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Can Market-Based Reforms Save Medicare?

Can Market-Based Reforms Save Medicare?

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.”

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Providers & Costs

Finding Value in Health Care

Finding Value in 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.

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The Promise of Accountable Care Organizations

The Promise of Accountable Care Organizations

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.

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Roadmap Suggests Routes for Reducing Health Care Disparities

Roadmap Suggests Routes for Reducing Health Care Disparities

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.

Read the papers and listen to the podcast

Featured

Health IT & Patient Engagement

Health IT & Patient Engagement

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.

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Featured

Putting the HIT in Teamwork

Putting the HIT in Teamwork

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.

Read the commentary

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  • Age: Children (6-10 years)
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Performance-Based Payment Incentives Increase Burden and Blame for Hospital Nurses

February 1, 2011 | Journal Article

Researchers conducted interview of hospital leaders and unit nurses in 25 hospitals to explore the effect of performance-based incentives.

Improving Asthma Outcomes in Minority Children

December 1, 2009 | Journal Article

A parent mentoring program which matches parents of minority, asthmatic children with trained parent mentors similar to themselves seems to be an inexpensive and effective way to help families manage their kids' asthma. There can actually be a net savings associated with families that extensively participate in such a program.

Spatial Accessibility to Providers and Vaccination Compliance Among Children with Medicaid

December 1, 2009 | Journal Article

Children in low-income families living far from an immunization provider can miss basic vaccinations because parents lack their own transportation. This study examined how the availability of immunization providers affected vaccination rates among low-income children in Washington, D.C.

The Story of Caleb Mahan

November 18, 2009 | Program Result

Caleb Mahan was 6 years old when he had his first asthma attack. It came without warning and was severe.

The Story of Fransheska and Her Younger Sister Yolamar

November 18, 2009 | Program Result

Fransheska and younger sister, Yolamar, members of an immigrant Puerto Rican family living in Rochester, N.Y., have had asthma since early childhood.

Brief Interventions by Primary Care Physicians Trained in Asthma Management Improve Pediatric Asthma Care

October 6, 2009 | Program Result

A research team from the University of Michigan School of Public Health expanded the Physician Asthma Care Education (PACE) project, which it had developed in the 1990s.

Allies Against Asthma: A Program to Combine Clinical and Public Health Approaches to Chronic Illness

June 1, 2009 | Program Result

Allies Against Asthma supported the efforts of seven community-based coalitions to improve the management of pediatric asthma in their areas.

A Randomized Controlled Trial of Asthma Self-Management Support Comparing Clinic-Based Nurses and In-Home Community Health Workers

February 1, 2009 | Journal Article

Adding home health visits by community health workers for families already receiving in-clinic support from asthma nurses, gives their asthmatic children 24 more symptom-free days per year on average and also modestly improves quality of life for caregivers.

A Story from the Pediatric Palliative Care Project

May 15, 2008 | Program Result

If all that mattered to dying children and their families was an all-expenses-paid trip to the Grand Canyon or the World Series, it would be easy enough to ease the pain of young lives prematurely foreclosed.

FOOTPRINTS: Community-Based Hospice Services for Terminally Ill Children and Their Families: Cardinal Glennon Children's Medical Center (St. Louis, Mo.)

May 15, 2008 | Program Result

SSM Cardinal Glennon Children's Medical Center and the Saint Louis University School of Medicine established FOOTPRINTS to serve children who were terminally ill and their families.

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