July 2, 2009 - This Fund report examines policy options that could slow growth in health spending, improve health outcomes, and provide additional revenues to finance comprehensive reform.
August 23, 2011 - This Commonwealth Fund-supported study sought to identify the strategies used by top-performing hospitals that have successfully engaged doctors in quality and safety programs.
November 1, 1998 - This issue brief discusses the two ways in which the National Bipartisan Commission on the Future of Medicare is examining the Medicare program and making recommendations to keep it fiscally healthy into the 21st century: through the development of incremental reforms and the analysis of major restructuring.
July 22, 2010 - Genesee Health Plan is a community-based nonprofit that provides primary care and other basic health care services to low-income, uninsured adults in Michigan. This case study looks at how, by increasing access to physician services and supporting patients to adopt healthy behaviors and manage chronic disease, the plan significantly reduced its enrollees' use of emergency department services and hospital admissions.
July 22, 2010 - Genesys HealthWorks is a model of care developed by Genesys Health System in metropolitan Flint, Michigan. This case study looks at how Genesys aims to improve population health and the patient experience of care while reducing or controlling increases in the per capita cost of care.
September 1, 2002 - This field report compares the 2002 benefit packages of Medicare+Choice plans to assess the degree of regional disparities among benefit packages. The authors find wide variations in out-of-pocket costs for Medicare+Choice enrollees depending on where beneficiaries live.
February 1, 2010 - Successful health reform hinges not only on improving coverage and access to care, but also on delivery system and payment reform, argue The Commonwealth Fund’s Stuart Guterman and Stephen C. Schoenbaum, M.D., in the Journal of Ambulatory Care Management.
April 9, 2010 - With a focus on delivering low-cost, high-quality care, several organizations using the group employed model—with physician groups whose primary and specialty care physicians are salaried or under contract—have been recognized for creating a culture of patient-centeredness and accountability.
March 25, 2010 - The percentage of Americans facing high out-of-pocket health care expenses and insurance premiums continues to increase. In all income brackets, people with private insurance experienced an increase in their health care–related financial burden between 2004 and 2006, with the greatest increase occurring among middle- and higher-income individuals.
In the Literature
January 1, 2001 - Medicare beneficiaries will have to pay substantially more out of their own pockets for health care in the future, according to this new report. The authors find that those with low incomes and health problems will be at even greater risk than average beneficiaries for costs such as Medicare premiums, medical services, and prescription drugs.
May 1, 1999 - Using projections from the 1998 Medicare and Social Security Trustees' reports to examine how growth in health care spending will affect beneficiaries and taxpayers, the author explains that no easy choices exist that would both limit costs to taxpayers while protecting Medicare beneficiaries from the burdens of health care costs.
March 29, 2010 - Through the use of publicly available quality data, interviews with leaders of 45 multi-hospital health systems, and analysis, this report identifies three major themes, four major best practice categories, and 17 specific best practices that are associated with high performance.
March 1, 2000 - President's Message from 1999 Annual Report
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.
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.