All Publications

306 documents

Sort By: Date Alphabetical

The 2002 Medicare+Choice Plan Lock-In: Should It Be Delayed?

December 1, 2001 - This issue brief points to large-scale health plan withdrawals and provider turnover in the Medicare+Choice market among reasons to delay or repeal the Medicare+Choice policy to lock beneficiaries into their plans for a specified period.

Issue Brief

Accountable Care Organizations: Commonwealth Fund Resources

October 24, 2011 - The Centers for Medicare and Medicaid Services has released its final regulations for accountable care organizations (ACOs), which are organizations made up of groups of health care providers that provide coordinated care. Check out our ACO Resource Page to read Commonwealth Fund publications and blog posts on ACOs.

Other

Accountable Care Strategies: Lessons from the Premier Health Care Alliance's Accountable Care Collaborative

August 9, 2012 - This report shares the perspectives of hospitals and health systems taking part in the Premier health care alliance's accountable care implementation collaborative. Lessons relate to the need for ACOs to have certain core structural components; the viability of different organizational models; and more.

Fund Report

Achieving Payment Reform in Medicare

November 3, 2008 - In a new commentary on The Commonwealth Fund/Modern Healthcare Opinion Leaders Survey, Glenn Hackbarth outlines steps for implementing payment reform in Medicare.

Commentary

Achieving the Vision: Payment Reform

August 5, 2010 - In a chapter for Partners in Health: How Physicians and Hospitals Can Be Accountable Together, Stuart Guterman, The Commonwealth Fund's vice president for payment and system reform, and Anthony Shih, chief quality officer for the health care consultancy IPRO, outline their vision for health care payment reform.

Literature Abstract

Adverse Selection in Private, Stand-Alone Drug Plans and Techniques to Reduce It

October 1, 2003 - No insurance companies now offer stand-alone prescription drug coverage. Why is this? One major factor may be that the cost of offering and administering a drug-only product is quite expensive.

Issue Brief

After the Bipartisan Commission: What Next for Medicare?

October 1, 1999 - Summary of Panel Discussion, New York University, Robert F. Wagner Graduate School of Public Service.

Fund Report

Aligning Incentives in Medicaid: How Colorado, Minnesota, and Vermont Are Reforming Care Delivery and Payment to Improve Health and Lower Costs

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.

Case Study

Are Electronic Medical Records Helpful for Care Coordination? Experiences of Physician Practices

December 29, 2009 - A study of small- and medium-sized physician practices found that electronic medical record systems can help coordinate patient care within practice offices. However, because of interoperability issues, they are less able to support coordination between clinicians and across settings. Other challenges, like information overflow and reimbursement, also impede physicians' ability to use EMRs to improve patient care and coordination.

In the Literature

Are the 2004 Payment Increases Helping to Stem Medicare Advantage's Benefit Erosion?

December 10, 2004 - The MMA provided Medicare Advantage plans with significant increases in monthly payment rates, beginning March 2004. About one-half of the payment increases were used by plans to reduce enrollee premiums and cost-sharing and enhance benefits; providers received most of the rest.

Fund Report

Assessing Medicare Prescription Drug Plans in Four States: Balancing Cost and Access

August 24, 2006 - In each state, seniors face a dizzying array of Medicare Part D prescription drug plans—each with different benefit designs and formulary structures that are used to control costs, but may also affect enrollees' ability to access medications. This issue brief examines plans in the four most populous Medicare states—California, Florida, New York, and Texas.

Issue Brief

An Assessment of the President's Proposal to Modernize and Strengthen Medicare

June 1, 2000 - This paper discusses four elements of the President's proposal for Medicare reforms: improving the benefit package, enhancing the management tools available for the traditional Medicare program, redirecting competition in the private plan options, and adding further resources to ensure the program's security in the coming years.

Fund Report

Associations Between Physician Characteristics and Quality of Care

September 13, 2010 - A Commonwealth Fund-supported study found many of the criteria available to patients when selecting a physician—including years of experience, paid malpractice claims, and medical school rankings—are not associated with higher quality care.

In the Literature

Attributing Sources of Variation in Patients’ Experiences of Ambulatory Care

January 8, 2010 - This study, which seeks to explain the variation in how patients rate their experiences with primary care providers, concludes that individual physicians themselves account for the largest share of this variation, particularly in terms of the quality of their communication with patients and their support for health promotion.

In the Literature

Average Out-of-Pocket Health Care Costs for Medicare+Choice Enrollees Increase Substantially in 2002

November 1, 2002 - Medicare+Choice plans cut back on benefits such as prescription drug coverage in 2002 while enrollees faced a 40 percent rise in monthly premiums and substantial cost-sharing increases for their health care.

Issue Brief