218 research outputs found

    Key to Health Care Reform: Changing How Care is Delivered

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    The article focuses on the lack of provisions of the 2010 Patient Protection and Affordable Care Act (PPACA) for controlling the rising costs of health care despite insurance coverage for more Americans. Successful health care reform must reportedly aim to improve the quality, outcomes and patient\u27s experience of care in order to improve the overall health of the population and slow down costs. The framework to achieve a fundamental change in health care delivery is presented

    Key to Health Care Reform: Changing How Care is Delivered

    Get PDF
    The article focuses on the lack of provisions of the 2010 Patient Protection and Affordable Care Act (PPACA) for controlling the rising costs of health care despite insurance coverage for more Americans. Successful health care reform must reportedly aim to improve the quality, outcomes and patient\u27s experience of care in order to improve the overall health of the population and slow down costs. The framework to achieve a fundamental change in health care delivery is presented

    Accountable Care Organizations in California: Promise and Performance

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    California has more accountable care organizations (ACOs) than any other state in the country, with particularly rapid growth over the past two years. This report introduces new evidence that ACOs improve the quality of care, increase patient satisfaction, and may reduce costs

    Multi-Sectoral Partnerships and Patient-Engagement Strategies in Accountable Care Organizations

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    Background: Patient-engagement strategies are increasingly recognized for enriching traditional medical care and improving population health. Accountable Care Organizations (ACOs) may be well positioned to leverage multi-sector organizational partnerships to improve the reach of their patient-engagement strategies, particularly given incentives to meet cost, quality and population health goals. Little is currently known about the relation of multi-sector partnerships and patient engagement in ACOs. Purpose: To examine the relation of patient-engagement strategies and breadth of multi-sectoral organizational partnerships in 71 primary care practices affiliated with one of two ACOs. Methods: Clinical and administrative leaders from each practice were surveyed. Questions assessed practice use of 12 different partnership sectors and the adoption of 14 patient-engagement strategies. Bivariate tests examined associations between patient-engagement strategies and practice use of partnership sectors. Multivariate linear regression estimated the extent to which practices with a greater number of multi-sector organizational partnerships had greater adoption of patient-engagement strategies. Results: Practices reported partnering with a mean of 3.2 (standard deviation, SD= 2.1) out of 12 sectors and implementing a mean of 7.1 (SD=3.4) out of 14 patient-engagement strategies. Each additional type of multi-sector partnership was associated with greater adoption of patient-engagement strategies (β = 0.59, 95% CI = 0.23–0.95, for all partnerships and β = 0.92, 95% CI = 0.42–1.43, when restricted to nonmedical partnerships) Implications: Practices with a greater breadth of multi-sector partnerships, particularly nonmedical partnerships, use a wider range of strategies to engage patients in their own care

    Financial Incentives and Physician Practice Participation in Medicare’s Value‐Based Reforms

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145327/1/hesr12743_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145327/2/hesr12743-sup-0001-AppendixSA1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/145327/3/hesr12743.pd
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