July 29, 2011 - A new report synthesizing findings from four hospital case studies showcases opportunities for all hospitals to achieve greater efficiency. The case studies focus on four of the 13 Leapfrog Group–designated "Highest Value Hospitals."
July 28, 2011 - Park Nicollet Methodist Hospital is the single hospital of Park Nicollet Health Services, an integrated health care delivery system based in St. Louis Park, Minnesota.
July 25, 2011 - North Mississippi Medical Center in Tupelo, Mississippi, was designated a Highest Value Hospital in 2008 for achieving a top efficiency score (reflecting both the quality of care and resource use) from the Leapfrog Group for coronary artery bypass graft, percutaneous coronary interventions, and pneumonia care.
July 25, 2011 - This Fund report reports on the implementation of eight private ACOs that use, or are planning to deploy, a shared payer–provider risk payment model. Still in an early developmental phase, these payment models vary in their design and in how they define shared risk.
July 13, 2011 - This Commonwealth Fund-supported study evaluated the Alternative Quality Contract, a global payment system for providers developed by Blue Cross Blue Shield of Massachusetts to replace fee-for-service reimbursement. The researchers found that the contract was associated with modestly lower medical spending and improved quality of care in its first year of use.
In the Literature
July 13, 2011 - In invited testimony before the House Committee on Energy and Commerce Subcommittee on Health, the Fund's Stuart Guterman discussed how the Independent Payment Advisory Board, created under the Affordable Care Act, can help focus attention on controlling health care spending throughout the health system.
June 28, 2011 - Peter Sprivulis, a 2004–05 Harkness Fellow in Health Care Policy and Practice, and his coauthors estimated the costs and benefits of creating an interoperable health information exchange system among Australian health care providers and stakeholders.
June 22, 2011 - Recently passed health reform legislation in Australia encourages public reporting of patient outcomes following hospitalization. In this analysis, former Commonwealth Fund Harkness Fellow Martin Gallagher reviews challenges of reporting health outcomes.
June 22, 2011 - The Commonwealth Fund-supported authors of this study interviewed quality and financial officers at safety-net hospitals about the impact of a Medicare policy limiting reimbursement for treating avoidable and costly hospital-acquired conditions.
In the Literature
June 16, 2011 - The Center for Medicare and Medicaid Innovation was created by the Affordable Care Act to identify, develop, assess, support, and spread new approaches to health care financing and delivery that can help improve quality and lower costs. This issue brief reviews the mission of the Innovation Center and provides perspectives from the research community on critical issues and challenges.
June 15, 2011 - In many states, Medicaid programs have contracted out the delivery of health care services to publicly traded for-profit health plans focused on Medicaid members. The authors of this Commonwealth Fund study found that publicly traded plans had higher administrative costs and received lower quality scores than non-publicly traded plans.
June 2, 2011 - The health care delivery system is changing rapidly due to the Affordable Care Act. Changes already underway include the creation of patient-centered medical homes, accountable care organizations, and a national health information infrastructure. The authors of this new Commonwealth Fund brief propose a framework for a new tool to track delivery system reform.
May 12, 2011 - In invited testimony before the health subcommittee of the U.S. House of Representatives' Ways and Means Committee, the Fund's Stuart Guterman called for new payment models that will pay physicians appropriately while also improving care for beneficiaries and adding value to the Medicare program.
April 28, 2011 - Health information technology can help reduce fragmentation of health care and improve coordination of services, but it is unclear what the optimal strategies for implementing and sustaining HIT are.
April 27, 2011 - This study tested the Transitional Care Model, which uses an advance practice nurse to coordinate care, among 172 patients enrolled in Aetna Medicare Advantage over an 18-month period.