous medical innovation, health care delivery has simultaneo
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Tailoring Complex-Care Management, Coordination, and Integration for High-Need, High-Cost Patients: A Vital Direction for Health and Health Care

The increasingly complex health-care needs of the U.S. population require a new vision and a new paradigm for the organization, financing, and delivery of healthcare services. Some 5% of adults (12 million people) have three or more chronic conditions and a functional limitation that
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Preparing for Better Health and Health Care for an Aging Population: A Vital Direction for Health and Health Care

The proportion of the US population over 65 years old is increasing dramatically, and the group over 85 years old, the “oldest old”, is the most rapidly growing segment. People who survive into higher ages in America, which itself is an aging society, face a suite of competing forces
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Fostering Transparency in Outcomes, Quality, Safety, and Costs: A Vital Direction for Health and Health Care

Over the last 20 years, the United States has witnessed a shift from little readily available information about the performance of the health-care system to the use of a wide variety of measures in different ways by multiple entities. The explosion of performance measures and the publ
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Benefit Design to Promote Effective, Efficient, and Affordable Care: A Vital Direction for Health and Health Care

As health-care spending has risen, employers have tried to alleviate the pressure on premiums and wages by increasing patients’ cost-sharing at the point of service. Since 2010, deductibles have increased by 67% and premiums by 24% compared with only a 10% increase in earnings. Moreov
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Health Care Reform and Programs That Provide Opportunities to Promote Children’s Behavioral Health

  The Patient Protection and Affordable Care Act (ACA) has dramatically changed the health care landscape, creating new opportunities to advance health promotion, prevention, and treatment for children, parents, and families. However, the programmatic and funding landscape for ch
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Observations from the Field: Reporting Quality Metrics in Health Care

Measurement is a critical tool for monitoring progress and driving improvement in health care. However, without meaningful coordination and management—particularly when public reporting is required—the effectiveness of measurement activities is limited and the diversion of effort from
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New Summary Measures of Population Health and Well-being for Implementation by Health Plans and Accountable Care Organizations

Health plans and accountable care organizations measure many indicators of patient health, with standard metrics that track factors such as patient experience and cost. They lack, however, a summary measure of the third leg of the Triple Aim, population health. In response, HealthPart
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