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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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The Diabetes Initiative

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.

Southern Rural Access Program: Tina Monlezun

November 16, 2009 | Program Result Report

Nurse practitioner Tina Monlezun, RN, MSN, bought the vacant clinic building and with a loan from Louisiana's Southern Rural Health Access project, was able to open the clinic and cover costs such as personnel and equipment.

Southern Rural Access Program Site Profile: Texas

November 16, 2009 | Program Result Report

In Texas the East Texas Area Health Education Center worked with 40 organizations - hospitals, social services agencies, and faith-based ministries - to develop the East Texas Health Access Network.

Southern Rural Access Program Site Profile: Mississippi

November 16, 2009 | Program Result Report

In Mississippi the Mississippi Primary Health Care Association created the Mississippi Access to Rural Care program, which helped recruit and place 134 primary care providers in some of the state's most remote and impoverished areas.

Southern Rural Access Program Site Profile: South Carolina

November 16, 2009 | Program Result Report

The South Carolina Rural Interdisciplinary Program of Training introduced 420 students in 12 health disciplines, to rural health care for five weeks during the summer.

Southern Rural Access Program: Mary Curtis and Sally Harrison

November 16, 2009 | Program Result Report

A registered nurse experienced in the business side of health care, Harrison spent almost two months improving the billing system. As a result of her work, the hospital's charges increased from $9 million to $11 million a year initially and eventually went up to $14 million, says Curtis, adding, "That's the bottom line."

Southern Rural Access Program: Stanita Jackson

November 16, 2009 | Program Result Report

During the enrichment program, Jackson spent half of each day in the classroom, and the other half-day at the Natchez Regional Medical Center, shadowing staff in a different department each week. After completing the program, she went on to pursue a graduate degree in biological science.

Spreading TCAB Across Network Hospitals

November 1, 2009 | Journal Article

Seton Family of Hospital's TCAB spread leaders believe the units most likely to adopt the TCAB program successfully demonstrate: strong engagement by unit leadership in the process at least one TCAB champion on the unit and a method to regularly share information about the process.

Effectiveness of a Grant Program's Efforts to Promote Synergy Within its Funded Initiatives

December 18, 2008 | Journal Article

Participants of the Southern Rural Access Program (SRAP) generally perceived that the SRAP's deliberate strategies yielded synergies that added to the program's impact.

Southern Rural Access Program

November 28, 2007 | Program Result Report

The Southern Rural Access Program implemented a range of activities to increase access to health care services in rural, underserved areas of eight southern states.

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