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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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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 Affordable Care Act Has Led to Significant Gains in Health Insurance and Access to Care for Young Adults

January 1, 2013 | Journal Article

The Affordable Care Act enables young adults to remain as dependents on their parents’ health insurance until age 26, and recent evidence suggests that as many as three million young adults have gained coverage as a result.

Assisted Living Expansion and the Market for Nursing Home Care

December 1, 2012 | Journal Article

Assisted living capacity has a modest impact on who uses nursing home care—and how sick they are.

Retail Clinic Visits and Receipt of Primary Care

November 1, 2012 | Journal Article

A public health debate is ongoing with respect to the consequences of retail clinic use.

In Medicare Part D Plans, Low or Zero Copays and Other Features to Encourage the Use of Generic Statins Work, Could Save Billions

October 1, 2012 | Journal Article

This study examines how different drug plan benefit and formulary designs influence the selection of generic drugs to treat high cholesterol among Medicare beneficiaries.

Medication Adherence and Medicare Expenditure Among Beneficiaries with Heart Failure

September 1, 2012 | Journal Article

Hospitalization rates and Medicare costs due to cardiovascular disease have the potential to be reduced when patients practice better medication adherence.

Medical Groups Can Reduce Costs by Investing in Improved Quality of Care for Patients With Diabetes

August 1, 2012 | Journal Article

If doctors are rewarded for cost savings, does quality suffer as a result? This study shows the two are not mutually exclusive. Findings suggest that improving the quality of care for patients with diabetes saves money.

Protecting High-Risk, High-Cost Patients

June 1, 2012 | Issue Brief

There is little question that the ACA will improve the nongroup and small group insurance markets for everyone in them, including the high-risk population. Yet insurance market reforms, guided by requirements for EHBs, AVs, and other tools provided by the ACA, are and will remain a work in progress.

Churning Under the ACA and State Policy Options for Mitigation

June 1, 2012 | Issue Brief

To lessen the damage done by churning, it will be important for states to provide consumers with intensive assistance to help them navigate through the involuntary coverage transitions.

How Medicare's Payment Cuts for Cancer Chemotherapy Drugs Changed Patterns Of Treatment

April 19, 2012 | Journal Article

New report examines the impact of the Medicare Modernization Act on access to cancer chemotherapy treatment.

End-of-Life Care for Medicare Beneficiaries with Cancer is Highly Intensive Overall and Varies Widely

April 1, 2012 | Journal Article

Studies have shown that cancer care near the end of life is more aggressive than many patients prefer.

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