All Publications

485 documents

Sort By: Date Alphabetical

The Promise and Peril of Accountable Care for Vulnerable Populations: A Framework for Overcoming Obstacles

August 6, 2012 - According to this Commonwealth Fund-supported study, strategies that support accountable care organization (ACO) formation in diverse settings, as well as the monitoring, measuring, and rewarding of provider performance, may help to ensure that the nation's most vulnerable patients have access to the higher-quality, lower-cost care that ACOs are designed to achieve.

In the Literature

Strained Local and State Government Finances Among Current Realities That Threaten Public Hospitals' Profitability

August 6, 2012 - This Commonwealth Fund study of 150 safety-net hospitals finds that, to overcome declining government subsidies, safety-net hospitals governed by elected politicians must focus on cost control, quality improvement, and services that attract insured patients.

In the Literature

Financial Performance of Health Plans in Medicaid Managed Care

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.

In Brief

State Health Insurance Exchange Laws: The First Generation

July 25, 2012 - This analysis of state exchange laws offers a glimpse into the choices being made by the 13 states that, together with the District of Columbia, as of May 2012 had begun the process of establishing an exchange, either through legislation or executive order. Also see an interactive map showing the status of state health exchange legislation and key provisions of laws and executive orders.

Issue Brief

Establishing Health Insurance Exchanges: Three States' Progress

July 17, 2012 - This brief outlines differences that stand out in three states' initial approaches: the numbers and types of people initially appointed to the boards governing the exchanges; the role of the board relative to the state legislature; how the exchanges interact with existing insurance markets; and the involvement of stakeholders in each state.

Issue Brief

Association Between Patient-Centered Medical Home Rating and Operating Cost at Federally Funded Health Centers

June 26, 2012 - This Commonwealth Fund-supported study of federally funded health centers calls for evidence-based payment for medical homes.

In the Literature

Geographic Variation in Access to Care—The Relationship with Quality

June 13, 2012 - Analyzing data from The Commonwealth Fund's Scorecard on Local Health System Performance, a New England Journal of Medicine Perspective finds widespread differences across local areas in residents' ability to access care, with implications for receipt of preventive care and outcomes.

In Brief

Facilitating Improvement in Primary Care: The Promise of Practice Coaching

June 11, 2012 - This issue brief clarifies the essential features of practice coaching and offers guidance for health system leaders, public and private insurers, and federal and state policymakers on how best to structure and design these programs in primary care settings.

Issue Brief

Achieving Better Quality of Care for Low-Income Populations: The Roles of Health Insurance and the Medical Home in Reducing Health Inequities

May 16, 2012 - A new analysis of the Commonwealth Fund 2010 Biennial Health Insurance Survey demonstrates that when low-income adults have both health insurance and a medical home, they are less likely to report cost-related access problems, more likely to be up-to-date with preventive screenings, and report greater satisfaction with the quality of their care.

Issue Brief

Recommended Core Measures for Evaluating the Patient-Centered Medical Home: Cost, Utilization, and Clinical Quality

May 16, 2012 - This Commonwealth Fund data brief describes how more than 70 researchers came together as part of the Patient-Centered Medical Home Evaluators’ Collaborative to identify a set of standardized measures to assess patient-centered medical homes.

Data Brief

Integrating Immigrants into the U.S. Health System

May 11, 2012 - The authors of this Commonwealth Fund-supported study argue that physicians must develop competencies to provide culturally sensitive care to a more diverse patient population.

In Brief

Gaps in Health Insurance: Why So Many Americans Experience Breaks in Coverage and How the Affordable Care Act Will Help

April 19, 2012 - One-quarter of adults ages 19 to 64 experienced a gap in their health insurance in 2011, with a majority remaining uninsured for one year or more, according to the The Commonwealth Fund Health Insurance Tracking Survey of U.S. Adults.

Issue Brief

Pay-for-Performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve?

April 9, 2012 - With Commonwealth Fund support, researchers used Hospital Quality Alliance data on more than 4 million patients at 4,500 hospitals to analyze the effects of different pay-for-performance designs on disparities in care between minority and white patients.

In Brief

Rising to the Challenge: Results from a Scorecard on Local Health System Performance, 2012

March 14, 2012 - Health care access, cost, quality, and outcomes can vary greatly from one community to the next—both within states and across states—depending on the performance of the health care system available to residents, according to the first-ever local health system scorecard.

Fund Report

Toward a High Performance Health Care System for Vulnerable Populations: Funding for Safety-Net Hospitals

March 8, 2012 - This new report prepared for The Commonwealth Fund Commission on a High Performance Health System offers a series of recommendations to help shore up safety-net hospitals and ensure they can continue to provide high-quality care to low-income, vulnerable patients once the health reform law is fully implemented.

Fund Report