Pivoting to Value-Based Care in North Carolina.

Health care in the United States, and by extension in North Carolina, is in a perpetual state of flux. From the Nixon-era predictions of runaway costs to the insurance-anchored efforts of Hillarycare to wide-sweeping reforms of Obamacare, established providers are regularly counseling the next generation on how different medicine will look when they are in practice. The accuracy of some of these predictions aside, one thing is sure: the pace and magnitude of change is palpably different this time.

Despite 'welcome to Medicare' benefit, one in eight enrollees delay first use of part B services for at least two years.

Much research has focused on the possible overuse of health care services within Medicare, but there is also substantial evidence of underuse. In recent years, Congress has added a "welcome to Medicare" physician visit and a number of preventive services with no cost sharing to the Medicare benefit package to encourage early and appropriate use of services. We examined national longitudinal data on first claims for Part B services-the portion of Medicare that covers physician visits-to learn how people used these benefits.

An Infection Control Program for a 2009 influenza A H1N1 outbreak in a university-based summer camp.

Objectives: Describe two 2009-H1N1 influenza outbreaks in university-based summer camps and the implementation of an infection control program.

Participants: 7,906 campers across 73 residential camps from May 21-August 2, 2009.

Methods: Influenza-like-illness (ILI) was defined as fever with cough and/or sore throat.

Training the next generation of physician-executives: an innovative residency pathway in management and leadership.

The rapidly changing field of medicine demands that future physician-leaders excel not only in clinical medicine but also in the management of complex health care enterprises. However, many physicians have become leaders "by accident," and the active cultivation of future leaders is required. Addressing this need will require multiple approaches, targeting trainees at various stages of their careers, such as degree-granting programs, residency and fellowship training, and career and leadership development programs.

Clinical presentation and response to treatment of novel influenza A H1N1 in a university-based summer camp population.

Background: Little is known about the clinical presentation and course of novel H1N1 influenza in summer camps.

Objectives: To describe the clinical course and evaluate the effect of influenza treatment in a summer camp population.

Study Design: Two large influenza outbreaks occurred in university-based residential camps between May 21 and August 2, 2009.