All Publications

1833 documents

Sort By: Date Alphabetical

The Role of Medicaid Managed Care in Health Delivery System Innovation

April 10, 2014 - This report examines health care providers' perspectives on the role of managed care in improving health services for low-income adults in four communities: Milwaukee, Wisconsin; Oakland, California; Seattle, Washington; and Washington, D.C.

Fund Report

Structuring Payment to Medical Homes After the Affordable Care Act

April 7, 2014 - In this study, Commonwealth Fund–supported researchers consider how the patient-centered medical home payment model could evolve to keep pace with health care payment reforms launched by the Affordable Care Act, most notably the “shared savings” approach used by many accountable care organizations.

In Brief

Identifying Meaningful Outcome Measures for the Intensive Care Unit

March 31, 2014 - In this study, Commonwealth Fund–supported researchers surveyed nearly 200 physicians about their views on nine quality and safety indicators proposed for ICU care: three infectious conditions occurring more than 48 hours after ICU admission, as well as six noninfectious conditions occurring more than 24 hours post–ICU admission.

In Brief

America's Underinsured: A State-by-State Look at Health Insurance Affordability Prior to the New Coverage Expansions

March 25, 2014 - Thirty-two million people under age 65 were underinsured in the U.S. in 2012, meaning they had health coverage but it provided inadequate protection against high health care costs relative to their income. This report finds that the rate of underinsured ranged from a low of 8 percent in New Hampshire to highs of 17 percent in Idaho and Utah.

Fund Report

Assessing Care Integration for Dual-Eligible Beneficiaries: A Review of Quality Measures Chosen by States in the Financial Alignment Initiative

March 24, 2014 - As part of the federal Financial Alignment Initiative, states have the opportunity to test care models for dual-eligible Medicare and Medicaid beneficiaries, with the goals of enhancing access to services, improving care quality, containing costs, and reducing administrative barriers.

Issue Brief

Implementing the Affordable Care Act: State Action to Establish SHOP Marketplaces

March 14, 2014 - This brief examines state decisions to enhance the value of the small-business marketplaces for small employers and finds that most have set predictable participation and eligibility requirements and will offer a competitive choice of insurers and plans.

Issue Brief

"Now I Can Sleep at Night": Stories of Finding Health Insurance in the Affordable Care Act's Marketplaces

March 4, 2014 - This new, photo-rich Commonwealth Fund feature, "'Now I Can Sleep at Night': Stories of Finding Health Coverage in the Affordable Care Act's Marketplaces," shares the stories of Americans who have found peace of mind and stronger financial security through the new insurance marketplaces.


Trends in the Financial Burden of Medical Care for Nonelderly Adults with Diabetes, 2001 to 2009

February 28, 2014 - The financial burden borne by patients for treatment of diabetes has decreased. Patients' out-of-pocket spending on prescription medications dropped from $1,095 over the period 2001 to 2003 to $763 over 2007 to 2009, largely because of a shift from brand-name drugs to generics.

In the Literature

Association Between Participation in a Multipayer Medical Home Intervention and Changes in Quality, Utilization, and Costs of Care

February 25, 2014 - In this study, Commonwealth Fund–supported researchers surveyed practices participating in the Southeastern Pennsylvania Chronic Care initiative, one of the earliest and largest multipayer medical home pilots in the United States, to examine the quality care delivered, use of medical services, and the costs of care.

In Brief

Can New Payment and Delivery System Models Achieve High-Value Care for Mental Health and Substance-Use Disorders?

February 13, 2014 - Commonwealth Fund–supported researchers examined the provision of mental health and substance-use disorder (MH/SUD) treatments—typically undertreated in primary care—by ACOs.

In Brief

Young Adult Participation in the Health Insurance Marketplaces:
Just How Important Is It?

February 12, 2014 - The participation of young adults may not be as critical to the success of the Affordable Care Act's health insurance marketplaces as is widely believed, according to this report based on the perspectives of prominent actuaries, insurers selling plans in the marketplaces, policy researchers, and federal officials.

Fund Report

Patient-Centered Medical Home Transformation with Payment Reform: Patient Experience Outcomes

February 10, 2014 - Commonwealth Fund–supported researchers compared patients' experiences in a primary care clinic that implemented the PCMH model, along with lean process changes (which seek to maximize value and reduce waste) and a new approach to physician reimbursement, with patients' experiences in a similar clinic that did not make such changes.

In the Literature

Use of Telemedicine Can Reduce Hospitalizations of Nursing Home Residents and Generate Savings for Medicare

February 5, 2014 - Results from a new Commonwealth Fund–supported study in Health Affairs led by Harvard Medical School's David C. Grabowski confirm that telemedicine can be a cost-effective alternative to a trip to the hospital.

In the Literature

Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011

February 4, 2014 - U.S. hospitals have made great strides over the past decade in instituting practices to improve medication safety, according to results of the most recent Medication Safety Self Assessment.

In the Literature

Implementing the Affordable Care Act: The State of the States

January 31, 2014 - Although their approaches may vary, most states have taken steps to prepare for the Affordable Care Act's health insurance market reforms, marketplaces, and Medicaid expansion, a new Commonwealth Fund report finds.

Fund Report