Duke Personalized Health Blog

Treating Congestive Heart Failure at Duke: A Case Study of Delivery and Payment Reform

With rising healthcare costs and a rapidly aging population, finding sustainable and cost-effective ways to address chronic illnesses is one of the most critical pursuits in health care today. One strategy that has demonstrated promising results is Personalized Health Planning

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Following the Money: How and What We Reimburse Doctors for Matters

There is growing recognition that a re-orientation of our nation’s health care system towards prevention and quality is underway. The Affordable Care Act (ACA) seeks to forge a path to a new era of health care reimbursement based on the

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Precise But (Not Yet) Personal

Despite great advance in the field of personalized medicine and precision care therapies, there is still a dearth of progress in clinical models that use these emerging technologies to enhance preventive medicine. Precise But (Not Yet) Personal Ralph Snyderman President

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Reward good outcomes to reduce health care costs

The following editorial appeared in the Raleigh News & Observer on January 25, 2014. The contentious debate on the implementation of the Affordable Care Act has focused on health care choice, cost, access and, most recently, the too-low percentage of

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The Supreme Court has ruled, but what really matters is reforming health care delivery!

The factious debate regarding the constitutionality of the Accountable Care Act (ACA) is over. The Supreme Court has ruled that the law is constitutional, including the health insurance mandate which was judged to be a tax. Health care reform will

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If States Opt-Out of the ACA, Will They Opt-In to Creating Better Models of Care?

Earlier this week, President Obama indicated his support for legislation that would let States opt-out of the Accountable Care Act in 2014 rather than in 2017. The President stipulated that States would be free to provide their own approaches for

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To fix our economy, we must reform health care delivery

The dominant political debate of the day regards the form of tax legislation needed to prevent major tax increases beginning in January 2011. Underlying this debate is the weakness of our economy and the loss of employment for so many

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