Tag Archives: ACA

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New England Journal of Medicine

New NEJM Perspectives Piece: Shared Decision Making to Improve Care and Reduce Costs

In the latest edition of the New England Journal of Medicine (NEJM), authors make a call to action for policymakers to take meaningful steps to implement what the authors call “the sleeper” shared decision making (SDM) provision of the Accountable Care Act (ACA). The authors, Emily Oshima Lee from the Center for American Progress and Dr. Ezekiel J. Emanuel from the University of Pennsylvania, make a compelling argument that the benefits of SDM with the use of decision aids -- improvements in patient knowledge, lower anxiety over the care process, improved health outcomes, reduction in unwarranted variation in care and costs, and greater alignment of care with patients’ values -- should warrant swift action on the provision of ACA (Section 3506) that relates directly to SDM implementation. Lee and Emanuel argue that the current pace of Section 3506 implementation is detrimental to both patients and the health care system as a whole. Continue reading
Posted in Current News | Tagged ACA, Affordable Care Act, decision aids, health care, health care costs, HHS, NEJM, patient values, practice variation, Section 3506, shared decision making | Permalink
Michael J. Barry, MD

The Election Results are in and Shared Decision Making is here to Stay

President Obama’s re-election now makes it all but certain that implementation of the Affordable Care Act (ACA) will progress. With a clearer picture of the health care landscape ahead of us, the Informed Medical Decisions Foundation and our colleagues will continue to pursue the opportunities laid out in the ACA to foster nation-wide implementation of shared decision making (SDM). I’d like to point out two key organizations established through the ACA that we hope to work closely with over the coming years. The first being the Center for Medicare & Medicaid Innovation (CMMI), which cultivates health care transformation by finding new ways to pay for and deliver better care and better health at lower costs. Continue reading
Posted in Current News | Tagged ACA, CMMI, High-Value Healthcare Collaborative, HVHC, PCORI, shared decision making | Permalink

In The News

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[American Medical News] Health IT Lags ad Facilitator in Shared Decision-Making

The RAND study's conclusions were based on looking at participants in a project by the Boston-based Informed Medical Decisions Foundation: Dartmouth-Hitchcock Medical Center in New Hampshire, MaineHealth, Massachusetts General Hospital, Mercy Clinics in Iowa, the Oregon Rural Practice-based Research Network, the Palo Alto Medical Foundation in California, the Stillwater Medical Group in Minnesota and the University of North Carolina at Chapel Hill.
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Tagged ACA, Affordable Care Act, decision aids, electronic health records, Health Affairs, HIT, RAND, shared decision making | Permalink

[Politico] ACA Boosts 'Shared Decision-Making'

And some of the momentum is coming from state legislators or health officials who want a shared decision-making component in some of the latest models for cutting waste and improving quality in health care spending, like "medical homes." Washington state began encouraging shared decision making in it's state's health care systems about five years ago; Massachusetts joined in last summer when it passed its sweeping health cost control law, according to Benjamin Moulton, the senior legal adviser to the Boston-based Informed Medical Decisions Foundation.
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Tagged ACA, Affordable Care Act, Benjamin Moulton, health care policy, Politico, shared decision making | Permalink