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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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Examining Racial and Ethnic Disparities in Care at High-Volume Hospitals

June 12, 2012 | Program Result Report

Researchers at the Urban Institute studied whether patients use high-volume hospitals for procedures and services where volume is associated with outcomes, and whether there are disparities between minorities and Whites in using such hospitals.

Trying Out a New Model of Caring for People with Dementia

April 11, 2012 | Program Result Report

The Alzheimer's Association and the National Chronic Care Consortium partnered to develop and demonstrate a model of integrated health care and supportive services for people with Alzheimer's disease and dementia.

Health Tracking

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.

A Regional Health Collaborative Formed by NewYork-Presbyterian Aims to Improve the Health of a Largely Hispanic Community

October 1, 2011 | Journal Article

NewYork-Presbyterian creates a Regional Health Collaborative linking patient-centered medical homes to providers and other community-based resources.

Speaking Together: National Language Services Network

April 18, 2011 | Program Result Report

Ten hospitals throughout the country joined a collaborative learning network, developed strategies to improve the quality and accessibility of their language services, and tested them using five standardized performance improvement measures.

A Community-Level Effort to Motivate Physician Participation in the National Committee for Quality Assurance Diabetes Physician Recognition Program

June 1, 2010 | Journal Article

This case study involved a regional QI initiative to improve delivery of care to people with diabetes. Pay for participation may be a viable strategy to promote quality improvement in primary care practices.

Partnerships Project: Jamaica Hospital Medical Center, Jamaica, N.Y., 1999-2001

November 18, 2009 | Program Result Report

This hospital's involvement in the Partnerships Program coincided with New York State's transition to mandatory enrollment in managed care for its Medicaid recipients.

The Story of Fransheska and Her Younger Sister Yolamar

November 18, 2009 | Program Result Report

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

Rewarding Results: Aligning Incentives with High-Quality Health Care

October 15, 2009 | Program Result Report

Rewarding Results: Aligning Payments with High-Quality Health Care was a national program of RWJF and California HealthCare Foundation that tested the use of financial incentives to improve the quality of health care.

Does Telemonitoring of Patients¿The-eICU¿Improve Intensive Care?

August 20, 2009 | Journal Article

This study explored the reasons hospitals chose to either adopt or reject an innovative telemedicine approach to supporting delivery of intensive care.

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