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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April 1, 2013 | Issue Brief
As many as 85 percent of primary care physicians (PCPs) feel that to achieve good health outcomes, it is as important to address patients’ resource and social constraints as it is to treat their medical conditions.
March 26, 2013 | Issue Brief
Forces Driving Implementation of the CAHPS® Clinician & Group Survey is part of a suite of resources on patient experience designed by AF4Q to assist community health collaboratives.
March 13, 2013 | Issue Brief
All too often, the weakest link in a patient’s care is the transition from one setting to another. To overcome these challenges, AF4Q communities are defining the obstacles to improving care transitions and designing initiatives to combat them.
March 1, 2013 | Journal Article
This framework provides a way for policy-makers and others to “make sense” out of the many national and local efforts to engage consumers in their own health care.
February 28, 2013 | Issue Brief
Five briefs from RWJF examine employers’ pilot programs testing four approaches to payment reform, including population-based payment, patient-centered medical homes, high-intensity primary care, and bundled payment.
February 28, 2013 | Issue Brief/Infographic
Almost one in five elderly patients released from a hospital is back within 30 days, and more than one in three are back within 90 days. Although some readmissions are part of a patient’s treatment plan, many are avoidable.
February 11, 2013 | Report
Hospitals and their community allies made little progress from 2008 to 2010 at reducing hospital readmissions for elderly patients.
February 4, 2013 | Journal Article
The practice of patient-centered care remains in its developmental stages—hampered, in part, by limited evidence of its effectiveness.
February 1, 2013 | Journal Article
This study explored the distribution of decision aids—an important first step toward patient engagement, but one that cannot be equated with actual use of the aids.
January 30, 2013 | Report
Cuyahoga County had fewer hospitalizations for ambulatory care sensitive conditions between 2009 and 2011 (a cost savings of $20 million.)