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.”
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.
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.
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.
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.
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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March 19, 2012 | Program Result Report
Center for Studying Health System Change researchers tracked changes in the nation's health care system and developed policy analyses describing how those changes affect patients, providers, and others in their communities.
February 1, 2012 | Journal Article
Pay-for-performance (P4P) programs can boost care quality and lower costs, but might have unintended effects on racial and ethnic disparities. This research highlights the need to consider the impact of P4P on disparities.
May 18, 2011 | Program Result Report
Creating a set of measures that would make the connection between what nurses do and the quality of care patients receive and studying their implementation in hospitals.
February 1, 2011 | Journal Article
High-deductible health plans—typically with deductibles of at least $1,000 per individual and $2,000 per family—require greater enrollee cost sharing than traditional plans.
April 19, 2010 | Program Result Report
The Diabetes Initiative and its individual projects have contributed to the expansion of diabetes self-management at the state level and nationwide.
October 15, 2009 | Program Result Report
Rewarding Results: Aligning Payments with High-Quality Health Care was a national program of RWJF and California HealthCare Foundation that tested the use of financial incentives to improve the quality of health care.
August 20, 2009 | Journal Article
This study explored the reasons hospitals chose to either adopt or reject an innovative telemedicine approach to supporting delivery of intensive care.
May 1, 2009 | Journal Article
This study used data from the Centers for Medicare and Medicaid Services to determine how often U.S. hospitals completed all recommended treatments for three conditions: heart failure, acute myocardial infarction, and community acquired pneumonia.
January 1, 2009 | Journal Article
An intervention conducted through a secure Internet portal suggests that providing coaching and advice to patients online may enhance the patient-physician relationship. This study tested digital interactive strategies that promote patient self-management of chronic disease.
October 1, 2008 | Issue Brief
Findings from a recent follow-up study on Massachusetts health reform conducted by the Center for Studying Health System Change, suggest two important developments that may threaten employer support as the reform plays out.