Publications: Vulnerable Populations

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The Role of Medicaid Managed Care in Health Delivery System Innovation

April 10, 2014 - This report examines health care providers' perspectives on the role of managed care in improving health services for low-income adults in four communities: Milwaukee, Wisconsin; Oakland, California; Seattle, Washington; and Washington, D.C.

Fund Report

Clinical Management Apps: Creating Partnerships Between Providers and Patients

November 6, 2013 - Health applications, or apps, on mobile devices may serve as a catalyst to stimulate the transformation of health care generally and target low-income populations to expand access to care and help reduce health disparities.

Issue Brief

The Affordable Care Act's New Tools and Resources to Improve Health and Care for Low-Income Families Across the Country

October 9, 2013 - This issue brief reviews Affordable Care Act provisions that have the potential to benefit low- and modest-income individuals, including those that expand health insurance coverage; strengthen primary care and improve care coordination; bolster the capacity of providers serving low-income communities; and more.

Issue Brief

A Tale of Two States: The Health Care Income Divide Visualized

September 18, 2013 - Watch this interactive explainer featuring highlights from The Commonwealth Fund Scorecard on State Health System Performance for Low-Income Populations, 2013.


Health Care in the Two Americas: Findings from the Scorecard on State Health System Performance for Low-Income Populations, 2013

September 18, 2013 - The Commonwealth Fund's Scorecard on State Health System Performance for Low-Income Populations, 2013, identifies opportunities for states to improve their health systems for economically disadvantaged populations and provides state benchmarks of achievement.

Fund Report

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

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

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

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