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In States' Hands: How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans

September 5, 2013 - If the states that have so far not chosen to expand Medicaid eligibility don't eventually do so, as many as two of five recently uninsured adults in those states will likely have no new affordable health insurance options next year, according to a new Commonwealth Fund study.

Issue Brief

Undocumented and Uninsured: Barriers to Affordable Care for Immigrant Populations

August 15, 2013 - While many in the United States will gain health insurance coverage as a result of the Affordable Care Act, undocumented immigrants are one group that will not see much benefit from the law. That's because the approximately 11 million undocumented immigrants residing in the U.S. are excluded from participation in the new insurance marketplaces and state Medicaid expansions.

Fund Report

A History of The Commonwealth Fund's Child Development and Preventive Care Program

August 1, 2013 - The Commonwealth Fund has a nearly century-long role in the improvement of children's health in the United States. This historical monograph examines the foundation's more recent efforts to create an integrated model of well-child care capable of addressing children’s cognitive, emotional, and social development needs.

Fund Report

Implementing the Affordable Care Act: Key Design Decisions for State-Based Exchanges

July 11, 2013 - Consumers and small businesses in states that have chosen to run their own health insurance marketplaces―a central component of the health reform law―will likely have a greater choice of health plans, as well as more information about the quality of those plans, than residents of states with federally run marketplaces, a new Commonwealth Fund report finds.

Fund Report

Improving Access to Specialty Care for Medicaid Patients: Policy Issues and Options

June 6, 2013 - This report examines six Medicaid programs that support innovative ways of delivering specialty care and help ensure specialty referrals for Medicaid patients are appropriate and efficient.

Fund Report

Care Management for Medicaid Enrollees Through Community Health Teams

May 21, 2013 - To provide more effective and efficient care for beneficiaries with complex health needs, Medicaid programs in some states have turned to local community health teams to augment the capacity of physician practices. A new report examines multidisciplinary community health team programs in eight states.

Fund Report

Insuring the Future: Current Trends in Health Coverage and the Effects of Implementing the Affordable Care Act

April 26, 2013 - Eighty-four million people―nearly half of all working-age U.S. adults―went without health insurance for a time last year or were underinsured because of high out-of-pocket costs relative to income, according to a new study based on findings from the Commonwealth Fund's 2012 Biennial Health Insurance Survey.

Fund Report

Forging Community Partnerships to Improve Health Care: The Experience of Four Medicaid Managed Care Organizations

April 18, 2013 - This issue brief explores how four managed care organizations serving vulnerable populations are changing the way care is delivered by investing in a strong community presence.

Issue Brief

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

Medicaid Payment and Delivery Reform in Colorado: ACOs at the Regional Level

March 1, 2013 - Colorado is one of a handful of states piloting innovative health care payment and delivery reforms through Medicaid. Under the Accountable Care Collaborative Program, which began enrollment in May 2011, the state Medicaid agency contracts with seven regional organizations to create networks of primary care providers and ensure care coordination for Medicaid enrollees.

Case Study

Medicaid Is One of Multiple Payers in Vermont’s Health Care Reforms

March 1, 2013 - Vermont Medicaid is a key player as the state pioneers multipayer health care delivery and payment reforms. Under Vermont Blueprint for Health, most Medicaid beneficiaries and state residents will be served in 2013 by medical homes with community health teams, with additional support services for Medicaid enrollees with complex conditions.

Case Study

Health Care Payment and Delivery Reform in Minnesota Medicaid

March 1, 2013 - Minnesota's Medicaid program is a leader in piloting innovative health care payment and delivery reforms. This case study is one of three in a series on innovations being undertaken by states to improve quality and efficiency in their Medicaid programs.

Case Study

The Visiting Nurse Service of New York's Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries

January 23, 2013 - This case study describes how a large nonprofit home health care provider created health plans to serve this population and, in particular, how its customized care management approach has led to reductions in hospitalizations and readmissions.

Case Study

The Cincinnati Children's Hospital Medical Center’s Asthma Improvement Collaborative: Enhancing Quality and Coordination of Care

January 23, 2013 - Building on earlier initiatives, Cincinnati Children’s Hospital Medical Center launched an Asthma Improvement Collaborative in 2008 to enhance the quality and coordination of asthma care for low-income, Medicaid-insured children in Hamilton County, Ohio.

Case Study

Gaining Ground: Care Management Programs to Reduce Hospital Admissions and Readmissions Among Chronically Ill and Vulnerable Patients

January 23, 2013 - Preventable hospital admissions and readmissions are indicators of health system fragmentation associated with suboptimal patient outcomes and avoidable costs of care. This synthesis report looks at three case studies that illustrate the potential of care management programs to address this problem by improving care coordination and transitions among high-risk patients.

Case Study