All Publications

322 documents

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Relationship of Primary Care Physicians’ Patient Caseload with Measurement of Quality and Cost Performance

December 15, 2009 - This study, supported by The Commonwealth Fund and the National Institute on Aging, shows that the vast majority of primary care physicians work in practices that see too few Medicare patients annually to produce statistically reliable performance assessments and that Medicare's current method of measuring ambulatory care quality may not be effective for most primary care physicians.

In the Literature

Quality-Based Payment for Medical Groups and Individual Physicians

December 11, 2009 - This Commonwealth Fund-supported study in Inquiry shows that medical groups that receive bonuses for attaining certain levels of quality and patient satisfaction are more likely than other groups to offer similar incentives to their physicians.

In the Literature

Representative Pete Stark's "Medicare Early Access Act of 2005"

December 10, 2009 -


Medicare Buy-In for Older Adults: Commonwealth Fund Resources

December 10, 2009 - Commonwealth Fund publications, journal articles, testimony, and survey research on a topic now being discussed in Congress: allowing older adults to buy in to Medicare.


Implementing Electronic Health Record-Based Quality Measures for Developmental Screening

December 1, 2009 - This Fund–supported study published in Pediatrics that evaluated the use of electronic health records (EHRs) in six early-adopting health care organizations found that EHRs can facilitate the screening of young children for developmental delays and can help flag patients with abnormal results.

In the Literature

How Can Medicare Lead Delivery System Reform?

November 13, 2009 - In this Commonwealth Fund issue brief, experts argue that the health care system as a whole would do well to emulate top-performing providers that embrace accountability for health care quality, outcomes, and cost.

Issue Brief

Dedicated Surgical Care Improvement Team Guides Changes at Reid Hospital and Health Care Services

November 10, 2009 - This case study describes the strategies and factors that appear to contribute to high performance on surgical care improvement measures at Reid Hospital. It is based on information obtained from interviews with key hospital personnel and materials provided by the hospital during the spring of 2009.

Case Study

Using Insurance Standards and Policy Levers to Build a High Performance Health System

November 6, 2009 - This Commonwealth Fund issue brief examines an unprecedented use of state health insurance regulatory authority to promote health system reform. In Rhode Island, regulators have used this authority to implement a set of standards to promote increased affordability through a series of requirements aimed at strengthening and expanding the state's primary care infrastructure.

Issue Brief

Don't Take Medicare for Granted: Commentary on the Health Care Opinion Leaders Survey

November 2, 2009 - In a commentary on The Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey, Bruce Vladeck writes that Washington finds itself caught up in the fog of hysteria, misinformation, anxiety and downright dishonesty that so often afflicts Medicare politics.


Health Care Opinion Leaders Views on Medicare Reform

November 2, 2009 - In the latest Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders survey, experts in health care and health policy say they favor strengthening Medicare's ability to help control program costs and support broader health system reform.

Data Brief

Slow Spending, Improve Quality in Medicare: Commentary on the Health Care Opinion Leaders Survey

November 2, 2009 - With so much attention being given to healthcare reform, Gail Wilensky writes in this commentary on The Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey findings, it's essential to remember the importance of reforming Medicare as well.


State Hospital Rate-Setting Revisited

October 27, 2009 - In an attempt to control rapid growth in hospital costs, beginning in the mid-1970s seven states implemented rate-setting programs to regulate hospital payments. Although all but two have since been discontinued, these states' experiences offer lessons for policymakers as they continue searching for ways to control rising health care costs.

Issue Brief

Medicare Spending for Previously Uninsured Adults

October 5, 2009 - A new Commonwealth Fund-supported study from researchers at Harvard Medical School demonstrates that expanding health coverage might not cost as much as policymakers assume. Mainly due to untreated chronic conditions like hypertension and diabetes, individuals who were uninsured before becoming eligible for Medicare at 65 had significantly higher spending than did those with coverage prior to Medicare enrollment.

In the Literature

Mayo Clinic: Multidisciplinary Teamwork, Physician-Led Governance, and Patient-Centered Culture Drive World-Class Health Care

August 13, 2009 - The Mayo Clinic is the world's oldest and largest integrated multispecialty group medical practice, combining clinical practice, education, and research at the regional, national, and international levels for the benefit of individuals with routine as well as complex health care needs.

Case Study

Henry Ford Health System: A Framework for System Integration, Coordination, Collaboration, and Innovation

August 13, 2009 - Henry Ford Health System is a vertically integrated health care system in southeastern Michigan whose leadership is committed to systemic integration, clinical excellence, and customer value through the core competencies of collaboration, care coordination, and innovation and learning.

Case Study