All Publications

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Leadership and Governance in Seven Developed Health Systems

March 20, 2012 - Researchers compared the leadership and governance arrangements in seven nations with advanced health systems: Australia, England, Germany, the Netherlands, Norway, Sweden, and Switzerland.

In Brief

Rising to the Challenge: Results from a Scorecard on Local Health System Performance, 2012

March 14, 2012 - Health care access, cost, quality, and outcomes can vary greatly from one community to the next—both within states and across states—depending on the performance of the health care system available to residents, according to the first-ever local health system scorecard.

Fund Report

Toward a High Performance Health Care System for Vulnerable Populations: Funding for Safety-Net Hospitals

March 8, 2012 - This new report prepared for The Commonwealth Fund Commission on a High Performance Health System offers a series of recommendations to help shore up safety-net hospitals and ensure they can continue to provide high-quality care to low-income, vulnerable patients once the health reform law is fully implemented.

Fund Report

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