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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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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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  • Program: Quality/Equality
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Improving Patient Decision-Making: East South Central Region

December 13, 2012 | Report

In this Dartmouth Atlas report, the last in a series of nine U.S. regional reports, we show wide variations in the rates of elective procedures in the East South Central region.

Improving Patient Decision-Making: Great Plains Region

December 13, 2012 | Report

In this Dartmouth Atlas report, the last in a series of nine U.S. regional reports, we show wide variations in the rates of elective procedures in the Great Plains region.

Improving Patient Decision-Making: West South Central Region

December 13, 2012 | Report

In this Dartmouth Atlas report, the last in a series of nine U.S. regional reports, we show wide variations in the rates of elective procedures in the West South Central region.

Improving Patient Decision-Making: Mountain States

December 13, 2012 | Report

In this Dartmouth Atlas report, the last in a series of nine U.S. regional reports, we show wide variations in the rates of elective procedures in the Mountain states.

Improving Patient Decision-Making: Pacific States

December 13, 2012 | Report

In this Dartmouth Atlas report, the last in a series of nine U.S. regional reports, we show wide variations in the rates of elective procedures in the Pacific states.

Diffusion of a Model for Addressing Behavioral Health Issues in Primary Care Practices

December 5, 2012 | Program Result

Prescription for Health developed innovative models to integrate counseling for tobacco use, unhealthy diet, physical inactivity, and excessive alcohol consumption into primary care. These models spread and became integrated into the national health care system after RWJF's funding ended.

After-Hours Access To Primary Care Practices Linked With Lower Emergency Department Use And Less Unmet Medical Need

December 1, 2012 | Journal Article

One goal of the Affordable Care Act (ACA) is to improve patients' access to primary care and the coordination of that care.

Chronic Illness and Patient Satisfaction

December 1, 2012 | Journal Article

Providers who treat patients with chronic conditions can achieve high patient satisfaction.

Transforming Care at the Bedside (Phase 2)

December 1, 2012 | Report

This evaluation was of a program that sought to test the impact of rapid-cycle improvement efforts championed and carried out primarily by nurses on the quality of care in hospital medical/surgical units.

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

December 1, 2012 | Report

This evaluation was of a program that sought to incorporate effective health behavior counseling into routine primary care.

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