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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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Featured

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
  • Topic: Chronic disease management
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Improving Chronic Illness Care

December 12, 2011 | Program Result

Improving Chronic Illness Care supported a clinical improvement program, targeted research and dissemination related to the Chronic Care Model, a patient-centered, collaborative approach to the delivery of care for people with chronic illness.

In the Tribal Communities of California's Pauma Valley, it Takes a Village to Combat Chronic Illness

September 12, 2011 | Program Result

In North San Diego County, the Indian Health Council is using the Chronic Care Model to engage patients in their own care.

Chronic Care Education

October 1, 2010 | Journal Article

The Academic Chronic Care Collaboratives (ACCCs) empowered patients and changed attitudes among health care team members toward primary care. This introduction of a supplement to the Journal of General Internal Medicine, previews the achievements of the Academic Chronic Care Collaboratives.

A Multi-Institutional Quality Improvement Initiative to Transform Education for Chronic Illness Care in Resident Continuity Practices

October 1, 2010 | Journal Article

The national and California Chronic Care Collaboratives implemented the Chronic Care Model (CCM) in teaching hospitals in the U.S. and California. This report, from a supplement to the Journal of General Internal Medicine, describes educational changes and improvements in clinical outcomes.

Joy and Challenges in Improving Chronic Illness Care

October 1, 2010 | Journal Article

This report presents qualitative evaluations of the Academic Chronic Care Collaboratives (ACCC). The authors analyzed responses to electronic team surveys. For ACCC teams focused on diabetes care, the authors investigated whether any of the qualitative measures influenced clinical outcomes.

Developing Measures of Educational Change for Academic Health Care Teams Implementing the Chronic Care Model in Teaching Practices

October 1, 2010 | Journal Article

Putting the Chronic Care Model into practice with residency programs in California.

Assessing Chronic Illness Care Education (ACIC-E)

October 1, 2010 | Journal Article

Modest improvement was shown in all areas of chronic care education measured.

Using the Teamlet Model to Improve Chronic Care in an Academic Primary Care Practice

October 1, 2010 | Journal Article

Team care can improve management of chronic conditions, but implementing a team approach in an academic primary care clinic presents unique challenges. (This article was not funded by the Robert Wood Johnson Foundation, but has been included as an a ...

Trends in Hypertension Prevalence, Awareness, Treatment and Control in Older Mexican Americans, 1993-2005

January 1, 2011 | Journal Article

Trends in hypertension and hypertension awareness of older Mexican Americans (>75 years) in the Southwest.

Improving Chronic Illness Care

June 1, 2010 | Journal Article

This article examines the use of evidence-based care management processes by large physician organizations. Care management processes are designed to improve care for people with chronic illness. Over 90 million Americans have a chronic illness and chronic illness is responsible for more than three-quarters of national health care costs.

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