OtherFamily Medicine and the Health Care System
Reorganizing Medicare for Older Adults with Chronic Illness
Timothy P. Daaleman
The Journal of the American Board of Family
Medicine May 2006, 19 (3) 303-309; DOI: https://doi.org/10.3122/jabfm.19.3.303
Timothy P. Daaleman
DO, MPH
References
- ↵Hing E, Cherry DK, Woodwell DA. National Ambulatory Medical Care Survey: 2003 summary. Advance data from vital health statistics; no 365. Hyattsville (MD); US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. 2005.
- ↵Champlin L. Speak out designed to prevent medicare payment cuts. American Academy of Family Physicians. Available from http://www.aafp.org/x38554.xml?printxml. Accessed 10/7/2005.
- ↵Iglehart JK. Linking compensation to quality-medicare payments to physicians. N Engl J Med 2005; 353: 870–2.
- ↵Berenson RA, Horvath J. Confronting the barriers to chronic care management in Medicare. Health Affairs 2003; W3-37–33-53.
- ↵Lynn J, Adamson DM. Living well at the end of life, adapting health care to serious chronic illness in old age. Santa Monica (CA): Rand Health; 2003.
- ↵Social Security and Medicare Board of Trustees. Status of the Social Security and Medicare programs. Washington (DC); 2003.
- ↵American Academy of Family Physicians. Practice profile survey I. American Academy of Family Physicians. Available from http://www.aafp.org/x772.xml?printxml. Accessed 10/7/2005.
- ↵Eichner J, Blumenthal D, editors. Medicare in the 21st century: building a better chronic care system. Washington (DC): National Academy of Social Insurance; 2003.
- ↵Anderson GF. Medicare and chronic conditions. N Engl J Med 2005; 353: 305–9.
- ↵Center for Medicare and Medicaid Services. Quality improvement roadmap. Washington (DC); 2005.
- ↵National Center for Health Statistics. Health, United States, 2003. Hyattsville (MD): US Department of Health and Human Services; 2003.
- ↵Field MJ, Cassel CK. Approaching death. Washington (DC): National Academies Press; 1997.
- ↵Brim OG, Friedman HE, Levine S, Scotch NA. The dying patient. New York: Russell Sage Foundation; 1970.
- ↵Centers for Disease Control. Chronic disease overview. National Center for Chronic Disease Prevention and Health Promotion. Available from http://www.cdc.gov/nccdphp/overview.htm. Accessed 10/3/2003.
- ↵Jemal A, Ward E, Hao Y, Thun M. Trends in the leading causes of death in the United States, 1970–2002. JAMA 2005; 294: 1255–9.
- ↵Centers for Disease Control. Healthy aging: preventing disease and improving quality of life among older Americans. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control; 2003.
- ↵Strauss AL, Corbin JM, Fagerhaugh BG, et al. Chronic illness and the quality of life, 2 Ed. St. Louis: Mosby; 1984.
- ↵Duncan GJ, Brooks-Gunn J, Yeung YW, Smith JR. How much does childhood poverty affect the life chances of children? Am Sociol Rev 1998; 63: 406–23.
- ↵Lunney JR, Lynn J, Hogan C. Profiles of older medicare decedents. J Am Geriatr Soc 2002; 50: 1108–12.
- ↵Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 1. The content, quality, and accessibility of care. Ann Intern Med 2003; 138: 273–87.
- ↵Mittler J. Medicare: making it a force for innovation and efficiency. New York: Commonwealth Fund; 2005.
- ↵Macintyre S, Ellaway A. Ecological approaches: rediscovering the role of the physical and social environment. In: Berkman LF, Kawachi I, editors. Social epidemiology. New York: Oxford University Press; 2000.
- ↵Fisher ES, Wennberg DE, Stukel TA, et al. The implications of regional variations in Medicare spending. Part 2. Health outcomes and satisfaction with care. Ann Intern Med 2003; 138: 288–98.
- ↵Lynn J, Goldstein NE. Advance care planning for fatal chronic illness: avoiding commonplace errors and unwarranted suffering. Ann Intern Med 2003; 138: 812–8.
- ↵Teno JM, Lynn J. Putting advance-care planning into action. J Clin Ethics 1996; 7: 205–13.
- ↵Lorenz K, Lynn J, Morton SC, et al. End-of-life care and outcomes. Summary, Evidence Report/Technology Assessment No. 110. Rockville (MD): Agency for Healthcare Research and Quality; 2004.
- ↵Corrigan JM, Eden J, Smith BM. Leadership by example: coordinating government roles in improving healthcare quality. Washington (DC): National Academies Press; 2003.
- ↵Williams RD. The unique needs of Medicare beneficiaries. Brief no. 10. Washington (DC): National Academy of Social Insurance; 2004.
- ↵Medicare. Medicare Plan Choices. Centers for Medicare and Medicaid Services. Available from http://www.medicare.gov/Choices/Overview.asp. Accessed 4/1/2004.
- ↵Rothman AA, Wagner EH. Chronic illness management: what is the role of primary care?. Ann Intern Med 2003; 138: 256–61.
- ↵Wolff JL, Boult C. Moving beyond round pegs and square holes: restructuring Medicare to improve chronic care. Ann Intern Med 2005; 143: 439–45.
- ↵Partnership for Solutions. Medicare: cost and prevalence of chronic conditions. Baltimore (MD): Johns Hopkins University Press; 2002.
- ↵Shortell SM, Gillies RR, Anderson RA, et al. Remaking health care in America: building organized delivery systems. San Francisco (CA): Jossey-Bass; 1996.
- ↵Frank RG. Election 2004: prescription drug prices. N Engl J Med 2004; 351: 1375–7.
- ↵Centers for Medicare and Medicaid Services. CMS demonstration projects under the Medicare Modernization Act. US Department of Health and Human Services. Available from http://www.cms.hhs.gov/researchers/demos/MMAdemolist.asp. Accessed 10/11/2005.
- ↵
- ↵American Academy of Family Physicians. Testimony on “medicare chronic disease” care management fee concept before the practicing physicians’ advisory council. Available from http://www.aafp.org/x26272.xml?printxml. Accessed 4/7/2004.
- ↵Rosenthal MB, Fernandopulle R, Song HR, Landon B. Paying for quality: providers’ incentives for quality improvement. Health Aff 2004; 23: 127–41.
- ↵Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance. JAMA 2005; 294: 1788–93.
- ↵Wenger NS, Solomon DH, Roth CP, et al. The quality of medical care provided to vulnerable community-dwelling older patients. Ann Intern Med 2003; 139: 740–7.
- ↵Crabtree BF, Miller WL, Tallia AF, et al. Delivery of clinical preventive services in family medicine offices. Ann Fam Med 2005; 3: 430–5.
- ↵Pham HH, Schrag D, Hargraves JL, Bach PB. Delivery of preventive services to older adults by primary care physicians. JAMA 2005; 294: 473–81.
- ↵Future of Family Medicine Leadership Project. The future of family medicine: a collaborative project of the family medicine community. Ann Fam Med 2004; 2: S3–32.
- ↵Stange KC. The paradox of the parts and the whole in understanding and improving general practice. Int J Qual Health Care 2002; 14: 267–8.
- ↵Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998; 352: 837–53.
- ↵Stewart AL, Greenfield S, Hays RD, et al. Functional status and well-being of patients with chronic conditions. Results from the Medical Outcomes Study. JAMA 1989; 262: 907–13.
- ↵Gosden T, Forland F, Kristiansen IS, et al. Impact of payment method on behaviour of primary care physicians: a systematic review. J Health Serv Res Policy 2001; 6: 44–55.
- ↵Spooner A, Chapple A, Roland M. What makes British general practitioners take part in a quality improvement program? J Health Serv Res Policy 2001; 6: 145–50.
- ↵Roland M. Linking physicians’ pay to the quality of care—a major experiment in the United Kingdom. N Engl J Med 2004; 351: 1448–54.
- ↵Institute of Medicine. Leadership by example: coordinating government roles in improving health care quality. Washington (DC): National Academies Press; 2002.
- ↵Epstein AM, Lee TH, Hamel M. Paying physicians for high-quality care. N Engl J Med 2004; 350: 406–10.
- ↵United States Senate Special Committee on Aging. Developments in aging: 1999 and 2000. Washington (DC): US Senate, 107th Congress; 2001.
In this issue
The Journal of the American Board of Family
Medicine
Vol. 19, Issue 3
May-June 2006
Reorganizing Medicare for Older Adults with Chronic Illness
Timothy P. Daaleman
The Journal of the American Board of Family
Medicine May 2006, 19 (3) 303-309; DOI: 10.3122/jabfm.19.3.303
Jump to section
Related Articles
- No related articles found.