In this set of papers, American Enterprise Institute scholars consider various market-based approaches to reforming the fee-for-service Medicare program—the “800-pound gorilla of American health care.”
This report from Avalere Health closely examines the efforts of 18 diverse medical professional societies to identify potential cost-cutting measures, and notes trends across the groups' recommendations.
New health care delivery models that reward providers for coordinating and improving care hold promise to reduce costs when treating the sickest, costliest patients in the health care system, according to a study published in JAMA. Researchers from the Dartmouth Atlas Project and the Dartmouth Institute for Health Policy & Clinical Practice analyzed a similar model and found participants achieved significant savings and improved quality of care—especially for patients covered by both Medicare and Medicaid.
While the need to address racial and ethnic disparities in care is well known, few strategies for reducing disparities have been studied systematically. A supplement to the Journal of General Internal Medicine, organized by researchers at Finding Answers, offers organizations a new "roadmap" for reducing disparities.
The use of patient-facing health information technology (HIT) platforms, such as personal health records (PHRs) and web portals, holds the promise of engaging patients in their own health care with the ultimate purpose of improving overall quality and health outcomes. Several Aligning Forces for Quality (AF4Q) alliances, a national program of the Robert Wood Johnson Foundation, indicated an interest in exploring how these tools may be implemented for specific projects within their communities.
According to a commentary released by the Journal of the American Medical Association, in order for the national implementation of health information technology (HIT) to be successful, more effective models of care must be identified—whether they be accountable care organizations (ACOs), patient-centered medical homes (PCMHs), or some yet to be discovered entity—and the needs of patients and providers must be understood.
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May 6, 2013 | Journal Article
This study examines two factors that might account for slower health spending: job loss and benefit changes that shifted more costs to insured people.
May 6, 2013 | Journal Article
The primary policy issue facing the U.S. health care system is the rate of spending growth in public programs, and solving that problem will probably require reforms to the entire health care sector.
May 6, 2013 | Journal Article
This is the first empirical study to investigate whether supplemental Medicare coverage is associated with higher rates of spending growth over time.
May 6, 2013 | Journal Article
Bundled payment is seen as a promising way to slow the growth of health care spending while maintaining or improving the quality of care.
April 1, 2013 | Journal Article
Various methods of calculating eligibility rates in random digital dial (RDD) surveys lead to substantially different response rates.
March 1, 2013 | Journal Article
This framework provides a way for policy-makers and others to “make sense” out of the many national and local efforts to engage consumers in their own health care.
February 4, 2013 | Journal Article
The practice of patient-centered care remains in its developmental stages—hampered, in part, by limited evidence of its effectiveness.
February 1, 2013 | Journal Article
This study explored the distribution of decision aids—an important first step toward patient engagement, but one that cannot be equated with actual use of the aids.
January 1, 2013 | Journal Article
The Affordable Care Act enables young adults to remain as dependents on their parents’ health insurance until age 26, and recent evidence suggests that as many as three million young adults have gained coverage as a result.
December 1, 2012 | Journal Article
One goal of the Affordable Care Act (ACA) is to improve patients' access to primary care and the coordination of that care.