Family to Family Iowa

Making high-quality care accessible to vulnerable populations

Posted 8/8/2012

Accountable care organizations and medical homes have received a lot of attention as models for providing high-quality, efficient health care. In the new issue of Health Affairs, now available online, Commonwealth Fund-supported researchers offer insight on how to ensure that America's most vulnerable populations, including low-income families and patients with complex conditions, can also benefit from these promising ways of delivering care. The Promise and Peril of Accountable Care for Vulnerable Populations: A Framework for Overcoming Obstacles [http://www.commonwealthfund.org/Publications/In-the-Literature/2012/Aug/Accountable-Care-for-Vulnerable-Populations.aspx?omnicid=20], by Valerie A. Lewis, Ph.D., and colleagues at the Dartmouth Institute for Health Policy and Clinical Practice.

 While accountable care organizations (ACOs) hold promise to provide better overall patient care at lower cost, socioeconomically disadvantaged and medically complex patients may not have the same access to ACOs as other groups. This study identifies policies and strategies that can promote the formation of ACOs across diverse settings and the participation of all types of patients. The Post-Katrina Conversion of Clinics in New Orleans to Medical Homes Shows Change Is Possible, but Hard to Sustain [http://www.commonwealthfund.org/Publications/In-the-Literature/2012/Aug/Post-Katrina-Conversion-of-Clinics.aspx?omnicid=20], by Diane R. Rittenhouse, M.D., M.P.H., of the University of California, San Francisco, and colleagues. A program to transform community-based clinics into  patient-centered medical homes in hurricane-ravaged New Orleans dramatically increased access to primary care services for the area's poor and underserved residents, according to this study. Progress stalled, however when federal grant funding ran out--indicating that safety-net clinics may require additional support to undertake and sustain large-scale improvements to their primary care capacity.

 

 

 

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The Promise and Peril of Accountable Care for Vulnerable Populations: A Framework for Overcoming Obstacles

 

Valerie A. Lewis, Ph.D., Bridget Kennedy Larson, M.S., Asha Belle McClurg, Rebecca Goldman Boswell, and Elliott S. Fisher, M.D., M.P.H.

 

August 6, 2012

 

Read more  [http://www.commonwealthfund.org/Publications/In-the-Literature/2012/Aug/Accountable-Care-for-Vulnerable-Populations.aspx?omnicid=20]

 

The Post-Katrina Conversion of Clinics in New Orleans to Medical Homes Shows Change Is Possible, But Hard to Sustain

 

Diane R. Rittenhouse, M.D., M.P.H., Laura Anne Schmidt, Ph.D., M.P.H., M.S.W., Kevin J. Wu, M.P.H., and James Wiley, Ph.D.

 

August 6, 2012

 

Read more  [http://www.commonwealthfund.org/Publications/In-the-Literature/2012/Aug/Post-Katrina-Conversion-of-Clinics.aspx?omnicid=20]

 

The Commonwealth Fund [http://www.commonwealthfund.org/] is a private foundation that aims to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency. If you received this alert as a "forward" and would like to subscribe or if you would like to receive alerts on other issues, register for My Commonwealth Fund [http://www.commonwealthfund.org/myprofile/myprofile_edit.htm]. If you would like to unsubscribe, please go to the Manage Subscriptions page at http://www.commonwealthfund.org/subscriptions.aspx [http://www.commonwealthfund.org/subscriptions.aspx] or write to e-alerts@cmwf.org [mailto:e-alerts@cmwf.org].The Commonwealth Fund is on Twitter. Follow us at www.twitter.com/commonwealthfnd  [http://newsletters.commonwealthfund.org/t/2101/14/528/0/]for updates.

 

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