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Check back often for new PBGH publications.

2014

PBGH Inroduction and 2013 Annual Report

Issue Brief: Large Employer Health Policy Priorities

2013

Health Policy Implications of Outcomes Measurement in Orthopaedics - co-authored by Kate Chenok.  October 2013.

How the Pioneer ACO Model Needs to Change:  Lessons From Its Best-Performing ACO - co-authored by Arnie Milstein, MD. October 2013.

Shared Decision Making in Patients with Osteoarthritis of the Hip and Knee - co-authored by Kate Chenok.  September 2013.

Policy Brief on Price Transparency - why it is needed and what can be done to promote healthier competition based on price and quality.  August 2013

Bill Kramer and Debra Ness take stock of initial Pioneer ACO results for Health Affairs Blog, July 2013

Barriers to Completion of Patient Reported Outcomes Measures co-authored by Kate Chenok in The Journal of Arthroplasty, July 2013

California Joint Replacement Registry's (CJRR) 2013 Progress Update describes the development and growth of this successful PBGH Redesigning Care Delivery initiative, May 2013

Health Policy Implications of Outcome Measurement in Orthopaedics co-authored by Kate Chenok, April 2013

2012

Consumer Choice of Health Plan Decision Support Rules for Exchanges, Installments 1, 2 and 3, A PBGH analysis and data file , November 2012

Getting Higher Value Specialty Care: Focus on Joint Replacements, a PBGH Issue Brief, October, 2012

The Emerging Case for Shared Decision Making in Orthopaedics, American Academy of Orthopaedic Surgeons, October 2012

PBGH Tips for getting employees to use health plans' online tools . See the companion pieces for Aetna , Anthem , Cigna , Kaiser and United.

The Exchanges as Value Purchasers , a PBGH Issue Brief, June, 2012

Evaluating Health Plans Cost Calculators, read the PBGH comparison and analysis of each plans' tool, June, 2012

Difficulties Consumers Face in Choosing Health Plans and How Decision Aids Can Help, a PBGH Issue Brief, May 2012

Health Plan Quality Improvement Strategy Reporting Under the ACA, A Commonwealth Fund Report, with contributions from PBGH leaders, April 2012

The Ratings Game: How Share of Cost Influences Consumer Ratings of Health Plans, a PBGH Issue Brief, January, 2012

The PBGH 2011 Annual Report , Spring 2012

2011

Building Successful SHOP Exchanges, a PBGH Issue Brief, August, 2011

Helping Consumers Choose the Right Health Plan for Their Needs and companion pieces for Policymakers and HR Staff
A PBGH Issue Brief, May 2011

Six Strategies to Improve the Value of Specialty Care
A PBGH Issue Brief, May 2011

Raising the Bar: Standards for ACOs to Truly Improve Health Care Quality and Affordability in the United States
A PBGH Issue Brief, March 2011

Patient Experience in California Ambulatory Care
Jill Steinbruegge, M.D., Ph.D., and Giovanna Giuliani, M.B.A., M.P.H, Senior Manager, PBGH

2010

The Contribution of Health Plans and Provider Organizations to Variations in Measured Plan Quality
International Journal for Quality in Health Care, March 2010
Co-Author David S.P. Hopkins, PhD, PBGH Director of Quality Measurement

Helping Employees Choose A Health Plan
A PBGH Issue Brief, June, 2010

2009

Personal Health Records (PHRs)
November, 2009

Payment Reform - The Need to Harmonize Approaches in Medicare and the Private Sector
New England Journal of Medicine, December 9, 2009
Co-Author Peter V. Lee, PBGH Executive Director for National Health Policy

Are Higher-Value Care Models Replicable?
Health Affairs blog, October 20, 2009
Co-author Arnie Milstein, MD, MPH, PBGH Medical Director

Episode-Based Performance Measurement And Payment: Making It A Reality
Health Affairs, September 2009
Co-Author Cheryl L. Damberg, PhD, PBGH Director of Research

American Medical Home Runs &
How Can We Make More Progress in Measuring Physicians' Performance to Improve the Value of Care?
Health Affairs, September 2009
Co-Author Arnold Milstein, MD, MPH, PBGH Medical Director

Quality Measurement in Orthopaedics: The Purchasers View
Clinical Orthopaedics and Related Research, August 2009
David Lansky, PhD, PBGH CEO & Arnold Milstein, MD, MPH, PBGH Medical Director

What People Don't Know about Health Insurance Exchanges
Health Affairs, August 2010
Peter V. Lee, PBGH Executive Director for National Health Policy and John Grgurina, former PacAdvantage CEO

Ending Extra Payment for "Never Events" - Stronger Incentives for Patients' Safety
New England Journal of Medicine, June 4, 2009
Arnold Milstein, MD, MPH, PBGH Medical Director

Organizational and Market Influences on Physician Performance on Patient Experience Measures
Health Services Research, June 2009
Co-Author Ted von Glahn, PBGH Director of Consumer Engagement and Performance Information

Adopting Information Technology to Drive Improvements in Patient Safety
Health Services Research, April 2009
Co-Author Cheryl L. Damberg, PhD, PBGH Director of Research

Taking Stock Of Pay-For-Performance: A Candid Assessment From The Front Lines
Health Affairs, March 2009
Co-Author Cheryl L. Damberg, PhD, PBGH Director of Research

Health Care Transformation And CEO Accountability
Health Affairs, January 16, 2009
Craig Barrett, Chairman of the Board, Intel Corporation & Peter V. Lee, PBGH Executive Director for National Health Policy

Measuring Patients' Experiences With Individual Specialist Physicians and Their Practices
American Journal of Medical Quality, January 2009
Co-Author Ted von Glahn, PBGH Director of Consumer Engagement and Performance Information

Pay for Performance in the Hospital Setting: What Is the State of the Evidence?
American Journal of Medical Quality, January 2009
Co-Author Cheryl L. Damberg, PhD, PBGH Director of Research

2008

Tobacco Cessation Benefit Coverage and Consumer Engagement Strategies: A California Perspective
June, 2008 (updated)

Medical Homes - And Medical 'Home Runs'?
Health Affairs blog, written in conjunction with the September-October 2008 issue on Overhauling The Delivery System
Arnie Milstein, MD MPH, PBGH Medical Director

2007

Cost Efficiency at Hospital Facilities in California:  A Report Based on Publicly Available Data
Full Report Summary Report
Milliman, Inc., October, 2007

Value Promoting Policy Review:  Payments to Out-of-Network Hospitals in California
Milliman, Inc., August 17, 2007

Providing Patients Web-based Data to Inform Physician Choice: If You Build It, Will They Come?
Journal of General Internal Medicine, 22(10): 1463-6.
Gary Fanjiang, MD, MBA, Ted von Glahn, Hong Chan, PhD, et al.

Redesigning Care Delivery In Response To A High-Performance Network: The Virginia Mason Medical Center
Health Affairs, July 10, 2007
Arnold Milstein, MD, MPH, PBGH Medical Director

Evaluation of Consumer Decision Support Tools:  Helping People Make Health Care Decisions
Conference Summary Report
June, 2007

Under the Influence: Disease management and wellness program features can sway health plan choice
Employee Benefit News, June 15, 2007
Ted von Glahn, PBGH Director of Consumer Engagement and Performance Information

Does Ambulatory Process of Care Predict Health-Related Quality of Life Outcomes for Patients with Chronic Disease?
Health Services Research, February, 2007
Winner of the 2008 John M. Eisenberg Article-of-the-Year in Health Services Research
Kahn KL, Tisnado DM, Adams JL, et al.
Co-Author Cheryl L. Damberg PhD, PBGH Director of Research

Will the Surgical World Become Flat?
Health Affairs, January, 2007
Arnold Milstein, MD, MPH, PBGH Medical Director

2006

Consumer-Directed Health Care: Early Evidence About Effects On Cost and Quality

Health Affairs, October 24, 2006
Cheryl L. Damberg, PhD, PBGH Director of Research

Beyond Consumer-Driven Health Care: Purchasers' Expectations Of All Plans
Health Affairs, October 24, 2006
Peter V. Lee, CEO and Emma Hoo, Director of Value-Based Purchasing

America's New Refugees - Seeking Affordable Surgery Offshore
New England Journal of Medicine, October 19, 2006
Arnold Milstein MD, MPH, PBGH Medical Director

California Performance Measurement and Health IT Landscape
California HealthCare Foundation, September 2006
Emma Hoo, PBGH Director of Value-Based Purchasing

Consumerism And Payment Reform: Seeking To Create A More Perfect Union
Health Affairs, July/August 2006
Peter V. Lee, PBGH Chief Executive Officer

Purchaser Expectations for Health Care Value:  Advancing Health Plan and Provider Accountability
July, 2006

Supporting Health Care Re-engineering: Provider Payment Issues and Reform Strategies
July, 2006

Assessing Quality-Based Benefit Design
April, 2006

Pay for Performance: Its Influence on the Use of IT in Physician Organizations
Medical Practice Management, March/April 2006
Cheryl L. Damberg, PhD, PBGH Director of Research

Evaluating Patients' Experience with Individual Physicians
Medical Care, February 2006
Ted von Glahn, PBGH Director of Consumer Engagement

What is the Concordance Between the Medical Record and Patient Self-Report as Data Sources for Ambulatory Care?
Medical Care, February 2006
Cheryl L. Damberg, PhD, PBGH Director of Research

Coronary Artery Bypass Graft Surgery in California: 2003 Hospital Data
California CABG Outcomes Reporting Program, February, 2006

Hospital Cost Efficiency Measurement: Methodological Approaches
January, 2006

2005

Advancing Physician Performance Measurement: Using Administrative Data to Assess Physician Quality and Efficiency
September, 2005

Aligning Physician Incentives: Lessons and Perspectives from California
September, 2005

The California Report on Coronary Artery Bypass Graft Surgery
2002-2003 Hospital Data
February, 2005

PBGH Member Benefit Strategies: Promoting Quality, Value and Access
February, 2005

PBGH Consumer Engagement: Supporting Informed Health Plan Choice
March, 2005

Is Risk-Adjuster Selection More Important Than Statistical Approach for Provider Profiling? Asthma as an Example
Medical Decision Making, January-February 2005
Cheryl L. Damberg, PhD, PBGH Director of Research

Can Purchasers Leverage Engineering Principles to Improve Care?
from: Building a Better Delivery System: A New Engineering/Health Care Partnership, 2005
The National Academy of Sciences
Arnold Milstein, MD, MPH, PBGH Medical Director

2004

Hot Potato Endgame
Health Affairs, November/December 2004
Arnold Milstein, MD, MPH, PBGH Medical Director

U.K. Quality Incentives
Health Affairs, July/August 2004
Arnold Milstein, MD, MPH, PBGH Medical Director

Do Health Plans Influence Quality of Care?
International Journal for Quality in Health Care, 2004
David Hopkins, PhD, PBGH Director of Quality Improvement

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