All Publications

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How Report Cards on Physicians, Physician Groups, and Hospitals Can Have Greater Impact on Consumer Choices

March 5, 2012 - In this Commonwealth Fund-supported study, researchers synthesize the views of experts and stakeholders on what needs to be done to make physician report cards more useful and the challenges that must be overcome to improve them.

In the Literature

The Relationship Between Geographic Variations and Overuse of Health Care Services: A Systematic Review

February 21, 2012 - In this Commonwealth Fund–supported study, researchers conducted a review of the professional literature to examine the relationship between geographic variations and overuse of health care services.

In Brief

Employers and the Exchanges Under the Small Business Health Options Program: Examining the Potential and the Pitfalls

February 8, 2012 - A set of Commonwealth Fund–supported Health Affairs articles examines the potential of the Affordable Care Act's Small Business Health Care Options Program to provide affordable options for small employers who now face high premiums and administrative costs when they insure their employees.

In the Literature

Regulating Stop–Loss Coverage May Be Needed to Deter Self-Insuring Small Employers from Undermining Market Reforms

February 8, 2012 - This Commonwealth Fund–supported study by Mark A. Hall looks at states’ legal options for regulating employer stop–loss coverage.

In Brief

Large Employers See Scenarios Under Which They Could Move Workers and Retirees to Exchanges

February 8, 2012 - The health insurance exchanges created by the Affordable Care Act are targeted primarily at individuals and small employers. But they are causing many large employers to rethink their health benefits strategies, according to this Commonwealth Fund–supported analysis.

In Brief

Small Firms' Actions in Two Areas, and Exchange Premium and Enrollment Impact

February 8, 2012 - In this Commonwealth Fund–supported study, researchers at the RAND Corporation simulated the effects of the new regulations, given these potential exceptions.

In Brief

How Choices in Exchange Design for States Could Affect Insurance Premiums and Levels of Coverage

February 8, 2012 - With support from The Commonwealth Fund, researchers from the Urban Institute simulated the implications of the various state health insurance exchange design choices.

In Brief

How Small Business Health Exchanges Can Offer Value to Their Future Customers—And Why They Must

February 8, 2012 - In this Commonwealth Fund–supported article, Jon Kingsdale argues that the reason many small firms do not currently offer health insurance to employees is not lack of availability—as there is a thriving commercial market for small-group coverage—but because of cost.

In Brief

Health Insurance Exchanges of Past and Present Offer Examples of Features That Could Attract Small-Business Customers

February 8, 2012 - This Commonwealth Fund–supported article in Health Affairs recommends ways the exchanges can reach out to small-business owners to meet their needs.

In Brief

The Income Divide in Health Care: How the Affordable Care Act Will Help Restore Fairness to the U.S. Health System

February 7, 2012 - Adults in low- and moderate-income families are more likely to be uninsured, to lack a regular source of health care, and to struggle to get the health care they need compared to those in higher-income families, according to this new Commonwealth Fund survey.

Issue Brief

Wellness Incentives, Equity, and the Five Groups Problem

January 20, 2012 - This Commonwealth Fund–supported study explores the equity concerns associated with wellness incentives, an increasingly popular way for employers to encourage participation in prevention programs, which can both improve workers' overall health and reduce costs.

In Brief

Monarch HealthCare: Leveraging Experience in Population Health Management to Attain Accountable Care

January 13, 2012 - Monarch HealthCare, a physician-led independent practice association in Orange County, Calif., is one of the provider groups participating in the Brookings–Dartmouth ACO Pilot Program to form accountable care organizations, which assume responsibility for improving patient care and lowering total costs and, in turn, share in the savings achieved.

Case Study

Norton Healthcare: A Strong Payer-Provider Partnership for the Journey to Accountable Care

January 13, 2012 - This case study explores the characteristics of Norton and its partners, including the insurer Humana, that have contributed to the development of the ACO, including: a strong payer–provider relationship bolstered by a joint ACO implementation committee, a focus on performance measurement and reporting, an expanding heath information technology infrastructure, and an integrated system that facilitates communication and collaboration across the continuum of care.

Case Study

HealthCare Partners: Building on a Foundation of Global Risk Management to Achieve Accountable Care

January 13, 2012 - This case study explores: the characteristics of HealthCare Partners and its partner organizations, including the insurer Anthem, that are contributing to the development of the ACO; the rationale behind the decision to develop an ACO; the steps taken to implement the model; milestones achieved; and lessons learned.

Case Study

Tucson Medical Center: A Community Hospital Aligning Stakeholders for Accountable Care

January 13, 2012 - This case study explores the characteristics of Tucson Medical Center and its partners, including affiliated physician groups and the insurer United Healthcare, that have contributed to the development of their ACO, including: the medical center’s strong local governance, its institutional commitment to the ACO initiative, and its historical role as a community-based hospital.

Case Study