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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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Examining Racial and Ethnic Disparities in Care at High-Volume Hospitals

June 12, 2012 | Program Result Report

Researchers at the Urban Institute studied whether patients use high-volume hospitals for procedures and services where volume is associated with outcomes, and whether there are disparities between minorities and Whites in using such hospitals.

Health Tracking

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.

Transforming Care at the Bedside--New Jersey

August 9, 2011 | Program Result Report

Transforming Care at the Bedside-New Jersey is a state specific application of the nurse-driven TCAB process of hospital improvement. This is a look at the project's progress at the halfway mark.

Examining Effectiveness of Medical Interpreters in Emergency Departments for Spanish-Speaking Patients With Limited English Proficiency

March 1, 2011 | Journal Article

The language barrier can prevent Spanish-speaking patients from adhering to treatments and follow-up plans after visiting the ED. During ED visits, this trial provided Spanish-speaking patients, with limited English proficiency, the services of professionally trained medical interpreters.

Health e-Technologies: Building the Science of eHealth

May 28, 2010 | Program Result Report

Health e-Technologies supported research to evaluate the effectiveness of technological applications in improving health behaviors and chronic disease management and in enhancing patient-provider interactions.

Getting the Data Right to Address Disparities in Health Care in New Jersey

August 27, 2009 | Program Result Report

The Health Research and Educational Trust worked with New Jersey hospitals to improve the procedures hospital staff uses to collect data about patients' race and ethnicity.

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.

Transforming Hospital Culture

December 16, 2008 | Program Result Report

In the early 2000s, hospitals began taking steps to improve their organizational culture. They aimed to address several challenges, including patient dissatisfaction, nursing shortages and poor financial performance.

Special Units Give Nurses Autonomy, High Expectations

December 16, 2008 | Program Result Report

In 2000, Meridian Health system, located in Neptune, N.J., was struggling to integrate the merger of three hospitals. Its patient and employee satisfaction scores were low.

A Story of Implementing Palliative Care in an Inner-City Trauma/Surgical Intensive Care Unit

May 15, 2008 | Program Result Report

The Trauma/Surgical Intensive Care Unit (SICU) at University Hospital in Newark is the sort of place people land without warning: a gunshot wound late at night; a car accident on the way home from the movies.

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