November 1, 2003 - The Federal Employees Health Benefits Program (FEHBP) provides decent, affordable health coverage for the 8.5 million people it serves, including the president, members of Congress, federal employees, retirees, and their families. The most tangible real-world example of "managed competition," FEHBP is a system of competing private health plans in which the government contributes a relatively fixed amount toward the employee's coverage and employees pay a premium based on the cost of the plan they choose.
January 26, 2009 - David Blumenthal, M.D., the new federal health IT coordinator, describes how the federal government can help providers overcome the financial, technical, and logistical obstacles to adoption of health IT.
Perspectives on Health Reform Brief
April 1, 2011 - On October 20, 2011, the Center for Medicare and Medicaid Services released the final rule for implementing the new Medicare Shared Savings Program. This paper provides a detailed summary of the final rule.
July 26, 2012 - This Commonwealth Fund–supported study reviewed the financial performance of different types of Medicaid managed care plans, finding plans that manage predominantly Medicaid members with multiproduct plans have lower costs.
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.
January 31, 2014 - This Commonwealth Fund-supported study found evidence that, over the first two years of Blue Cross Blue Shield's experiment with a global payment system in Massachusetts, overused medical services were successfully targeted.
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.