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Americans' Experiences in the Health Insurance Marketplaces: Results from the First Three Months

January 9, 2014 - A new Commonwealth Fund survey finds that 24 percent of Americans who are potentially eligible for health insurance coverage under the Affordable Care Act had visited one of the new insurance marketplaces by the end of December to find a health plan.

Data 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

Analysis of Early Accountable Care Organizations Defines Patient, Structural, Cost, and Quality-of-Care Characteristics

January 6, 2014 - There is strong enthusiasm for ACOs among policymakers and some health industry leaders, but there is little information available about the early entrants in these still very young programs. This study identified ACOs that had joined the Medicare programs as of fall 2012 to collect baseline information about their patient populations, quality, hospitals, and costs.

In the Literature

An Analysis of Leading Congressional Health Care Bills, 2005-2007: Part I, Insurance Coverage

March 19, 2007 - This report, the first of a two-part series, compares leading congressional bills and Administration proposals to expand health insurance coverage introduced over 2005–2007.

Fund Report

An Analysis of Leading Congressional Health Care Bills, 2005-2007: Part II, Quality and Efficiency

July 26, 2007 - The U.S. health care system will become a high performance health system only with strong leadership from the federal government in partnership with the private sector. A prior report analyzed the likely effect on U.S. health system performance of congressional legislative proposals to extend health insurance coverage. This report addresses the major bills introduced over 2005-2007 designed to advance the quality and efficiency of the health system.

Fund Report

An Analysis of Leading Congressional Health Care Bills, 2007-2008: Part I, Insurance Coverage

January 9, 2009 - This Commonwealth Fund analysis of leading bills of the 110th Congress aimed at expanding and improving health insurance coverage finds several of these proposals could substantially reduce the number of uninsured Americans, and would either reduce health care spending or add only modestly to annual health care expenditures.

Fund Report

An Analysis of Survey Data from 11 Countries Finds That "Satisfaction" with Health System Performance Means Many Things

April 8, 2013 - A study using data on 11 high-income countries included in the Commonwealth Fund's 2010 International Health Policy Survey sought to determine whether respondents' perceptions of affordability and effectiveness, among other factors, influenced satisfaction scores.

In Brief

Analysis Raises Questions on Whether Pay-for-Performance in Medicaid Can Efficiently Reduce Racial and Ethnic Disparities

June 20, 2011 - In 2006, Massachusetts established a pay-for-performance program to reduce racial and ethnic disparities in hospital care for Medicaid patients. Using data from the first year of the program, the authors of this
article found little evidence of disparities in care. This finding and others raise questions about the utility of addressing disparities in hospital care through pay-for-performance.

In the Literature

Another Round of Health Reform Is on the Way

April 5, 2010 - In a commentary on the most recent Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders' survey, the former Secretary of Health and Human Services Michael Leavitt writes that the "next phase" of health reform will need to focus on controlling costs.


The APHSA Medicaid HEDIS Database Project: Report for the Third Project Year (Data for 1999)

December 1, 2001 - This study assesses how well managed care plans serve Medicaid beneficiaries, and finds that while these plans often provide good care to young children, their quality scores on most other measures lag behind plans serving the commercially insured.

Fund Report

Appraisals of Parenting, Parent-Child Interactions, Parenting Styles, and Children: An Annotated Bibliography

September 1, 2000 - Few measures of parenting skills offer an appraisal that is brief, comprehensive, parent-sensitive, psychometrically sound, nonintrusive, and appropriate to child development. This annotated bibliography provides clinicians, clinical researchers, and researchers interested in applied issues with information about those parenting skills measures that are available.

Fund Report

Approaching Universal Coverage: Minnesota's Health Insurance Programs

February 2, 2003 - According to the Minnesota Department of Health, 95 percent of the state's nonelderly population had health insurance in 2001—one of the highest coverage rates in the nation.

Fund Report

The Archives of U.S. Foundations: An Endangered Species

December 20, 2012 - In this essay, Commonwealth Fund executive vice president and COO John E. Craig reports on the current status of archiving in the foundation sector and recommends ways to improve policies and practices in an area that is too often overlooked.

Annual Report Essay

Are Electronic Medical Records Helpful for Care Coordination? Experiences of Physician Practices

December 29, 2009 - A study of small- and medium-sized physician practices found that electronic medical record systems can help coordinate patient care within practice offices. However, because of interoperability issues, they are less able to support coordination between clinicians and across settings. Other challenges, like information overflow and reimbursement, also impede physicians' ability to use EMRs to improve patient care and coordination.

In the Literature

Are Tax Credits Alone the Solution to Affordable Health Insurance? Comparing Individual and Group Insurance Costs in 17 U.S. Markets

May 1, 2002 - The number of Americans without health insurance is near an all-time high, and various legislative proposals in Congress over the past few years have made little headway in reducing the number or uninsured. Now, members of Congress, as well as the Bush administration, are sponsoring legislation that would allow individuals to receive tax credits toward buying health insurance. This paper addresses the affordability of individual coverage under such a system of tax credits.

Fund Report