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Tucson and Southern Arizona: A Desert Region Pursuing Better Health and Health System Performance

April 17, 2014 - The southern Arizona region encompassing Tucson outperforms many other regions with similar socioeconomic characteristics, which may stem from the emphasis providers place on delivery system innovation and best practices and the prevalence of managed care arrangements.

Case Study

Grand Rapids and West Central Michigan: Pursuing Health Care Value Through Regional Planning, Cooperation, and Investment

April 17, 2014 - The region of West Central Michigan encompassing Grand Rapids and surrounding communities performs especially well on measures of prevention and treatment quality, avoidable hospital use, and costs of care.

Case Study

Opportunity for Regional Improvement: Three Case Studies of Local Health System Performance

April 17, 2014 - Case studies of three U.S. regions that ranked relatively high on the Commonwealth Fund’s Scorecard on Local Health System Performance, 2012, despite greater poverty compared with peers, revealed several common themes.

Case Study

Buffalo and Western New York: Collaborating to Improve Health System Performance by Leveraging Social Capital

April 17, 2014 - The western region of New York State encompassing Buffalo and surrounding counties performs especially well on measures of access, prevention, and treatment.

Case Study

Community Factors and Hospital Readmission Rates

April 16, 2014 - A majority of the variation seen in U.S. hospitals’ readmission rates for heart attack, heart failure, and pneumonia can be attributed to hospitals’ location, rather than to the quality of care provided in individual hospitals.

In the Literature

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.

Other

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