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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November 13, 2012 | Program Result Report
From November 2010 through March 2012, the California Quality Collaborative (CQC) conducted an evaluation of its regional improvement effort aimed at reducing unnecessary services and engaging physicians in improving efficiency of resource use.
March 19, 2012 | Program Result Report
Center for Studying Health System Change researchers tracked changes in the nation's health care system and developed policy analyses describing how those changes affect patients, providers, and others in their communities.
March 12, 2012 | Program Result Report
From 1997 to 2002, researchers with the RAND Corporation assessed the quality of care delivered to a large sample of patients living in 12 U.S. communities. This work provided the first national snapshot of health care quality in the United States.
March 12, 2012 | Program Result Report
That Americans get only half of recommended care is not an easy message to deliver - or for people to receive. RAND researchers undertook an intensive communications campaign in hopes that their "bad news" would spur changes in health care policy.
September 12, 2011 | Program Result Report
In North San Diego County, the Indian Health Council is using the Chronic Care Model to engage patients in their own care.
October 1, 2010 | Journal Article
Putting the Chronic Care Model into practice with residency programs in California.
October 1, 2010 | Journal Article
A California collaborative uses the Chronic Care Model to improve education of residents and care of patients with diabetes.
September 1, 2010 | Journal Article
Investigation into subsidies for hospitals that provide a disproportionate share (DSH) of care to uninsured patients in California found that DSH subsidies do not effectively target the highest providers of care to the uninsured.
August 1, 2010 | Journal Article
Incentives to improve the quality of care provided in Medicaid managed care plans are increasingly common and take many forms. One is a pay-for-performance program that automatically assigns new enrollees to better-performing Medicaid plans in California.
April 19, 2010 | Program Result Report
The Diabetes Initiative and its individual projects have contributed to the expansion of diabetes self-management at the state level and nationwide.