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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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Featured

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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Featured

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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Medical Spending and the Health of the Elderly

May 24, 2011 | Journal Article

More medical spending found to modestly relate to better health outcomes.

Health Insurance Reform Project Helps Design Program to Improve Health Care for Medicare Recipients with Multiple Chronic Illnesses

January 17, 2011 | Program Result Report

The Health Insurance Reform Project worked with the federal Centers for Medicare & Medicaid Services to help design a program to improve the quality of care and life for people with multiple chronic illnesses.

Health Insurance Reform Project Identifies New Ideas to Improve Federal Health Policy - Voluntary Chronic Care Improvement Programs and Tax Credits

January 17, 2011 | Program Result Report

The Health Insurance Reform Project worked to develop and advance new ideas to improve federal health policy, focusing primarily on improving quality in Medicare and expanding health insurance coverage nationally.

Adoption of Health Promotion Practices in a Cohort of US Physician Organizations

December 1, 2010 | Journal Article

An exploration of physician organizations' administrative changes and changes in health promotion practices found that physician organizations employ no standard set of health promotion practices, and that health promotion practices and organizational structure evolve over time.

Adoption of Policies to Treat Tobacco Dependence in US Medical Groups

November 1, 2010 | Journal Article

Most larger U.S. medical practice groups have some strategy in place to treat patients' tobacco dependence. But few have instituted a broad, multistrategy effort as recommended by Public Health Service guidelines, according to this survey-based study.

Effects of Complementary Therapy on Health in a National US Sample of Older Adults

July 1, 2010 | Journal Article

This article looked at whether the use of biologically-based therapies, body-based therapies, or other alternative therapies were associated with a variety of quality-of-life outcomes among respondents age 55 and older.

Improving Chronic Illness Care

June 1, 2010 | Journal Article

This article examines the use of evidence-based care management processes by large physician organizations. Care management processes are designed to improve care for people with chronic illness. Over 90 million Americans have a chronic illness and chronic illness is responsible for more than three-quarters of national health care costs.

Foundation Work in Long-Term Care

January 1, 2010 | Journal Article

Health foundations have invested in services, research, and advocacy to improve the financing and delivery of long-term services and supports. This article describes some of the broad array of approaches they have taken.

Improving Chronic Illness Care

September 1, 2009 | Journal Article

The use of organized chronic illness care management processes (CMPs) is discussed in this article.

Partners in Caregiving: The Dementia Services Program

September 1, 2009 | Program Result Report

Partners in Caregiving: The Dementia Services Program was a 4.5-year, $2.5-million national program to build on the lessons from a prior program called the Dementia Care and Respite Services Program.

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