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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October 1, 2010 | Journal Article
The Chronic Care Model provides a framework for redesigning primary care teaching clinics and could give residents positive experiences related to caring for chronically ill patients.
April 1, 2001 | Program Result Report
The University of California studied access to primary care in selected communities to assess whether hospitalization rates for certain chronic conditions typically managed by outpatient care are valid and useful measures of community access to care.
March 1, 2009 | Issue Brief
Despite the introduction of a Medicare outpatient prescription drug benefit in January 2006, roughly the same proportion of elderly Medicare beneficiaries in 2003 and 2007--about 8 percent--skipped filling at least one prescription drug because of cost concerns, according to a new national study by the Center for Studying Health System Change.
March 16, 2010 | Issue Brief
A new brief from the George Washington University School of Public Health & Health Services examines the debate around creating accountable care organizations (ACOs) to serve Medicare and Medicaid patients.
November 2, 2011 | Issue Brief
This policy paper examines the latest developments in accountable care organizations (ACOs), including a look at the final regulations on ACOs issued in October 2011 by the Centers for Medicare & Medicaid Services (CMS).
March 25, 2010 | Program Result Report
ACT created an interactive website and sample curricula for post–medical school physician training programs. Six hospitals adapted, institutionalized and expanded the ACT curriculum at their schools.
May 21, 2013 | Report
In this issue paper, the authors give an overview of performance measurement in U.S. health care, and then make seven policy recommendations aimed at improving the performance measurement enterprise.
November 1, 2009 | Journal Article
Self-medication with antibiotics obtained without a prescription (WORx) has substantial prevalence in Latino communities. An intervention to decrease misuse of antibiotics showed that focusing on education only might not be sufficient to address the problem.
June 1, 2010 | Journal Article
This case study involved a regional QI initiative to improve delivery of care to people with diabetes. Pay for participation may be a viable strategy to promote quality improvement in primary care practices.
January 1, 2003 | Report
The United States spends $450 billion per year on hospital care, but there is very little public information available on hospital quality. Recent efforts to expand quality measurement and reporting have increased, but this raises concerns related t ...