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Health Care Publications
White Papers
Disruptive Innovation in Integrated Care Delivery Systems
By Vineeta Vijayaraghavan
Why have select integrated health systems outpaced their peers across nearly all quality and cost measures? More than one year ago, Innosight Institute set out to answer this question by identifying the critical factors and decisions that led to successful, integrated health systems.
Our findings are documented in the paper “Disruptive Innovation in Integrated Care Delivery Systems,” which is the culmination of research on seven different organizations representing a wide spectrum of health systems around the country.[Read the white paper here.]
Case Studies
Sentara Healthcare: A case study series on disruptive innovations within integrated health systems
By Vineeta Vijayaraghavan and Rosie O’Donnell
Follow Sentara Healthcare in Virginia as it prepares for significant changes in how health care will be delivered and priced in the future. Pilots focusing on chronic disease management, bundled payments for procedures, and a patient-centered medical home are underway, yet Sentara is also acutely aware of the challenges these new delivery models pose to its successful, hospital-led health care system.[Read the executive summary.]
By Vineeta Vijayaraghavan and Mina Katsis
Over the past several years, Grand Valley Health Plan of Grand Rapids, Michigan, has risen to enviable heights – ranking consistently among the nation’s ten best commercial plans and HMOs by U.S. News & World Report, Consumer Reports, and the National Committee for Quality Assurance. Along the way, Grand Valley also dispelled many commonly-held beliefs about what it takes to build a high-performing health system. [Read the executive summary.]
By Vineeta Vijayaraghavan and Greg Beasley
Having drawn significant attention recently for being a model co-op health care system, Seattle-based Group Health Cooperative is quick to point out that being a co-op hasn’t been among the most important factors in building a successful organization. Instead, Group Health much prefers to direct the spotlight to its innovative initiatives focused around integrated, primary care –chief among them, its Medical Home program that reduced hospitalizations by 6% and emergency visits by 29% after only two years. [Read the executive summary.]
By Vineeta Vijayaraghavan and Ariana Klitzner
Serving a large rural geography in a state with the second-highest percentage of uninsured people, New Mexico-based Presbyterian Healthcare Services became a natural testing ground for a number of disruptive innovations. Over the past century, Presbyterian transformed itself from a tuberculosis sanatorium into the largest health system in the state. [Read the executive summary.]
By Vineeta Vijayaraghavan and Mina Katsis
Nestled in the middle of Pennsylvania Dutch country, Lancaster General Health – the only health system in our case study series without an integrated payor — adopted a singular focus on serving the local community and turned its favorable market position into national recognition for quality and safety. [Read the executive summary.]
HealthPartners: A case study series on disruptive innovations within integrated health systems
By Vineeta Vijayaraghavan and Jason Hwang
In a state already praised for keeping health care costs 30% below the national average, HealthPartners in Minnesota stands out for delivering quality care at a cost that is even less than the state average. This case study offers an in-depth look at how the nation’s largest consumer-governed, nonprofit health care organization developed its fervent focus on lowering the total cost of care while fostering a reputation for innovation. [Read the executive summary.]
