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The Aligning Forces for Quality Experience

The Aligning Forces for Quality Experience

Activities in each of the 16 Aligning Forces for Quality communities are guided by a multistakeholder alliance of consumers, providers, and payers. An article in Health Affairs describes how the Aligning Forces for Quality investments have evolved since the initiative’s launch in 2006 and offers some early lessons learned.

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Achieving the Potential of Health Care Performance Measures

Achieving the Potential of Health Care Performance Measures

A report from the Urban Institute provides an overview of performance measurement in U.S. health care, and includes policy recommendations aimed at improving the performance measurement enterprise.

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The ROI for Payment Reform

The ROI for Payment Reform

As health care costs continue to affect employers’ bottom lines, growing evidence that payment reform strategies can help control costs is spurring employer purchasers to switch how they pay for care. A set of briefs from AcademyHealth explain different strategies, share results and lessons learned from employers pioneering these projects, and offer tips for employers.

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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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The Revolving Door Syndrome

The Revolving Door Syndrome

A report from the Robert Wood Johnson Foundation shows that hospitals and their community allies made little progress from 2008 to 2010 at reducing hospital readmissions for elderly patients. The report also chronicles a series of in-depth interviews with patients and providers that shed light on why patients end up back in the hospital and what hospitals, doctors, nurses, and others are doing to limit avoidable readmissions.

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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.

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Facilitators and Barriers to Payment Reform

September 25, 2013 | Issue Brief

Most health care in the United States is paid for under the fee-for-service method. This issue brief draws upon the experience of RWJF grantees and other initiatives to identify the most common facilitators and barriers to payment innovation.

Quality Field Notes: Reducing Inappropriate Emergency Department Use

September 24, 2013 | Issue Brief

Hospital emergency departments (EDs) are indispensable to the acute health care system. Yet, 70 percent of ED visits are not emergencies, or could be prevented with effective and timely outpatient care.

Quality Field Notes: Emergency Department Overuse Resource Guide

September 24, 2013 | Issue Brief

This resource guide provides information on campaigns, tools, case studies and other materials for providers and organizations looking for additional information about how to reduce inappropriate emergency department use in their communities.

Harold Amos Medical Faculty Development Program

September 12, 2013 | Program Results Report

The Harold Amos Medical Faculty Development Program is a long-running RWJF initiative to increase the number of faculty from historically disadvantaged backgrounds who achieve senior rank in academic medicine and dentistry.

Legal Issues in Designing Bundled Payments and Shared Savings Arrangements in the Commercial Payor Context

September 4, 2013 | Issue Brief

This resource provides guidance and templates to help organizations work with commercial payors to develop successful and compliant bundled payment and shared savings arrangements.

Trends in Cancer Care Near the End of Life

September 4, 2013 | Issue Brief

This Atlas Brief and the accompanying data released on the Dartmouth Atlas web site report the latest findings on end-of-life cancer care.

Quality Field Notes: Case Studies for Reducing Inappropriate Emergency Department Use

September 1, 2013 | Issue Brief

This set of case studies examines successful initiatives in three Aligning Forces for Quality communities that aim to reduce inappropriate emergency department.

Low-Tech Solutions for the High-Cost Problem of Emergency Department Overuse

September 1, 2013 | Issue Brief

The Greater Detroit Area Health Council (GDAHC) is heading a successful initiative to reduce avoidable emergency department (ED) visits as part of its work leading the Aligning Forces for Quality initiative (AF4Q) in Detroit.

Medicaid Managed Care Program

August 9, 2013 | Program Results Report

The Medicaid Managed Care Program helped states and health plans improve their use of managed care in Medicaid and the State Children's Health Insurance Program between 1995 and 2012.

Independent Practice Associations And Physician-Hospital Organizations Can Improve Care Management For Smaller Practices

August 8, 2013 | Journal Article

Small and medium-size physician practices may lack the resources to implement health information technology and organized care management processes.

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