Improving Health Care Delivery

NEHI’s research and analysis in care delivery focuses on identifying innovations that increase the value and reduce the costs of health care. Prior NEHI research has demonstrated that waste and inefficiencies in health care account for $800 billion in unnecessary costs, or a full third of the nation’s health care spending, and that eliminating it requires many clinical, systemic and behavioral changes in organizations across health care. Current NEHI projects focus on assessing the impact of comparative effectiveness research on innovation and identifying innovative practices and policy actions in areas such as reducing hospital readmissions, increasing medication adherence, preventing medication errors and improving patient safety.

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Initiatives

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  • Themes Health Behaviors Healthcare Spending Health Reform
    Publication Date: February 15, 2017

    Fact Sheet: The Impact of Coverage and Access to Women’s Health Services

    Coverage and Access for Women’s Health Services Promote the Triple Aim
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  • Themes Accountable Care Health Behaviors
    Publication Date: October 24, 2016

    Greater Boston Community Health Needs Assessment: Joint Effort that Could Lead to Better Health

    NEHI finds that hospitals in the greater Boston area could collaborate on CHNAs to create bigger impact
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  • Themes Comparative Effectiveness Research Evidence-based Medicine Health IT
    Publication Date: June 9, 2016

    Maximizing the Potential of Real World Evidence to Support Health Care Innovation

    NEHI's Recommendations to Strengthen a Culture of RWE That Will Make Health Care Innovation Thrive.
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  • Themes Comparative Effectiveness Research Health Reform Payment Reform
    Publication Date: May 24, 2016

    2016 NEHI Annual Meeting Policy Discussion Summary

    NEHI's Annual Meeting was rich with policy discussion and cross-sector sharing.
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  • Themes Healthcare Spending Payment Reform Technology Adoption
    Publication Date: February 11, 2016

    Delivering Medical Innovation in a Value-Based World

    As accountable care organizations, bundled payments and other value-based payment models sweep the nation, NEHI works to uncover implications for innovation.
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  • Themes Comparative Effectiveness Research Evidence-based Medicine Health IT
    Publication Date: September 22, 2015

    Real World Evidence: A New Era for Health Care Innovation

    An issue brief on the major challenges and opportunities for Real World Evidence to reach its full potential
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  • Themes Health Reform Hospital Readmissions Medication Adherence
    Publication Date: June 25, 2015

    Reducing Hospital Readmissions Through Medication Management and Improved Patient Adherence

    Reducing Hospital Readmissions Through Medication Management and Improved Patient Adherence
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  • Themes Health Behaviors Healthcare Spending
    Publication Date: June 19, 2015

    Healthy People/Healthy Economy: A Five-Year Review and Five Priorities for the Future

    Annual Report that tracks progress of the policies and practices that are key elements of a comprehensive effort to make Massachusetts a national leader in health and wellness.
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  • Themes Health Behaviors Healthcare Spending Health Reform
    Publication Date: May 8, 2015

    Community Health Workers: Getting the Job Done in Healthcare Delivery

    Community health workers (CHWs) have been on the front lines of health care delivery for decades, serving as a vital link between providers and the surrounding communities. This relationship has become even more important with the advent of the Affordable Care Act (ACA), as millions of Americans obtain access to care and providers are under increasing pressure to contain costs.


    To explore options for increasing the role of CHWs in improving population health, NEHI partnered with the Jewish Healthcare Foundation (JHF), Rose Community Foundation and the Association of American Medical Colleges to convene a day-long meeting in October 2014 focusing on CHWs. A subsequent invite-only meeting was held in Pennsylvania in April 2015, hosted by JHF and supported by NEHI, to dive deeper into some of these issues and explore the opportunities for Pennsylvania.

    This issue brief summarizes the history of CHWs and includes key findings from the October 2014 summit and April 2015 Pennsylvania meeting. The brief includes an analysis of:

    • CHW Impact: As community health workers are increasingly incorporated in healthcare teams, a growing body of evidence attests to their impact. These studies are highlighted in this issue brief. For example, one study found that integrating CHWs into care teams lead to a 3:1 return-on-investment.
    • Policy Actions: ACA included several provisions with impacts on CHWs, and several states have taken action to build infrastructure for CHWs. This issue brief details the policy that continues to evolve around CHWs.
    • Training Standards: Because of the opportunities and funding created by policy change at the federal and state level, there are some questions about the nature of what it means to be a CHW. The issue brief details some of these questions and provides an examination of the opportunities to increase training and enhance professional recognition.
    • Pioneers: The issue brief also highlights some of the exemplar models using CHWs to improve quality of care and reduce costs, including the Camden Coalition of Health Care Providers, the Penn Center for CHWs, and Hennepin Health.
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  • Themes Health Reform Payment Reform Technology Adoption
    Publication Date: December 17, 2014

    All Payer Claims Databases: Unlocking the Potential

    This Issue Brief reflects findings from the event, in addition to background research and expert interviews conducted by NEHI to explore the opportunities and lessons learned in leveraging APCDs to advance health services research.
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NEHI'S Impact

For Our Members

“NEHI has been a valuable forum to help navigate the changing health care landscape. It has also been a catalyst for informing and influencing the health reform debate and in a number of instances has moved the ultimate decisions to a better place.”
-Josef H. von Rickenbach, Chairman and Chief Executive Officer, PAREXEL International, Inc. 

In the Media

"NEHI President Wendy Everett said she expected to see more and more adoption of best practices in the next few years, spurred by President Obama’s Affordable Care Act, other changes to Medicare and Medicaid and a recognition among doctors and insurers that the current trajectory of health care spending is unsustainable.

'This train’s coming much faster than we thought,' Ms. Everett said. She guessed that within a decade providers being paid for the quality, not quantity, of care would be 'the norm.'"- The New York Times 

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