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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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Spatial Accessibility to Providers and Vaccination Compliance Among Children with Medicaid

December 1, 2009 | Journal Article

Children in low-income families living far from an immunization provider can miss basic vaccinations because parents lack their own transportation. This study examined how the availability of immunization providers affected vaccination rates among low-income children in Washington, D.C.

The Story of Caleb Mahan

November 18, 2009 | Program Result Report

Caleb Mahan was 6 years old when he had his first asthma attack. It came without warning and was severe.

The Story of Fransheska and Her Younger Sister Yolamar

November 18, 2009 | Program Result Report

Fransheska and younger sister, Yolamar, members of an immigrant Puerto Rican family living in Rochester, N.Y., have had asthma since early childhood.

Brief Interventions by Primary Care Physicians Trained in Asthma Management Improve Pediatric Asthma Care

October 6, 2009 | Program Result Report

A research team from the University of Michigan School of Public Health expanded the Physician Asthma Care Education (PACE) project, which it had developed in the 1990s.

Allies Against Asthma: A Program to Combine Clinical and Public Health Approaches to Chronic Illness

June 1, 2009 | Program Result Report

Allies Against Asthma supported the efforts of seven community-based coalitions to improve the management of pediatric asthma in their areas.

A Randomized Controlled Trial of Asthma Self-Management Support Comparing Clinic-Based Nurses and In-Home Community Health Workers

February 1, 2009 | Journal Article

Adding home health visits by community health workers for families already receiving in-clinic support from asthma nurses, gives their asthmatic children 24 more symptom-free days per year on average and also modestly improves quality of life for caregivers.

A Story from the Pediatric Palliative Care Project

May 15, 2008 | Program Result Report

If all that mattered to dying children and their families was an all-expenses-paid trip to the Grand Canyon or the World Series, it would be easy enough to ease the pain of young lives prematurely foreclosed.

FOOTPRINTS: Community-Based Hospice Services for Terminally Ill Children and Their Families: Cardinal Glennon Children's Medical Center (St. Louis, Mo.)

May 15, 2008 | Program Result Report

SSM Cardinal Glennon Children's Medical Center and the Saint Louis University School of Medicine established FOOTPRINTS to serve children who were terminally ill and their families.

State Action for Oral Health Access

November 1, 2007 | Program Result Report

State Action for Oral Health Access supported six state-based demonstration projects that tested innovative and comprehensive ways to increase access to oral health services for low income and minority populations.

Bilingual Web Site Offers Pediatric Palliative Care Information for Parents

November 1, 2007 | Program Result Report

The Children's Hospice and Palliative Care Coalition created a new Web site and its Spanish counterpart to meet the medical, psychological and emotional needs of parents whose children are seriously or terminally ill.

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