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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.

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  • Program: Quality/Equality
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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.

Engaging Employers on Paying for Health Care That's Proven to Work

October 1, 2012 | Report

Findings on employers’ familiarity with–and reactions to–concepts related to paying for care based on demonstrated achievement on quality.

Reform in Action: Improving Quality in Medical Offices

October 1, 2012 | Issue Brief/Infographic

In communities nationwide, AF4Q alliances are developing interventions and pilot-testing techniques to improve the way ambulatory care is delivered and fundamentally changing their local health systems.

Consumer Beliefs and Use of Information about Health Care Cost, Resource Use, and Value

October 1, 2012 | Issue Brief

Increased investments in transparency—particularly of health care cost and resource use information—are meant to address the challenges of rising costs and inefficient care.

Physicians' Views of Comparative Information on Costs and Resource Use

October 1, 2012 | Issue Brief

This brief offers a snapshot of physicians’ views on having access to this kind of information themselves and having this information available to the public.

Collaborating with Medicaid to Improve Health Care

October 1, 2012 | Issue Brief

This brief from the Center for Health Care Strategies profiles two multi-payer quality improvement Alliances that are part of the Robert Wood Johnson Foundation’s Aligning Forces for Quality (AF4Q) initiative.

Reform in Action: Equity in the Context of Health Reform

October 1, 2012 | Issue Brief/Infographic

Insights on equity in health care from Aligning Forces for Quality and Finding Answers: Disparities Research for Change.

Testing PROMETHEUS Payment

September 17, 2012 | Program Result

The Health Care Incentives Improvement Institute furthered the development and pilot testing of its Prometheus bundled payment model. Researchers at RAND and the Harvard School of Public Health evaluated the initiative at three pilot sites.

Spending Differences Associated With the Medicare Physician Group Practice Demonstration

September 12, 2012 | Journal Article

In the Medicare Physician Group Practice Demonstration (PGPD), 10 accountable care organization (ACO) physician groups were eligible to receive a portion of savings generated if they also showed improvement on 32 quality measures. The Centers for Me ...

Payment Reform: Bundled Episodes vs. Global Payments

September 6, 2012 | Report/Issue Brief

This issue brief presents a frank assessment of the merits and drawbacks of two payment models, bundled payments and global capitation, through a debate between Francois de Brantes and Robert Berenson.

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