March 1, 2013 - Vermont Medicaid is a key player as the state pioneers multipayer health care delivery and payment reforms. Under Vermont Blueprint for Health, most Medicaid beneficiaries and state residents will be served in 2013 by medical homes with community health teams, with additional support services for Medicaid enrollees with complex conditions.
March 1, 2013 - Minnesota's Medicaid program is a leader in piloting innovative health care payment and delivery reforms. This case study is one of three in a series on innovations being undertaken by states to improve quality and efficiency in their Medicaid programs.
February 27, 2013 - In invited testimony before the United States Senate Special Committee on Aging, Commonwealth Fund president David Blumenthal made the case for comprehensive payment and delivery system changes that produce lower costs and better value not just in Medicare, but across the entire U.S. health system.
February 27, 2013 - In this Commonwealth Fund–supported article, researchers examine the challenges to developing lists of “low-value” services and ensuring that insurers and provider organizations put them to optimal use.
February 8, 2013 - In this Commonwealth Fund–supported study, researchers evaluated the effects of a Florida incentive program intended to improve care at nursing homes most at risk for providing poor-quality care.
January 23, 2013 - This case study describes how a large nonprofit home health care provider created health plans to serve this population and, in particular, how its customized care management approach has led to reductions in hospitalizations and readmissions.
January 8, 2013 - In this Commonwealth Fund–supported study, researchers set out to determine whether there was any relationship between geographic variation in Medicare Part D spending and medication-taking behavior among beneficiaries with diabetes or heart failure.
December 14, 2012 - This report on 59 hospital-based organizations that were members of a collaborative created to support the transition to accountable care finds that that organizations are pursuing different paths toward accountable care.
November 30, 2012 - A Commonwealth Fund–supported survey of 21 large, multispecialty medical groups—often viewed by policymakers as the prototypes for accountable care organizations—assessed the extent to which large medical groups are prepared to participate in these kinds of contracts.
October 16, 2012 - The Affordable Care Act enacts a new payment system for private health plans available to Medicare beneficiaries through the Medicare Advantage program. The system aims to reduce the excess payments received by private plans, and reward plans that earn high performance ratings. This brief estimates savings the new policies will bring to Medicare.
October 2, 2012 - With President Obama and Governor Romney offering fundamentally different visions for the nation's health system, the presidential election provides a stark choice for U.S. voters. This analysis contrasts the potential impact of implementing the Affordable Care Act in full with Romney’s proposals to repeal the law, eliminate many of the new requirements for insurance markets, and make changes in Medicaid and Medicare.
October 2, 2012 - In invited testimony before the House of Representatives Democratic Steering and Policy Committee, Commonwealth Fund president Karen Davis discussed two approaches to sustaining Medicare, the vital public insurance program for seniors and disabled Americans.
September 12, 2012 - This Commonwealth Fund–supported study estimated the savings achieved by the Physician Group Practice Demonstration for all beneficiaries and specifically for dual-eligible beneficiaries—a population that has been difficult to manage because of high rates of illness burden, low socioeconomic status, and lack of social supports.
In the Literature
August 20, 2012 - This report presents six case studies of pilot shared-savings programs across the country. The cases reveal program variation in the patient populations subject to shared-savings approaches, the health care services covered, the determination of cost savings and payouts to providers, the use of performance targets, and performance measurement.
August 20, 2012 - As part of this Commonwealth Fund–supported study, researchers developed a bundled payment approach, called the Primary Care Activity Level model, to cover the cost of all services that primary care practitioners provide. The intent is not only to promote more efficient care but to better support the use of primary care services.