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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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Tactics for Engaging Employers in Community Alliances

May 1, 2013 | Issue Brief

This brief offers promising tactics for community alliances to attract and retain employers as partners, both as purchasers and as channels for communicating with employees and their families.

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.

Shared Decision-Making and Benefit Design

April 1, 2013 | Report

More than 8 out of 10 adults over age 40—including employees—are making decisions about their health and health care on a regular basis

Editors and Researchers Beware

April 1, 2013 | Journal Article

Various methods of calculating eligibility rates in random digital dial (RDD) surveys lead to substantially different response rates.

Improving Health Care Quality and Equity: Considerations for Building Partnerships Between Provider Practices and Community Organizations

April 1, 2013 | Issue Brief

As many as 85 percent of primary care physicians (PCPs) feel that to achieve good health outcomes, it is as important to address patients’ resource and social constraints as it is to treat their medical conditions.

Forces Driving Implementation of the CAHPS Clinician & Group Survey

March 26, 2013 | Issue Brief

Forces Driving Implementation of the CAHPS® Clinician & Group Survey is part of a suite of resources on patient experience designed by AF4Q to assist community health collaboratives.

Care Across Settings: Challenges, Successes, and Opportunities

March 13, 2013 | Issue Brief

All too often, the weakest link in a patient’s care is the transition from one setting to another. To overcome these challenges, AF4Q communities are defining the obstacles to improving care transitions and designing initiatives to combat them.

Making Sense of "Consumer Engagement" Initiatives to Improve Health and Health Care

March 1, 2013 | Journal Article

This framework provides a way for policy-makers and others to “make sense” out of the many national and local efforts to engage consumers in their own health care.

Payment Matters: The ROI for Payment Reform

February 28, 2013 | Issue Brief

Five briefs from RWJF examine employers’ pilot programs testing four approaches to payment reform, including population-based payment, patient-centered medical homes, high-intensity primary care, and bundled payment.

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