But health plans and hospitals are resisting efforts to do more to limit complications during pregnancy and childbirth.
The caveats: Recent research says the evidence for improved outcomes was of moderate quality. And VBID still hasn’t proved its mettle as a cost saver.
The caveat: The prices are now falling for various reasons, but the high cost still means many who might benefit don’t have access to the medications.
The caveats: California stands out as the exception to the rule. And its program is thorough and fairly involved.
The caveat: Joint replacements might be a sweet spot for bundled payments. They might not work as well for other episodes of care.
The caveats: They may need to be part of larger programs to be effective. And smoking rates have fallen but remain stubbornly high among people without privilege.
Community health workers liaise between underserved populations and clinicians, help patients and resources to manage disease, and provide health education, informal counseling, and social support. Interest in community health workers is shifting away from narrowly focused intervention on a single disease toward care coordination of multiple chronic conditions.
The caveats: Most of the evidence involves routine care. It is uncertain whether nurse practitioners will be willing to work in rural areas to fill the primary care void.