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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.

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  • Program: Quality/Equality
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Substance Abuse: The Nation's Number One Health Problem

February 1, 2001 | Journal Article

This major resource provides the big picture on the nation's substance abuse problem—looking at patterns and trends in use, consequences, and what is being done to address the problem.

Lab Coats Plus Laptops Can Equal Better Medical Care

January 31, 2001 | Program Result

Michael L. Millenson, a Pulitzer-prize-nominated journalist, wrote Demanding Medical Excellence: Doctors and Accountability in the Information Age, which was published by the University of Chicago Press in 1997.

Low Income, Not Race or Lifestyle, Is the Greatest Threat to Health

January 31, 2001 | Program Result

David R. Williams, PhD, MPH, professor of sociology at the University of Michigan Institute for Social Research, Ann Arbor, Mich., studied the relationship between socioeconomic status (SES) and health.

1999 Conference Explores how Socioeconomic Status and Wealth Impact Health

January 1, 2001 | Program Result

In 1999, the New York Academy of Sciences, New York, conducted a conference entitled, Socioeconomic Status and Health in Industrial Nations: Social, Psychological, and Biological Pathways.

Revised Medigap Policies Helped Consumers Purchase Insurance

January 1, 2001 | Program Result

From 1991 to 1996, researchers with Washington-based PDF Incorporated examined the market for Medicare supplemental insurance (Medigap) before and after OBRA-90, which simplified comparison shopping for Medigap, to determine whether changes introduced in Medigap insurance policies decreased marketing abuses as well as confusion among elderly Americans.

School-Based Health Centers Get Boost from Voluntary Hospitals

January 1, 2001 | Program Result

From 1998 to 1999, staff at the Voluntary Hospitals of American (VHA) Health Foundation provided technical assistance on the design, implementation and sustainability of school-based health centers (SBHCs) to health care organizations across the country.

Medicare and Managed Care

January 1, 2001 | Program Result

The University of Oregon determined the key types of knowledge necessary if Medicare beneficiaries are to make informed choices among expanded health plan options.

Patient Illiteracy Affects Compliance With Health Care Instructions

December 1, 2000 | Program Result

The Prudential Center for Health Care Research assessed the functional health literacy of 3,260 older Americans at four Prudential HealthCare sites in Cleveland, Ohio Houston, Texas Tampa, Fla. and south Florida.

Language Barriers and Illiteracy Can Affect Patient Heath Care

December 1, 2000 | Program Result

Emory University School of Medicine assessed the prevalence of inadequate health literacy among patients presenting for outpatient acute care in two urban public hospitals, one in Atlanta and one in Los Angeles.

Helping the Terminally Ill Embrace Dying as the Last Stage of Living

December 1, 2000 | Program Result

Population Communications International (PCI) – now called PCI-Media Impact – organized a 1999 summit of leaders in the television community to discuss new approaches to portraying health issues within the context of their programs. One of the health issues was death and dying.

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