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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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  • Program: Quality/Equality
  • Topic: Chronic illness
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Improving Chronic Illness Care

December 1, 2012 | Report

This evaluation was of a program designed to test the effectiveness of the use of learning collaboratives and the Chronic Care Model in improving health care organizations’ ability to improve the health of patients with chronic illness.

Nearly Half of Families in High-Deductible Health Plans Whose Members Have Chronic Conditions Face Substantial Financial Burden

February 1, 2011 | Journal Article

High-deductible health plans—typically with deductibles of at least $1,000 per individual and $2,000 per family—require greater enrollee cost sharing than traditional plans.

A New Tool Identifies Workplace Factors That Can Affect the Quality of Care Patients Receive

May 6, 2010 | Program Result

Researchers at the University of Wisconsin School of Medicine and Public Health developed a tool to measure the work environment of ambulatory care clinics.

Can a Chronic Care Model Collaborative Reduce Heart Disease Risk in Patients with Diabetes?

January 17, 2007 | Journal Article

This study considers the effect on patients with diabetes of the chronic care mode (CCM). The researchers show a positive association between the CCM and the predicted risk of heart disease.

Chronically Distorted'

March 1, 2004 | Program Result

The Center for Bioethics and the Annenberg School for Communication, both part of the University of Pennsylvania, examined the content and quality of major news coverage of two key issues: chronic illness and access to health care.

PBS Show Explores Challenges of Chronic Illness Faced by Patients, Care Professionals and Families

June 1, 2003 | Program Result

Fred Friendly Seminars produced Who Cares: Chronic Illness in America, a one-hour Public Broadcasting System (PBS) special that explored the challenges confronted every day by health care professionals and families coping with chronic illness.

Chronically Ill Patients Give Managed Care Higher Marks Than Indemnity Insurance

September 1, 2003 | Program Result

Beth Israel Deaconess Medical Center in Boston investigated the quality of care that managed-care plans provide to patients with a chronic medical condition compared to that indemnity plans (offering fee-for-service care) provide to such patients.

2002 Conference Held on Chronic Disease Prevention and Control

October 1, 2003 | Program Result

In 2002, the Association of State and Territorial Chronic Disease Program Directors co-sponsored the 16th National Conference on Chronic Disease Prevention and Control.

Making a Business Case for Improving Clinical Care Management of Chronic Illnesses

May 1, 2002 | Program Result

The Lewin Group, a health care consulting firm based in Falls Church, Va., assessed the strategies that medical groups, managed care organizations and other health care organizations use to improve the quality of their clinical care.

New Tools Help Patients Self-Manage Chronic Illnesses

July 1, 2000 | Program Result

The Oregon Pacific Research Institute evaluated and enhanced the ongoing support patients need to manage a broad spectrum of chronic diseases, which affect more than 100 million Americans.

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