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Newsletter Article


How to Improve Chronic Disease Care and Reduce Health Spending

Noting the "unprecedented opportunity" created by recent federal health reform laws, the Commonwealth Fund Commission on a High Performance Health System unveiled a community-based plan to enhance health and reduce spending by improving care for chronically ill patients and targeting quality improvement efforts to conditions that can yield the greatest benefit in a relatively short time. The "Health Improvement Community" initiative has the potential to help those most in need of coordinated care while also saving $184 billion in health spending over the next 10 years.

In a Perspective on the plan appearing in the New England Journal of Medicine, Commission chair David Blumenthal, M.D., writes, "For decades the United States has seemed powerless to curb excessive health care spending and improve quality of care. It is powerless no longer."

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