Health Affairs

Health Affairs, 28, no. 5 (2009): 1316 doi: 10.1377/hlthaff.28.5.1316 © 2009 by Project HOPE	New Online   Reinhardt: Post-Summit   Report from the Summit   President's Reform Proposal   Rising Medicare Costs   Spending for Immigrants   $2.5 Trillion U.S. Health Tab   Child Obesity Briefing

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Saving Money

PROLOGUE

Saving Money: What Works And What Doesn’t?

The landscape of health cost control efforts is littered with the hulls of earlier approaches that crashed and burned. Are new ones likely to perform any better? According to papers in this section, the answers are yes, no, and maybe.

In the "yes" category, real-world examples are provided first by Arnold Milstein and Elizabeth Gilbertson, who describe four "medical home runs": California sites catering to chronically ill patients that, adjusted for risk, produce 15–20 percent lower per patient spending than the regional average. A core ingredient: primary care teams willing to go to "extraordinary" lengths to protect patients from preventable . . . [Full Text of this Article]

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