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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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A Field Experiment on the Impact of Physician-Level Performance Data on Consumers' Choice of Physician

November 1, 2012 | Journal Article

The use of a publicly available online report of physician-level data on the choice of primary care provider (PCP) among new members to the HealthPlus of Michigan health plan was assessed in this study.

Health Tracking

March 19, 2012 | Program Result

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.

The Instruction Manual for Designing Health Care Delivery in Battle Creek, Mich.

September 12, 2011 | Program Result

In Battle Creek, Mich., a health care system implements the Chronic Care Model throughout the community.

Speaking Together: National Language Services Network

April 18, 2011 | Program Result

Ten hospitals throughout the country joined a collaborative learning network, developed strategies to improve the quality and accessibility of their language services, and tested them using five standardized performance improvement measures.

Telephone Interpretation Services Can Serve Hospitals Well

April 6, 2011 | Program Result

As the project manager at the University of Michigan said: "We could just grab the phone when patients came in who spoke languages for which we don't have an interpreter."

Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks

January 27, 2011 | Program Result

Prescription for Health tested the use of tools and evidence-based models in primary care to counsel patients to change four leading behaviors associated with premature death: smoking, risky drinking, unhealthy diet, and physical inactivity.

Long-Term Clinical Outcomes of Care Management for Chronically Depressed Primary Care Patients

September 1, 2010 | Journal Article

Chronically depressed patients in primary practices are helped by a program that uses a care manager intervention and teaches self-management techniques.

Aligning Forces for Quality: Snapshots of Success

October 28, 2009 | Issue Brief

Aligning Forces for Quality (AF4Q) tests innovative strategies for improving health care at the community level. These snapshots of success highlight one activity from each of the original 14 AF4Q communities and outline the steps involved, lessons learned and results of the activity.

Rewarding Results: Aligning Incentives with High-Quality Health Care

October 15, 2009 | Program Result

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.

Does Telemonitoring of Patients¿The-eICU¿Improve Intensive 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.

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