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BRIDGING THE DIVIDE: Medicare's Role in Reducing Racial and Ethnic Disparities


Monday, January 29, 2007

A growing body of evidence shows disparities in quality of care among Medicare beneficiaries of different racial and ethnic backgrounds. These disparities are particularly noteworthy in Medicare, which provides nearly universal access to care to the elderly without regard to race or ethnicity.

This suggests that quality of care, and not just access problems, underlie different treatment patterns among ethnic groups. Medicare can influence quality of care through its payment policy and conditions for participation, but what, if any, are the appropriate mechanisms to do so?

The National Academy of Social Insurance (NASI) convened a panel to study how the Medicare program can use its clout to help eliminate racial and ethnic disparities in care. The panel released its recommendations late last year. Separately, the federal Agency for Health Care Research and Quality recently released its annual report on the issue of health disparities, along with a related report on quality.

The Alliance for Health Reform and NASI sponsored a luncheon briefing to discuss these two important reports and the question of whether and how the Medicare program should use its considerable clout as a health care payer and player to move toward eliminating racial and ethnic disparities.

Panelists included: Renee Landers, Suffolk University Law School and a member of the NASI panel; Carolyn Clancy, Agency for Health Research and Quality; and Peter Bach, Memorial Sloan-Kettering Cancer Center. Ed Howard of the Alliance moderated the panel.

CONTACT:
Lisa Swirsky (Alliance) 202/789-2300
Jill Braunstein (NASI) 202/452-8097 x.1308

Speakers

Peter Bach, Memorial Sloan-Kettering Cancer Center, Speaker
Carolyn Clancy, Agency for Health Research and Quality, Speaker
Renee Landers, Suffolk University Law School, Speaker
Ed Howard, Alliance for Health Reform, Moderator

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript: Bridging the Divide: Medicare's Role in Reducing Racial and Ethnic Disparities (Adobe Acrobat PDF), 1/29/2007
Full Webcast/Podcast: Bridging the Divide: Medicare's Role in Reducing Racial and Ethnic Disparities
The transcript, full webcast and podcast for this briefing are provided by Kaiser Family Foundation.

Speaker Presentations

Clancy Presentation: Bridging the Divide: Medicare's Role in Reducing Racial and Ethnic Dis... (Adobe Acrobat PDF), 1/29/2007
Landers Presentation: Bridging the Divide: Medicare's Role in Reducing Racial and Ethnic Dis... (Adobe Acrobat PDF), 1/29/2007

Source Materials

Kaiser Health Disparities Report- A Weekly Look at Race, Ethnicity and Health (Adobe Acrobat PDF), Kaiser Family Founation, 1/22/2007
Sourcelist: BRIDGING THE DIVIDE: Medicare's Role in Reducing Racial and Ethnic Disparities (Word Document), Alliance for Health Reform, 1/29/2007
Speaker Biographies: Bridging the Divide (Adobe Acrobat PDF), Alliance for Health Reform, 1/29/2007

Offsite Materials (briefing documents saved on other websites)

Medicare, the National Quality Infrastructure, Health Disparities (Adobe Acrobat PDF),NASI, 10/1/2006
Improving Medicare's Data on Race and Ethincity (Adobe Acrobat PDF),NASI, 10/1/2006
Strengthening medicare's Role in Reducing Racial and Ethnic Health Disparities (Adobe Acrobat PDF),NASI, 10/1/2006
Health Insurance Plans Make Strides in Addressing Gaps in Care Experienced by Minorities in U.S, AHIP, 12/6/2006
Looking through a glass, darkly: Eliminiating Health Disparities, CDC, 7/1/2006
Who is at greatest risk for receiving poor quality health care? (Adobe Acrobat PDF),NEJM, 3/1/2006
Improving Quality and Achieving Equity: The Role of Cultural Competence in Reducing Racial and (Adobe Acrobat PDF),CMWF, 10/1/2006
Relationship Between Quality of Care and Racial Disparities in Medicare Health Plans, JAMA, 10/25/2006
Aetna Initiatives to Reduce the Risks Associated with Racial and Ethnic Disparities in Health C, AETNA, 1/1/2007
Value of Medicare Advantage to Low-Income and Minority Medicare Beneficiaries- Executive Summar (Adobe Acrobat PDF),Emory - Rollins School of Public Health, 9/20/2005
Racial Trends in the Use of Major Procedures among the Elderly (Adobe Acrobat PDF),NEJM, 8/18/2005
Who Is at Greatest Risk for Receiving Poor-Quality Health Care?- CORRESPONDENCE, NEJM, 7/15/2006
Would Safety-Net Expansions Offset Reduced Access Resulting From Lost Insurance Coverage? , Health Affairs, 9/28/2006
Health Care Organizations' Use of Data on Race/Ethnicity to Address Disparities in Health Care, RWJ, 8/1/2006
Addressing racial and ethnic disparities in healthcare: Using federal data to support local pro, Robert Wood Johnson Foundation, 8/1/2006
The Institute of Medicine Report , John Hopkins University/Biology and Medicine, 1/1/2004
Covering Health Issues: Ch. 10 (Adobe Acrobat PDF),AHR, 1/1/2006
Racial and Ethnic Disparities in Health Care- Issue Brief (Adobe Acrobat PDF),AHR, 11/1/2006
Key Themes and Highlights From the National Healthcare Disparities Report, AHRQ, 1/1/2007

Photos

Peter Bach, of Memorial Sloan-Kettering Cancer Center -- speaker at the January 29th briefing cosponsored by the National Academy of Social Insurance.

Carolyn Clancy, of AHRQ -- speaker at the January 29th briefing cosponsored by the National Academy of Social Insurance.

Renee Landers, of Suffolk University Law School -- speaker at the January 29th briefing cosponsored by the National Academy of Social Insurance.

 

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