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    • Summary of Curriculum Vitae for Richard E. Ward, MD, MBA
    • Curriculum Vitae of Richard E. Ward, MD, MBA
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Clinical Practice Guidelines and Protocols

Trump/Musk killed AHRQ, but in a sense, the death has been playing out over 25 years. Recalling 4 eras of the agency and my dream for its eventual rebirth.

Slashing and Dissolving As reported by the Kaiser Family Foundation’s Health News site blog, last week the Trump administration “dissolved” the Agency for Healthcare Research

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Dr. Ward April 8, 2025 No Comments
Accountable Care Organizations (ACOs)

What is missing from the CMS Innovation Center five year vision?

The Biden administration’s CMS Innovation Center 5-year vision conspicuously lacks mention of what I consider to be necessary course corrections to reverse a disappointing first decade.

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Dr. Ward August 18, 2021 1 Comment
Clinical Practice Guidelines and Protocols

Defensible COVID-19 vaccine prioritization policy will require bravery and explicit principles and analytics. We offer example principles and propose a 6-step process.

For almost a year, the weary public has been receiving a confusing mix of information and misinformation and witnessing an inconsistent and sometimes incoherent policy-making

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Dr. Ward December 7, 2020 1 Comment
Accountable Care Organizations (ACOs)

If repealing Obamacare is off the table, can we turn attention to improving it through cost-effective clinical protocols?

Paul Krugman recently wrote an article in the New York Times posing the question: if repealing Obamacare is off the table (for now), should people

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Dr. Ward August 7, 2017 No Comments
ACO Reimbursement and Gain Sharing

New HIT ROI lit review is a methodologic tour de force, but misses the point

Recently, Jesdeep Bassi and Francis Lau of the University of Victoria (British Columbia) published in the Journal of the American Medical Informatics Association (JAMIA) another in

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Dr. Ward February 23, 2013 No Comments
Cost-Effectiveness Analysis (CEA)

Conceptualizing “over-treatment” waste: Don’t deny health economics

A Health Policy Brief published in Health Affairs on December 13, 2012 referenced an analysis published last April in JAMA regarding waste in health care.

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Dr. Ward December 23, 2012 No Comments
Cost-Effectiveness Analysis (CEA)

The debate about what to maximize when selecting candidates for care management programs: Accuracy? ROI? Net Savings? Or Cost-Effectiveness?

When doing analysis, it is really important to clarify up front what it is you are actually trying to figure out.  This sounds so obvious.

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Dr. Ward September 17, 2011 No Comments
ACO Culture

Reports of the death of Cost-Effectiveness Analysis in the U.S. may have been exaggerated: The ongoing case of Mammography

Guidelines for the use of mammograms to screen for breast cancer have been the topic of one of the fiercest and longest-running debates in medicine.

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Dr. Ward August 13, 2011 No Comments
ACO Culture

Why do other countries have different attitudes about Health Economics?

Wednesday morning, I attended a thought-provoking panel discussion entitled “Is Health Economics an Un-American Activity?” — a reference to the McCarthy-era Congressional committees that judged

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Dr. Ward May 28, 2011 3 Comments
ACO Reimbursement and Gain Sharing

NEJM report of ACO financial model fails to include risk of delayed start on transformation

On March 23, 2011, Trent Haywood, MD, JD, and Keith Kosel, PhD, MBA published the results in the New England Journal of Medicine (NEJM) web

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Dr. Ward March 30, 2011 3 Comments
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