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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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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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  • Program: Quality/Equality
  • Topic: Cultural, gender, racial, religious and ethnic barriers
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Defining and Targeting Health Care Access Barriers

May 1, 2011 | Journal Article

The Health Care Access Model defines taxonomy and presents a framework for classifying and reporting health care access barriers associated with health care disparities.

Bodies Don't Just Tell Stories, They Tell Histories

April 15, 2011 | Journal Article

This research links historical trauma and the concept of embodiment as related to American Indian and Alaska Native populations.

A Multilevel Analysis of the Impact of Socio-Structural and Environmental Influences on Condom Use Among Female Sex Workers

March 23, 2011 | Journal Article

This paper reports the results of a multilevel analysis of condom use among female Filipino female sex workers. Condom use is affected by organizational and social factors.

Risk Factors for HIV Disease Progression in a Rural Southwest American Indian Population

July 1, 2010 | Journal Article

American Indians with HIV/AIDS die sooner than their White and Hispanic counterparts. This study explored risk-factors for rapid progression of HIV/AIDS within the Navajo nation.

A Community Intervention to Decrease Antibiotics Used for Self-Medication Among Latino Adults

November 1, 2009 | Journal Article

Self-medication with antibiotics obtained without a prescription (WORx) has substantial prevalence in Latino communities. An intervention to decrease misuse of antibiotics showed that focusing on education only might not be sufficient to address the problem.

Self-Reported Use of Eye Care Among Latinos

February 1, 2010 | Journal Article

This study examined self-reports of eye care among a sample of Latinos age 40 and older in La Puente, Calif.

Studying State Legislation of Cultural and Linguistic Competence

October 21, 2009 | Program Result Report

The National Center for Cultural Competence at Georgetown University analyzed efforts by 14 states to integrate cultural and/or linguistic competence into curricula, continuing education and licensure requirements for health and mental health care professionals.

Intimate Partner Violence and Alcohol, Drug, and Mental Disorders Among American Indian Women from Southwest Tribes in Primary Care

January 1, 2009 | Journal Article

A study examining the relationship between the severity of intimate partner violence (IPV) and mental disorders among female American Indian/Alaska Native (AI/AN) primary care patients from Southwest tribes found that IPV is common among AI/AN women and is associated with alcohol, drug and mental health disorders.

Program to Address Sociocultural Barriers to Health Care in Hispanic Communities

July 1, 1999 | Program Result Report

The program developed and implemented community-based interventions that would address sociocultural barriers to health care for Hispanic Americans.

Opening Doors: A Program to Reduce Sociocultural Barriers to Health Care

December 1, 1998 | Program Result Report

One of the most significant changes affecting health care in the United States is the increasing racial and ethnic diversity of the population.

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