A set of principles laying out Families USA’s vision for health system transformation that achieves the triple aim of better care, lower cost, and better health. Health care stakeholders can use these to inform policy decisions.
Families USA and the Institute for Clinical and Economic Review (ICER) have produced a new series of consumer guides to help patients and clinicians focus on which tests or treatments to choose when several reasonable options exist.
In early January, the Center for Medicare and Medicaid Innovation announced its first program focused on addressing a patient’s social needs. This 5-year, $157 million pilot program, called Accountable Health Communities, will try to bridge the gap between clinical and social services, testing whether addressing these needs can improve health, lower costs, and improve quality for Medicare and Medicaid beneficiaries.
Americans spend more money per capita on health care than any other country, yet there is little evidence to suggest that we get a higher quality of care for that extra money. Indeed, far too often, Americans receive substandard quality of care. So, what can we do about it? In order to improve health care, we need to be able to measure its effectiveness.
Measuring the quality of health care can improve care for consumers in five ways:
Almost everyone will be faced with the need to make a critical decision about treatment for a disease or medical condition at some point in our lives. If you’re diagnosed with diabetes or heart disease, for example, you’ll want to make sure that you get the best care possible. In that moment, many will ask: What’s the right treatment option for me?
The answer to that question may not be as simple as we might like or expect. Medical evidence is the foundation for determining what works and for whom in health care and informing decision making.
The State Innovation Model (SIM) grant program gives states funding and technical assistance to design and test new ways to provide and pay for health care. This brief examines the six states that received Round 1 SIM Testing grants to identify best practices for consumer advocate engagement.
States are leading the way in improving how health care is paid for and delivered. Consumer advocates are integral to these reform efforts. Their participation can help ensure that reforms protect and improve consumers' access to high-quality care. While advocates often find it difficult to get involved in these discussions, the State Innovation Model (SIM) grant program gives consumer advocates an opportunity to weigh in on reforms in their states.
Across the country, states are experimenting with new health delivery models aimed at strengthening primary care and addressing social service needs that can affect a patient’s overall health. Both community health workers and enrollment assisters can serve an important role in this work by connecting clients with services that enable them to access care and manage their health.
If the Supreme Court sides with the plaintiffs who brought the case, an estimated 6.4 million moderate-income people would lose premium tax credits. Without these subsidies, many people will simply be unable to afford to purchase health insurance.