December 11, 2013 - This Commonnwealth Fund–supported study in Health Affairs looks at proposals to replace the way Medicare pays provider, as well as pilot programs that are experimenting with new ways to organize or pay physicians—like patient-centered medical homes, accountable care organizations, and bundled payment.
October 25, 2013 - To reduce the need for readmissions and improve patients’ health and well-being, many hospitals are participating in quality improvement campaigns focused on this problem. To assess progress, Commonwealth Fund–supported researchers surveyed hospitals taking part in the Hospital to Home initiative.
September 25, 2013 - Under the State Innovation Models Initiative, the federal government is providing funding and technical assistance to states that are testing new health care delivery and payment models that seek to move beyond Medicaid to achieve broader health system reform. This brief reports on states' early experiences and challenges.
September 18, 2013 - Watch this interactive explainer featuring highlights from The Commonwealth Fund 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.
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
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.
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.
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.
May 6, 2013 - Combining Medicare's hospital, physician, and prescription drug coverage with commonly purchased private supplemental coverage into one health plan could produce national savings of $180 billion over a decade while improving care for beneficiaries, a new Health Affairs study finds.
In the Literature
March 18, 2013 - In this Commonwealth Fund–supported article, the authors suggest that "bundled payment" covering all services provided to a patient for treatment of a specific illness or injury would need to be risk-adjusted, so that providers do not have incentives to avoid patients, like those with chronic illness, who can be expected to have higher costs.
March 18, 2013 - The Commonwealth Fund-supported authors of this study recommend using an array of financial and nonfinancial incentives—including performance rankings—to help facilitate a broad "shared-purpose orientation" embraced by all participating clinicians.
March 13, 2013 - Based on interviews with clinical and administrative leaders, this report describes the experiences of seven accountable care organizations (ACOs).
March 1, 2013 - Colorado, Minnesota, and Vermont are working to align incentives between health care payers and providers to improve care delivery and outcomes while controlling costs. This synthesis describes the common drivers of reform across the states and lessons learned.
March 1, 2013 - Colorado is one of a handful of states piloting innovative health care payment and delivery reforms through Medicaid. Under the Accountable Care Collaborative Program, which began enrollment in May 2011, the state Medicaid agency contracts with seven regional organizations to create networks of primary care providers and ensure care coordination for Medicaid enrollees.