May 12, 2011 - In invited testimony before the health subcommittee of the U.S. House of Representatives' Ways and Means Committee, the Fund's Stuart Guterman called for new payment models that will pay physicians appropriately while also improving care for beneficiaries and adding value to the Medicare program.
April 26, 2011 - In this Commonwealth Fund–supported study, researchers tested a program that helps nursing home staff identify and manage acute conditions and status changes among nursing home residents. The program resulted in a 17 percent reduction in hospital admissions.
In the Literature
April 14, 2011 - The Commonwealth Fund's Commission on a High Performance Health System has released 10 recommendations to help ensure the success and spread of accountable care organizations, or ACOs. In this commentary, the Fund's Mark Zezza and Stuart Guterman use the recommendations to identify issues for the Centers for Medicare and Medicaid Services to consider in finalizing the federal rule.
Perspectives on Health Reform Brief
April 14, 2011 - Accountable care organizations (ACOs) could achieve better care, better population health, and lower costs, according to this new report from the Commonwealth Fund Commission on a High Performance Health System. Also see an analysis of how the Commission's recommendations for successful ACOs align with the proposed rule for the Medicare Shared Savings Program for ACOs.
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.
March 31, 2011 - This issue brief examines the amount and distribution of payments to MA plans in 2010, statistics that will serve as a baseline for studying the impact of MA payment policies, because 2010 was the final year of payments to MA plans under the pre-health reform policies.
March 31, 2011 - Commonwealth Fund–supported researchers used data from the Medicare Current Beneficiary Survey to look at medication adherence rates and Medicare expenses over three years for beneficiaries who filled prescriptions for RAAS inhibitors and statins.
February 3, 2011 - A Commonwealth Fund-supported study examined the amount of household resources allocated to out-of-pocket health spending in the year before Medicare's Part D drug benefit took effect.
August 10, 2010 - The Medicare Part D prescription drug benefit, implemented in January 2006, sought to reduce out-of-pocket drug costs for seniors and other Medicare beneficiaries. A new study in the Archives of Internal Medicine led by a former Commonwealth Fund Harkness Fellow examined whether the program has been successful in achieving this goal.
August 5, 2010 - This Fund-supported study of Medicare Part D implementation in the Journal of General Internal Medicine found that the majority of low-income, chronically ill seniors who still lacked prescription coverage were unaware of the low-income assistance available for Part D premiums.
June 8, 2010 - The Commonwealth Fund Commission on a High Performance Health System offers payment innovations that the new Center for Medicare and Medicaid Innovation should introduce to reward more-integrated, high-value care.
June 8, 2010 - In this Health Affairs article, Commonwealth Fund experts offer a series of recommendations for the new Center for Medicare and Medicaid Innovation, which was established by the health reform law to develop innovative ways of providing and paying for care that have the potential to reduce costs while preserving or enhancing quality.
In the Literature
March 17, 2010 - This issue brief examines the provisions in the pending legislation and how each one would work to improve benefits, extend the fiscal solvency of the Medicare Hospital Insurance Trust Fund, reduce pressure on the federal budget, and contribute to moving the health care system toward better access to care.
February 25, 2010 - Medicare savings programs are designed to provide financial assistance to Medicare beneficiaries whose income and assets are too high to allow them to qualify for full Medicaid coverage. This article examines policy changes that would expand eligibility by either relaxing resource requirements or increasing the income limit.
In the Literature
December 21, 2009 - This Commonwealth Fund issue brief compares approaches to reducing Medicare Advantage payments and other provisions in the House and Senate bills that aim to improve the value that Medicare obtains for the dollars it spends.