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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.

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  • Program: Quality/Equality
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Problem Drinking Among Mexican-Americans

March 1, 2012 | Journal Article

Two measures of problem drinking among Mexican Americans in Texas City, Texas were studied examining the relationship of nativity and concentration of Hispanics living in the neighborhood. A total of 1,435 Mexican Americans ages 25 years and older w ...

Ethnic/Race Differences in the Attrition of Older American Survey Respondents

February 1, 2012 | Journal Article

The patterns of attrition among elderly participants in health research studies vary significantly by race and ethnicity. As population diversity increases, researchers should consider these differences when assembling survey panels in order to retain minority participants and avoid biased estimates.

Building Knowledge of Minority Populations to Address Disparities in Health and Health Care

December 12, 2011 | Program Result Report

Researchers at the Pew Hispanic Center and a multicultural research network managed by the University of California, Los Angeles, studied disparities in health and access to care in Latino and other minority populations.

Disparities in Provider Elicitation of Parents' Developmental Concerns for US Children

November 1, 2011 | Journal Article

Latino and African-American children face disproportionate risk factors for developmental disorders this article presents new evidence that health care providers are less likely to engage African-American and Latino parents about concerns for their children's development.

Improving Patient Provider Communication for Latinos at Temple University Hospital and Temple University School of Medicine

November 1, 2011 | Journal Article

The report profiles a program at Temple University that aimed to increase the availability of highly trained medical translators. Temple University was one of 10 sites across the country awarded grants under the RWJF initiative Hablamos Juntos.

Raising Low 'Patient Activation' Rates Among Hispanic Immigrants May Equal Expanded Coverage in Reducing Access Disparities

October 1, 2011 | Journal Article

Activating consumers to become better managers of their health may be an essential component of U.S. health care reform.

Physician Advice on Exercise and Diet in a US Sample of Obese Mexican-American Adults

July 1, 2011 | Journal Article

Analysis of survey data indicates that half of a sample of obese Mexican-Americans never received advice to exercise more or eat healthier possibly obstructing disease prevention. Physicians are unlikely to give weight-related advice when obese patients lack comorbid conditions.

Expecting Success: Excellence in Cardiac Care

May 15, 2011 | Program Result Report

Expecting Success: Excellence in Cardiac Care aimed at improving the overall quality of cardiac care while reducing racial, ethnic and language disparities in 10 participating hospitals from 2004 to 2008.

Stigma and Depression Treatment Utilization Among Latinos

May 5, 2011 | Journal Article

Stigma around depression affects Latino's interest in seeking treatment.

Primary Language, Income and the Intensification of Anti-Glycemic Medications in Managed Care

May 1, 2011 | Journal Article

This article examines how language and income interact with treatment of Type II diabetes in a large managed-care trial. Previous research has shown that minorities and low-socioeconomic status individuals have more poorly controlled blood sugar levels than White Americans.

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