Rationale: In the incremental net benefits approach to economics evaluation, willingness-to-pay (lambda) is defined as the trade-off between costs and effects; however, this definition is not true to first principles of economics, namely, opportunity cost. Given that decision-makers are credited...

Abstract In 2012, the share of California’s Gross State Product consumed by healthcare was 15.4%, and approximately 50% of healthcare spending went to care for 5% of the population. To address such cost challenges as well as to improve quality of care and patient outcomes, a group of...

Abstract The ACA’s passage was followed by great uncertainty about how the healthcare landscape would transform. During this tumultuous period, a unique group of California’s private sector health systems, medical groups and health plans, alongside public sector leaders, came together to...