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Accountable Care Organizations: Commonwealth Fund Resources

October 24, 2011 - The Centers for Medicare and Medicaid Services has released its final regulations for accountable care organizations (ACOs), which are organizations made up of groups of health care providers that provide coordinated care. Check out our ACO Resource Page to read Commonwealth Fund publications and blog posts on ACOs.

Other

Promoting the Integration and Coordination of Safety-Net Health Care Providers Under Health Reform: Key Issues

October 13, 2011 - Safety-net health care providers face particular challenges in coordinating care for their low-income and uninsured patients. This Commonwealth Fund issue brief finds that successful efforts will require flexibility, as well as federal, state, and local financial resources to sustain the safety net and make the investments needed to upgrade capabilities.

Issue Brief

Ensuring Equity: A Post-Reform Framework to Achieve High Performance Health Care for Vulnerable Populations

October 7, 2011 - This Commonwealth Fund Commission on a High Performance Health System report examines the problems facing vulnerable populations and offers three strategies to close the health care divide.

Fund Report

Low-Quality, High-Cost Hospitals, Mainly in South, Care for Sharply Higher Shares of Elderly Black, Hispanic, and Medicaid Patients

October 5, 2011 - Hospitals marked by low quality and high costs have double the proportion of elderly black patients as high-quality, low-cost hospitals, according to a new study in Health Affairs. Similar disparities were found for elderly Hispanic and Medicaid patients.

In the Literature

Transforming Community Health Centers into Patient-Centered Medical Homes: The Role of Payment Reform

September 28, 2011 - This Commonwealth Fund report examines how changes in the way federally qualified health centers are financed could support the transformation of these critical safety-net providers into high performing patient-centered medical homes.

Fund Report

How Health Care Organizations Are Using Data on Patients' Race and Ethnicity to Improve Quality of Care

August 22, 2011 - In this study, former Harkness fellow Ruth Thorlby, M.Sc., and colleagues conclude that a lack of common standards governing the collection, analysis, and use of racial and ethnic data may hamper the ability of health care organizations to design programs that effectively address inequities in patient care.

In the Literature

Rates of Parent-Centered Developmental Screening: Disparities and Links to Services Access

August 18, 2011 - In this study, Commonwealth Fund–supported researchers found that less than 20 percent of U.S. children under age 6 receive a parent-completed developmental screening as recommended in national guidelines. The authors suggest states can successfully raise rates by instituting policies and implementing systematic improvement processes.

In the Literature

Development of a Safety Net Medical Home Scale for Clinics

August 16, 2011 - The authors of this Commonwealth Fund-supported study in the Journal of General Internal Medicine developed a new tool to evaluate patient-centered medical home interventions in safety-net clinics.

In Brief

Health Care Opinion Leaders' Views on Vulnerable Populations in the U.S. Health System

August 8, 2011 - Virtually all leaders in health care and health care policy believe traditional safety-net institutions such as community health centers, public hospitals, and faith-based and mission-driven organizations will still fulfill critical roles in the U.S. health system after implementation of the Affordable Care Act, according to a Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey.

Data Brief

Assessing and Addressing Legal Barriers to the Clinical Integration of Community Health Centers and Other Community Providers

July 15, 2011 - Collaborations that integrate community health centers with hospitals, providers, and/or public health agencies have yielded substantial benefits for patients. This report outlines that laws and policies that govern clinical collaborations and profiles health centers that have worked within the law to develop partnerships.

Fund Report

Testimony: The Independent Payment Advisory Board as a Vehicle for Savings Through System Improvement

July 13, 2011 - In invited testimony before the House Committee on Energy and Commerce Subcommittee on Health, the Fund's Stuart Guterman discussed how the Independent Payment Advisory Board, created under the Affordable Care Act, can help focus attention on controlling health care spending throughout the health system.

Testimony

An Early Look at a Four-State Initiative to Reduce Avoidable Hospital Readmissions

July 7, 2011 - The authors of this Commonwealth Fund–supported article on the results of the statewide mobilization strategy at the mid-point of the four year initiative to reduce 30-day rehospitalization rates statewide in Massachusetts, Michigan, Ohio, and Washington.

In the Literature

What Other States Can Learn from Vermont's Bold Experiment: Embracing a Single-Payer Health Care Financing System

July 7, 2011 - According to this Commonwealth Fund–supported study Vermont's newly passed single-payer health care law will produce annual savings of 25.3 percent compared with current spending, cut employer and household spending by $200 million, create 3,800 jobs, and boost the state's overall economic output by $100 million.

In the Literature

Reducing Racial/Ethnic Disparities in Female Breast Cancer: Screening Rates and Stage at Diagnosis

June 28, 2011 - The authors of this article set out to explore whether increases in mammography screening rates are associated with improvements in the cancer stage at diagnosis, and whether this association varied by women's race/ethnicity.

In Brief

Analysis Raises Questions on Whether Pay-for-Performance in Medicaid Can Efficiently Reduce Racial and Ethnic Disparities

June 20, 2011 - In 2006, Massachusetts established a pay-for-performance program to reduce racial and ethnic disparities in hospital care for Medicaid patients. Using data from the first year of the program, the authors of this
article found little evidence of disparities in care. This finding and others raise questions about the utility of addressing disparities in hospital care through pay-for-performance.

In the Literature