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National Projects by Program Area: Integrated Health Care

Recent National Grants


A $250,000 Aetna Foundation grant to Baylor College of Medicine is supporting research to evaluate how primary care medical homes can lower the cost of care and improve the health of children with chronic physical, developmental or behavioral conditions. Upwards of 16 percent of American children are estimated to have special health care needs. Their care accounts for 42 percent of medical expenditures on children in the U.S. Using Medicaid/CHIP data for Houston-area children, the researchers will identify a diverse group of children with special health care needs and survey their doctors about the children’s treatment and coordination of their care.  The research team will also survey the children’s parents about their satisfaction with their youngster’s care.  Additionally, the researchers will analyze claims data to see if the children treated by doctors who identify their practice as a primary care medical home have fewer emergency room visits, hospitalizations and other potentially avoidable treatments than children who receive their care from other types of medical practices.  

A $331,000 grant from Aetna, developed with support from the Aetna Foundation, was made to the Engelberg Center for Health Care Reform at Brookings Institution to explore a range of effective approaches for implementing and evaluating value-based purchasing programs for health care.  The funding supports the "Advancing Value-Based Purchasing in the U.S. Health System" project, which convened experts in October 2010 to recommend strategic approaches to value-based purchasing and to share those recommendations with key stakeholders. The goal is to develop an implementation approach that will improve quality and reduce costs system-wide through the close collaboration of public- and private-sector stakeholders.

A $50,000 Aetna Foundation grant to Grantmakers in Health will help the organization expand its capability in advising, informing and connecting funders who will be supporting work related to national health reform.

A $250,000 from the Aetna Foundation to Massachusetts General Hospital is funding a study to examine whether intensive care management and integrated care can improve the health outcomes of economically disadvantaged patients with multiple chronic conditions while decreasing the cost of their treatment.  The research team will evaluate a new integrated primary care program launched in 2010 by Cambridge Health Alliance that serves a diverse population of low-income children and adults with two or more chronic conditions.

A $250,000 grant from the Aetna Foundation is funding a new national study by RAND Health, a division of RAND Corporation, which will be among the first to examine the impact of poor care coordination on the quality and cost of care in America. The study also will examine whether significant disparities exist among different racial and ethnic groups in the frequency of avoidable treatments stemming from poor patient care coordination.  The RAND Health researchers also will use Medicare claims data to identify treatment patterns for patients with one of three common chronic illnesses:  diabetes, congestive heart failure and chronic obstructive pulmonary disease.

A $250,000 from the Aetna Foundation to the University of California, San Francisco is supporting a two-year study to create a rigorously tested survey tool to assess integrated health care practices.  The research will be among the first to develop metrics of integrated care based on the needs, experiences and expectations of patients with chronic conditions.  By focusing on the patient experience to create measurements of integrated care practices, the researchers expect their measurement tools to assess more systematically integrated care provided to diverse patient populations and in a wide range of practice settings.
A $250,000 Aetna Foundation grant to the University of Florida, Gainesville is supporting a two-year study to explore whether primary care medical homes can improve the health of patients with diabetes. Currently, 24 million Americans are living with diabetes, a chronic disease that requires patients to take an active role in monitoring their diet and glucose levels to manage the disease successfully.  The researchers will examine if the primary care medical home model increases patient engagement in managing their diabetes and if increased patient engagement leads to better health. Four patient-centered medical home practices in Jacksonville, Fla., each serving a racially and socioeconomically diverse population, will be the sites of the research. 

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