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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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The Slowdown in Health Care Spending in 2009-11 Reflected Factors Other Than the Weak Economy and Thus may Persist

May 6, 2013 | Journal Article

This study examines two factors that might account for slower health spending: job loss and benefit changes that shifted more costs to insured people.

Additional Reductions in Medicare Spending Growth Will Likely Require Shifting Costs to Beneficiaries

May 6, 2013 | Journal Article

The primary policy issue facing the U.S. health care system is the rate of spending growth in public programs, and solving that problem will probably require reforms to the entire health care sector.

Supplemental Coverage Associated With More Rapid Spending Growth for Medicare Beneficiaries

May 6, 2013 | Journal Article

This is the first empirical study to investigate whether supplemental Medicare coverage is associated with higher rates of spending growth over time.

Policy Makers Will Need a Way to Update Bundled Payments That Reflects Highly Skewed Spending Growth of Various Care Episodes

May 6, 2013 | Journal Article

Bundled payment is seen as a promising way to slow the growth of health care spending while maintaining or improving the quality of care.

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.

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

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.

The Affordable Care Act Has Led to Significant Gains in Health Insurance and Access to Care for Young Adults

January 1, 2013 | Journal Article

The Affordable Care Act enables young adults to remain as dependents on their parents’ health insurance until age 26, and recent evidence suggests that as many as three million young adults have gained coverage as a result.

After-Hours Access To Primary Care Practices Linked With Lower Emergency Department Use And Less Unmet Medical Need

December 1, 2012 | Journal Article

One goal of the Affordable Care Act (ACA) is to improve patients' access to primary care and the coordination of that care.

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