Case mix index (CMI) within health care and medicine, is a relative value assigned to a diagnosis-related group of patients in a medical care environment. The CMI value is used in determining the allocation of resources to care for and/or treat the patients in the group.
An independent medical review (IMR) is the process where physicians review medical cases in order to provide claims determinations for health insurance payers, workers compensation insurance payers or disability insurance payers. Peer review also is used in order to define the review of sentinel events in a hospital environment for quality management purposes such as to look at bad outcomes and determine whether there was any mis-diagnosis, mistreatment or any systemic problems involved which led to the sentinel event.
Consumer-driven healthcare (CDHC), or consumer-driven health plans (CDHP) refers to a type of health insurance plan that allows employers and/or employees to utilize pretax money to help pay for medical expenses not covered by their health plan. These plans are linked to health savings accounts (HSAs), health reimbursement accounts (HRAs), or similar medical payment accounts. Users keep any unused balance or "rollover" at the end of the year to increase future balances or to invest for future expenses. They are a high-deductible health plan which has cheaper premiums but higher out of pocket expenses, and as such are seen as a cost effective means for companies to provide health care for their employees.
Patient education is a planned interactive learning process designed to support and enable expert patients to manage their life with a disease and/or optimise their health and well-being.
John E. "Jack" Wennberg was the pioneer and leading researcher of unwarranted variation in the healthcare industry. In four decades of work, Wennberg has documented the geographic variation in the healthcare that patients receive in the United States. In 1988, he founded the Center for the Evaluative Clinical Sciences at Dartmouth Medical School to address that unwarranted variation in healthcare.
I. Glenn Cohen is a Canadian legal scholar and professor at Harvard Law School. He is also the director of Harvard Law School's Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics.
Vanessa Northington Gamble is a physician who chaired the Tuskegee Syphilis Study Legacy Committee in 1996.
Elliott S. Fisher is a health policy researcher and advocate for improving health system performance in the United States. He helped develop the concept of accountable care organizations and championed their adoption by Medicare. The development of the Affordable Care Act was influenced by his research on disparities in healthcare spending and utilization across the United States. He has strongly supported a rapid transition from fee-for-service to pay-for-performance models in the U.S. healthcare industry. He is a tenured faculty member at Dartmouth College, where he teaches in the Masters in Public Health program.
Nancy Elinor Adler was an American health psychologist. She was the Lisa and John Pritzker Professor of Medical Psychology at the University of California, San Francisco (UCSF), and director of UCSF's Center for Health and Community Sciences. Adler was known for her research on health behaviors, health disparities, and social determinants of health.
Matire Louise Ngarongoa Harwood is a New Zealand clinical researcher and trainee general practitioner. She is an associate professor at the University of Auckland. Harwood was the 2017 New Zealand L'Oréal UNESCO For Women in Science Fellow. Her expertise is in Māori health, focussed on reducing health inequity by improving indigenous health and well-being.
Fitzhugh Mullan was an American physician, writer, educator, and social activist. He participated in the founding of the Student Health Organization, the National Coalition for Cancer Survivorship, Seed Global Health, and the Beyond Flexner Alliance. Mullan was a professor of Health Policy and Management and of Pediatrics at the George Washington University and the George Washington University Health Workforce Institute, now renamed the Fitzhugh Mullan Institute for Health Workforce Equity. He was an elected member of the National Academy of Medicine.
Rochelle Paula Walensky is an American physician-scientist who served as the director of the U.S. Centers for Disease Control and Prevention from 2021 to 2023 and had also served as the administrator of the Agency for Toxic Substances and Disease Registry in her capacity as the director of the U.S. Centers for Disease Control and Prevention from 2021 to 2023. On May 5, 2023, she announced her resignation, effective June 30, 2023. Prior to her appointment at the CDC, she had served as the chief of the Division of Infectious Diseases at Massachusetts General Hospital and a professor of medicine at Harvard Medical School. Walensky is an expert on HIV/AIDS.
Amy Lauren Fairchild is an American historian who is a professor at Syracuse University. She is co-director of the World Health Organization Collaborating Center for Bioethics.
A. Eugene Washington is an American physician, clinical investigator, and administrator. He served as the chancellor for health affairs at Duke University, and the president and chief executive officer of the Duke University Health System, from 2015 to 2023. His research considers gynaecology, health disparities, and public health policy. He was elected to the National Academy of Medicine in 1997 and the American Academy of Arts and Sciences in 2014.
Rachel Kiddell-Monroe LL.M is a Montreal-based academic, activist, and lawyer. She is the General Director of See Change Initiative and faculty at McGill University where she teaches about humanitarian aid.
Sir Collin Fonotau Tukuitonga is a Niuean-born New Zealand doctor, public health academic, public policy expert and advocate for reducing health inequalities of Māori and Pasifika people. He has held several positions in public health and government in New Zealand and internationally.
Trecia Ann Wouldes is a New Zealand academic, and is a full professor in the Department of Psychological Medicine at the University of Auckland, specialising in the developmental effects of drug exposure in pregnancy.
Lynley Carol Anderson is a New Zealand academic, and is a full professor at the University of Otago, specialising in bioethics in health care education and sports and sports healthcare provision.
Janet Lynn Fanslow is a New Zealand academic, and is a full professor at the University of Auckland, specialising in researching the prevention, prevalence and consequences of family violence.
Toni Ashton is a New Zealand health economist, and was a full professor at the University of Auckland, specialising in the funding and structure of health systems.
