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A Tale of Two States: The Health Care Income Divide Visualized

September 18, 2013 - Watch this interactive explainer featuring highlights from The Commonwealth Fund Scorecard on State Health System Performance for Low-Income Populations, 2013.


Health Care in the Two Americas: Findings from the Scorecard on State Health System Performance for Low-Income Populations, 2013

September 18, 2013 - The Commonwealth Fund's Scorecard on State Health System Performance for Low-Income Populations, 2013, identifies opportunities for states to improve their health systems for economically disadvantaged populations and provides state benchmarks of achievement.

Fund Report

Challenges Facing Medicaid Expansion in the U.S.

September 13, 2013 - The authors of this study, all 2012–13 Commonwealth Fund Harkness Fellows, provide an international perspective on the challenges facing the Medicaid expansion.

In Brief

Effect of a Multipayer Patient-Centered Medical Home on Health Care Utilization and Quality: The Rhode Island Chronic Care Sustainability Initiative Pilot Program

September 10, 2013 - Early findings from a Commonwealth Fund–supported evaluation of one of the first medical home programs involving multiple payers show that participating physician practices achieved some notable improvements, including a significant reduction in emergency room visits for conditions that could have been treated in an ambulatory care setting, like a doctor’s office.

In the Literature

Impact of Medical Loss Regulation on the Financial Performance of Health Insurers

September 10, 2013 - A Commonwealth Fund–supported study tracked the early effects of the new "medical loss ratio" regulation on the nation's insurers by examining changes in their financial performance from 2010—the year before the rule went into effect—to 2011.

In the Literature

In States' Hands: How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans

September 5, 2013 - If the states that have so far not chosen to expand Medicaid eligibility don't eventually do so, as many as two of five recently uninsured adults in those states will likely have no new affordable health insurance options next year, according to a new Commonwealth Fund study.

Issue Brief

Option Pricing: A Flexible Tool to Disseminate Shared Savings Contracts

September 3, 2013 - This Commonwealth Fund–supported study examines new tools that improve the business case for shared-savings contracts and may encourage more widespread adoption.

In Brief

Covering Young Adults Under the Affordable Care Act: The Importance of Outreach and Medicaid Expansion

August 21, 2013 - Data from the Commonwealth Fund Health Insurance Tracking Surveys of Young Adults, conducted in November 2011 and March 2013, suggest that as young adults (ages 19–29) gain awareness of the new coverage options available in January 2014, they will eventually enroll in large numbers.

Issue Brief

Undocumented and Uninsured: Barriers to Affordable Care for Immigrant Populations

August 15, 2013 - While many in the United States will gain health insurance coverage as a result of the Affordable Care Act, undocumented immigrants are one group that will not see much benefit from the law. That's because the approximately 11 million undocumented immigrants residing in the U.S. are excluded from participation in the new insurance marketplaces and state Medicaid expansions.

Fund Report

Implementing the Affordable Care Act: Key Design Decisions for State-Based Exchanges

July 11, 2013 - Consumers and small businesses in states that have chosen to run their own health insurance marketplaces―a central component of the health reform law―will likely have a greater choice of health plans, as well as more information about the quality of those plans, than residents of states with federally run marketplaces, a new Commonwealth Fund report finds.

Fund Report

Reevaluating "Made in America"—Two Cost-Containment Ideas from Abroad

June 14, 2013 - In this Commonwealth Fund–supported Perspective, researchers examined two strategies for containing health care costs: Germany's bundled payments and Japan's volume-driven pricing.

In Brief

Primary Care: Our First Line of Defense

June 12, 2013 - Touching on some of the critical concepts in health care reform, this brief explains why primary care is so important to patients and also to the country's bottom line.

Health Reform and You

Health Reform & You: A New Publication Series

June 7, 2013 - In a new series of publications, The Commonwealth Fund explores these and other changes in U.S. health care. Geared toward the non-expert, the briefs provide readers with easy-to-digest information on what the reforms mean and how they will affect patients, providers, and purchasers.

Issue Brief

Illustrating Potential Efficiency Gains from Using Cost-Effectiveness Evidence to Reallocate Medicare Expenses

May 28, 2013 - Commonwealth Fund–supported researchers illustrate the potential gains in health and efficiency if decision-makers at the Centers for Medicare and Medicaid Services were to take into account cost-effectiveness when making Medicare coverage decisions.

In Brief

Making Sense of the Change in How Medicare Advantage Plans Are Paid

May 7, 2013 - Under the Affordable Care Act, overpayments to Medicare Advantage plans are gradually being pared back. But will private plans be able to cope with the reduced payments? Using newly available government data, this brief examines average costs among Medicare Advantage plans and variation in costs among plan types.

Issue Brief