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Sick Health Care Market Resists Better Care?

Sick Health Care Market Resists Better Care?

Do you pay for an oil change with your automobile insurance? If not, why do we think it’s reasonable to pay for a primary care visit with health insurance? This is the trenchant core question posed by David Goldhill in his September Atlantic Monthly article, "How American Health Care Killed…

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Reforming Health and Aging Policy

Health care reform offers an opportunity for those of us who care about health and aging to improve how public policy affects older adults. That’s why programs like the Health and Aging Policy Fellowship, funded by The Atlantic Philanthropies, are so important. The program helps mid-career professionals in health and…

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Irresponsibly Responsible or Responsibly Irresponsible?

Irresponsibly Responsible or Responsibly Irresponsible?

I was recently at a site visit for federal policymakers to Baltimore to learn about the Foundation-sponsored Guided Care project directed by Chad Boult. I’ve already blogged about the trip, highlighting stories of some of the Guided Care patients we met. This time, I want to add some observations inspired…

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Reforming Care Transitions

(Technorati claim code: u3m879yfek) We were very pleased to see that America’s Healthy Futures Act, the health care reform bill released by the Senate Finance Committee on September 16, 2009, included a provision for a pilot program called the Community Care Transitions program, intended to reduce re-hospitalizations of high-risk patients…

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Falls Prevention Researcher Wins MacArthur Grant

Falls Prevention Researcher Wins MacArthur Grant

We’d like to share some terrific news! Mary Tinetti, Professor of Medicine, Epidemiology, and Public Health at the Yale University School of Medicine, is a 2009 MacArthur Fellow. Her affiliation with the Foundation and the field of aging is long and deep. She has been the long-time leader of our…

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Connecting Patients to Policymakers

Connecting Patients to Policymakers

Recently, we were able to achieve that pinnacle of foundation aspirations--cross-project synergy--when one of our grantees, The National Health Policy Forum at George Washington University, brought its audience of policymaking experts from the major federal agencies to visit another grantee, Guided Care at Johns Hopkins University. It was a timely…

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Team or Mob?

Team or Mob?

Across many projects and partnerships, the Foundation has come to believe that high quality care for complex older adults MUST be team care. Not only is there far too much work for any one provider, but the nature of the work requires a team to implement successfully. Geriatric care…

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Health Reform: If We Had a Magic Wand for Primary Care

Health Reform: If We Had a Magic Wand for Primary Care

Health Reform has become a national pastime. It’s the hot topic of dinner conversation, top “tweet” in cyberspace, rant-du-jour in the blogosphere, and the focus of our policymakers even as Congress is adjourned. The public debate has focused on three core issues—cost, quality, and access—rarely accompanied by the necessary deeper…

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What Does Aging Mean to You?

What Does Aging Mean to You?

Two weeks into my summer internship here at the John A. Hartford Foundation, my supervisor Chris asked me this deceptively hard-to-answer question. As I mulled over this question during lunch, I realized that while my knowledge about the care of older adults had increased exponentially and I was now aware…

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