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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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Bending the Curve: Person-Centered Health Care Reform

April 29, 2013 | Report

Experts recommend solutions for closing the gaps in quality and efficiency of health care.

Preserving Medicare for Future Generations: Market-Based Approaches to Reform

April 16, 2013 | Report

The American Enterprise Insitute proposes solutions to address Medicare’s sustainability crisis and inefficiencies in the system.

Do ACOs Raise Anti-Trust Concerns?

October 9, 2012 | Issue Brief

ACOs are promising vehicles for delivering health care more efficiently, but some insurers and regulators worry they could reduce competition and drive up prices.

What's the Price of Health Care?

August 1, 2012 | Issue Brief

Reducing health care costs is a key public policy issue, but a complicated one because costs and prices are opaque not only to the public but often to health care providers, purchasers, and payers.

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.

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.

What Are the Issues Surrounding Medical Liability Reform?

January 1, 2012 | Issue Brief

Some policy-makers, backed by physicians and insurers, advocate tough federal limits on medical malpractice lawsuits as a means to curb the nation’s relentlessly rising health spending.

What Are the Best Ways to Control Medical Liability Costs?

January 1, 2012 | Issue Brief

Experts estimate that medical liability suits cost the U.S. health care system an annual total of about $56 billion in direct litigation costs and the indirect costs of defensive medicine.

What Models of Payment Reform Hold the Most Promise?

January 1, 2012 | Issue Brief

Policy-makers are considering a number of models to reform the payment system, including accountable care organizations, patient-centered medical homes, comprehensive care payment and episode-based payment.

Building Knowledge of Minority Populations to Address Disparities in Health and Health Care

December 12, 2011 | Program Result Report

Researchers at the Pew Hispanic Center and a multicultural research network managed by the University of California, Los Angeles, studied disparities in health and access to care in Latino and other minority populations.

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