All Publications

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Barriers to Evaluation for Early Intervention Services: Parent and Early Intervention Employee Perspectives

January 7, 2013 - Commonwealth Fund–funded researchers designed this study to find out why so many children referred to early intervention services are not evaluated and to determine how to make the referral process more successful.

In Brief

Using Shared Savings to Foster Coordinated Care for Dual Eligibles

January 3, 2013 - To help promote enrollment by dually eligible people into state-designed coordinated care entities, the author of this Commonwealth Fund–supported article recommends that patients also participate in the shared-savings arrangement.

In Brief

Higher Readmissions at Safety-Net Hospitals and Potential Policy Solutions

December 10, 2012 - This new Commonwealth Fund analysis uses publicly reported 30-day hospital readmission rate data to examine whether safety-net hospitals are more likely to have higher readmission rates, compared with other hospitals.

Issue Brief

Electronic Health Records and Ambulatory Quality of Care

November 30, 2012 - Commonwealth Fund–supported researchers compared the quality of care provided by primary care physicians who used electronic medical records with those who relied instead on paper records.

In Brief

High-Performance Health Care for Vulnerable Populations: A Policy Framework for Promoting Accountable Care in Medicaid

November 16, 2012 - This report explores how state Medicaid agencies might align with and build on the Medicare Shared Savings Program, which rewards groups of providers that meet cost and quality benchmarks by working together to coordinate patients' care in accountable care organizations.

Fund Report

The Influence of Hospice Use on Nursing Home and Hospital Use in Assisted Living Among Dual-Eligible Enrollees

November 13, 2012 - In this study, Commonwealth Fund–supported researchers examined over 12 months the outcomes of assisted living residents who are dually eligible for Medicare and Medicaid, seeking to determine the association of hospice use with nursing home and hospital admission.

In Brief

About Half of the States Are Implementing Patient-Centered Medical Homes for Their Medicaid Populations

November 5, 2012 - Half of state Medicaid programs are taking new approaches to provider payment—focusing on chronically ill populations, using shared teams, aligning payments with national quality standards, and implementing shared-savings programs—to help primary care practices become patient-centered medical homes for their low-income patients.

In the Literature

Jobs Without Benefits: The Health Insurance Crisis Faced by Small Businesses and Their Workers

November 1, 2012 - A new Commonwealth Fund study highlights a nearly decade-long trend of declining health insurance coverage and rising costs for workers in small businesses, particularly employees making less than $15 an hour.

Issue Brief

Child-Only Coverage and the Affordable Care Act: Lessons for Policymakers

October 9, 2012 - The Affordable Care Act prohibited insurers from denying or limiting coverage for children in 2010. In response, some insurers ceased to offer coverage to children in need of individual health insurance, known as a "child-only" policy. This issue brief examines new state legislative and regulatory action to promote the availability of child-only policies.

Issue Brief

Health Care in the 2012 Presidential Election: How the Obama and Romney Plans Stack Up

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.

Fund Report

Implementing Insurance Exchanges—Lessons from Europe

August 23, 2012 - Citing the experiences of the Netherlands and Switzerland—where exchanges have been part of the health care landscape for some time—the authors of this study argue that additional measures will be needed to control costs and improve quality.

In Brief

Tackling Rising Health Care Costs in Massachusetts

August 15, 2012 - Massachusetts legislative leaders project the state's 2012 health care cost containment law will save up to $200 billion in health care spending over the next 15 years. The new law will serve as a test case and be closely watched by other states and the federal government.

In the Literature

Including Safety-Net Providers in Integrated Delivery Systems: Issues and Options for Policymakers

August 14, 2012 - This issue brief explores key design considerations for including safety-net providers in integrated delivery systems, which provide or arrange a coordinated continuum of health care services to a defined population, and hold themselves accountable for the outcomes and health status of their patients.

Issue Brief

Addressing Women's Health Needs and Improving Birth Outcomes: Results from a Peer-to-Peer State Medicaid Learning Project

August 8, 2012 - This brief examines seven Medicaid agencies that have worked to develop the programs, policies, and infrastructures needed to identify and reduce women's health risks either prior to or between pregnancies in an effort to lower high rates of maternal mortality, infant mortality, and preterm births.

Issue Brief

The Post-Katrina Conversion of Clinics in New Orleans to Medical Homes Shows Change Is Possible, But Hard to Sustain

August 6, 2012 - Given the right incentives, safety-net primary care clinics can make the transition to become patient-centered medical homes. The results of the New Orleans program, however, underscore that primary care transformation is a long process, and one difficult to achieve and sustain.

In the Literature