Current efforts and proposals to reduce healthcare costs in Serbia

Medicaid managed care: how to target efforts to reduce costs

BACKGROUND To be successful, cost control efforts must target Medicaid Managed Care (MMC) beneficiaries likely to incur high costs. The critical question is how to identify potential high cost beneficiaries with simple, reproducible, transparent, auditable criteria. Our objective in this analysis was to evaluate whether the total burden of comorbidity, assessed by the Charlson comorbidity index...

AHRQ’s Efforts to Prevent and Reduce Healthcare-Associated Infections

Healthcare-associated infections (HAIs) are infections that patients get while receiving treatment for another condition in some type of health care facility. A study of patients in 2002 estimated that HAIs account for an estimated 1.7 million infections and 99,000 associated deaths annually, making them the most common complication of hospital care. The added financial burden attributable to H...

Four Health Care Organizations’ Efforts to Improve Patient Care and Reduce Costs

This report synthesizes findings and lessons from case studies of four diverse health care organizations participating in the Brookings–Dartmouth ACO Pilot Program, launched in 2009 to support selected provider groups that are collaborating with private payers to form accountable care organizations (ACOs). The organizations are: HealthCare Partners, a medical group/independent practice associat...

Reduce healthcare costs without sacrificing quality and flexibility.

How Do Managed Care Plans Reduce Healthcare Costs?∗

The US public health insurance market is shifting toward reimbursement models that transfer risk away from the government and toward health insurers and healthcare providers. Instead of paying fee-for-service (FFS) to healthcare providers, Medicaid and Medicare now outsource healthcare delivery to managed care plans and the plans accept risk related to their enrollees’ healthcare costs. Previou...