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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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  • Topic: Patient-centered care/family-centered care
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Early Lessons From Four 'Aligning Forces for Quality' Communities Bolster the Case for Patient-Centered Care

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.

Will the Affordable Care Act Move Patient-Centeredness to Center Stage?

March 1, 2012 | Issue Brief

This paper from the Urban Institute on behalf of the Robert Wood Johnson Foundation, discusses how the Affordable Care Act (ACA) places new emphasis on measuring patients' experiences of care and using that information to improve care.

The Imperative to Promote Collaborative Consumer Engagement

September 1, 2012 | Journal Article

Achieving a meaningful definition and shared understanding of consumer engagement is a critical step in making real progress as the nation works to transform its health care system to make care more efficient, affordable, effective, and patient-cent ...

Socioeconomic Factors, Immigration Status, and Cancer Screening Among Mexican American Women Aged 75 and Older

December 1, 2010 | Journal Article

A study exploring the association of socioeconomic factors and acculturation with cancer screening use among older Mexican-American women found that socioeconomic factors and insurance coverage, but not acculturation, determine women's use of cancer screening.

Latino Access to the Patient-Centered Medical Home

November 1, 2009 | Journal Article

The patient-centered medical home, an approach to providing comprehensive primary care for children, youth and adults, has been identified as a model that can offer high-quality health care.

Community Demographics and Access to Health Care Among US Hispanics

October 1, 2009 | Journal Article

An analysis of community level influences on access to health care for Mexican-Americans.

The Health of Older Mexican Americans in the Long Run

October 1, 2009 | Journal Article

This article examines the health of older Mexican-American immigrants relative to the health of older U.S.-born Mexican-Americans. While younger Mexican-American immigrants are healthier than their U.S.-born Mexican-American counterparts, this relationship has not been established among older Mexican-Americans.

Improving Satisfaction and Health Behavior Outcomes Among African-American Patients

June 28, 2010 | Program Result

Researchers at the University of Florida conducted a two-phase study designed to address health care disparities both through the development and testing of culturally sensitive assessment tools (phase one) and through a health promotion model program (phase two).

Mexican Americans and Frailty

April 1, 2009 | Journal Article

Frailty status is dynamic and elderly people move into and out of frailty over time.

Strategic Plan Drafted for a Patient-Oriented Health Care System

September 1, 2003 | Program Result

The Foundation for Accountability drafted a strategic plan and developed Web-based resources to advance the goals of making U.S. health care more patient-centered.

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