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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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Featured

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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  • Program: Quality/Equality
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Self-Care May Reduce Use of Health Services and Increase Patient Satisfaction

March 1, 2002 | Program Result

Healthwise, a Boise, Idaho, private non-profit educational organization, conducted a multi-faceted public education campaign focusing on patient self-care intervention in a four-county Idaho area.

Nursing Homes Affiliated with Nursing Schools Improve Care

February 1, 2002 | Program Result

Evaluators at the University of Colorado Health Sciences Center conducted a formal evaluation and a follow-up study of the 1982-1987 Teaching Nursing Home Program.

Maryland Measures Satisfaction of Medicaid Recipients

February 1, 2002 | Program Result

From 1992 to 1997, staff from the Maryland Health Care Access and Cost Commission developed and fielded a survey to measure Medicaid recipients' satisfaction with their medical care.

Do Reimbursement Rates from Medicare Undermine Optimal Care for the Dying?

February 1, 2002 | Program Result

In 1999 and 2000, researchers at Harvard Medical School examined how Medicare helps and/or hinders health care providers in giving quality end-of-life care and made recommendations for change.

Home Alone: Hospice Program Helps Elderly Who Don't Have Resident Caregivers

January 29, 2002 | Program Result

Samaritan Hospice, located in Moorestown, N.J., started the SOLO Live Alone Program to provide in-home services to elderly patients without resident caregivers in Camden, Burlington, Gloucester and Mercer counties.

Seattle Managed Care Group Finds Implementing a Chronic Care Clinic Difficult

January 1, 2002 | Program Result

The Group Health Cooperative of Puget Sound developed and evaluated a new approach to providing managed primary care to patients with chronic conditions within chronic care clinics that facilitate collaboration among patients, families and clinicians.

Coordination of Care in HMOs Can Cut Morbidity for Working-Age Adults with Two or More Chronic Conditions

January 1, 2002 | Program Result

The Kaiser Foundation Hospitals Research Institute in Portland, Ore., studied the feasibility of improving coordination of care for working-age adults with two or more chronic medical conditions.

Nevada HMO Creates a Model for Managing Chronic Illnesses by Coordinating Care

January 1, 2002 | Program Result

Sierra Health Services designed and evaluated for replicability a model of care to improve the identification of high-risk members and better integrate case management into the primary care setting.

Families Caring for Preemies are at Risk

January 1, 2002 | Program Result

From 1995 to 1996, staff from Harvard Pilgrim Health Care developed a model for a family support program to address problems encountered by pre-term infants and their families.

Conference Targets Effective Chronic Disease Management

January 1, 2002 | Program Result

In June 1996, the Group Health Cooperative of Puget Sound and the Center for the Advancement of Health jointly sponsored a conference on the requirements for effective disease management.

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