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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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Improving Asthma Outcomes in Minority Children

December 1, 2009 | Journal Article

A parent mentoring program which matches parents of minority, asthmatic children with trained parent mentors similar to themselves seems to be an inexpensive and effective way to help families manage their kids' asthma. There can actually be a net savings associated with families that extensively participate in such a program.

Heterogeneity in Health Insurance Coverage Among US Latino Adults

November 1, 2009 | Journal Article

U.S. Latinos of Mexican ancestry are less likely to have health insurance than are non-Mexican Latinos. Insured Mexican Americans are more likely to be married, to have been born in the U.S. and speak English. They are also more likely to have finished high school, to be older than 35 years of age, and to have income above the federal poverty line.

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.

More Nonelderly Americans Face Problems Affording Prescription Drugs

January 1, 2009 | Issue Brief

More children and working-age Americans are going without prescription drugs because of cost concerns, according to a new national study by the Center for Studying Health System Change (HSC).

Income a Factor for Mammography Screening of U.S. Women But Not Canadian

September 1, 2006 | Program Result

Researchers from the University of Michigan School of Medicine conducted a 10-year follow-up study of trends in the use of breast cancer screening in the U.S. and Ontario, Canada, which was begun in 1990.

Self-Management for Chronically Ill Pays Off with Improved Outcomes, Fewer Office Visits

May 1, 2003 | Program Result

Stanford University School of Medicine developed and evaluated a disease management/patient self-care program for patients with chronic disease called "Health Partners."

Coordination of Care in HMOs Can Cut Morbidity for Working-Age Adults with Two or More Chronic Conditions

January 1, 2002 | Program Result

The Kaiser Foundation Hospitals Research Institute in Portland, Ore., studied the feasibility of improving coordination of care for working-age adults with two or more chronic medical conditions.

Smoke Screen

February 1, 1999 | Program Result

From 1997 to 1998, researchers at Brown University School of Medicine, Providence, R.I., examined cigarette smoking as a barrier to cancer screening - both mammography and Pap tests - in women aged 40 to 75.

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