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.
November 1, 2012 | Report
This overview outlines three recommendations and the framework RWJF and the Aligning Forces national program office (NPO) developed to address how RWJF can best refine the AF4Q program for its final phase.
October 9, 2012 | Issue Brief
ACOs are promising vehicles for delivering health care more efficiently, but some insurers and regulators worry they could reduce competition and drive up prices.
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.
June 1, 2012 | Issue Brief
The Medicare#25; Value-Based Purchasing Program, created under the Affordable Care Act of 2010 to reward hospitals when they meet certain standards for delivering high-quality care to patients.
November 1, 2011 | Issue Brief
This paper reviews the evolution of QI initiatives, the current evidence about whether QI interventions work, QI's promise for the future, and how to help it find success in health care.
September 1, 2012 | Journal Article
At the midpoint of the Aligning Forces for Quality (AF4Q) initiative, the authors report on the learnings and challenges experienced in the initiative thus far.
September 1, 2012 | Journal Article
Multi-stakeholder regional alliances have generally been successful with public reporting, but they have struggled with quality improvement. Regional health information exchanges have generally not used multi-stakeholder governance and have often be ...
September 1, 2012 | Journal Article
Regional efforts to improve quality of care face particular challenges when addressing racial and ethnic disparities in health. Diverse populations have different needs and barriers, and the same quality improvement (QI) intervention can affect them ...
September 1, 2012 | Journal Article
A focus on multi-stakeholder coalitions as a platform for change is not a new concept; however, it has rarely been supported, tested, and refined to the extent that the Aligning Forces for Quality (AF4Q) communities have done. This is a singular ach ...