Publications: Fund Report

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Starting on the Path to a High Performance Health System: Analysis of Health System Reform Provisions of House of Representatives and Senate Health Reform Bills

November 20, 2009 - This preview of a forthcoming Commonwealth Fund report offers a summary and chartpack outlining the payment and delivery system reform provisions in the bills, as well as their potential impact on health expenditures. Also available is a chartpack from another upcoming Fund report on coverage and affordability provisions in the two bills.

Fund Report

UPDATED—The Comprehensive Congressional Health Reform Bills of 2009: A Look at Health Insurance, Delivery System, and Financing Provisions

October 23, 2009 - This report prepared by Commonwealth Fund researchers analyzes the similarities, differences, potential impacts, and costs of the three comprehensive health reform bills passed by key U.S. congressional committees. Also see interactive tables for side-by-side comparisons of the system reform and insurance provisions.

Fund Report

Incremental Cost Estimates for the Patient-Centered Medical Home

October 16, 2009 - How much does it cost a physician practice to become a medical home and add new medical home features? A new Commonwealth Fund report finds less than a $1-per-patient difference in costs per month between physician practices with a high level of medical home attributes—such as evening office hours, electronic health record systems, and care management services—and those with lower levels.

Fund Report

Aiming Higher for Health System Performance: A Profile of Seven States That Perform Well on The Commonwealth Fund's 2009 State Scorecard

October 8, 2009 - As a companion to the 2009 State Scorecard, this report profiles seven health systems: six that rank among the top quartile of states—Vermont, Hawaii, Iowa, Minnesota, Massachusetts, and Wisconsin—plus Delaware, which was among the most-improved states from 2007 to 2009.

Fund Report

Aiming Higher: Results from a State Scorecard on Health System Performance, 2009

October 8, 2009 - The cost and quality of health care, as well as access to care and health outcomes, continue to vary widely among states, according to the Commonwealth Fund Commission on a High Performance Health System's second state scorecard report. The states that led in the first state scorecard, released in 2007, generally continued to lead, often setting new benchmarks and widening the gap between leading and lagging states.

Fund Report

Implementation Choices for the Children's Health Insurance Program Reauthorization Act of 2009

September 10, 2009 - A number of experts believe that the Children's Health Insurance Program (CHIP) Reauthorization Act of 2009 has the potential to transform health care for the children it serves. In this Commonwealth Fund report, researchers offer their recommendations for improving CHIP outreach and enrollment, as well as the quality of care enrollees receive. See a table of provisions. Review presentations from a webinar held September 15 to learn more.

Fund Report

Emergency Department Operations in Top-Performing Safety-Net Hospitals

July 31, 2009 - This Commonwealth Fund report profiles five safety-net hospitals that made improvements to curb emergency department crowding, reduce long waits, and lower the number of hours spent on ambulance diversion.

Fund Report

Medicaid and CHIP Strategies for Improving Child Health

July 10, 2009 - Medicaid and Children's Health Insurance Program (CHIP) leaders are assessing and improving the quality of care provided to children and adolescents, but many states are finding the resources available to them are inadequate for the job. This report identifies states' priorities for measuring and improving child and adolescent health outcomes.

Fund Report

Finding Resources for Health Reform and Bending the Health Care Cost Curve

July 2, 2009 - This Fund report examines policy options that could slow growth in health spending, improve health outcomes, and provide additional revenues to finance comprehensive reform.

Fund Report

Fork in the Road: Alternative Paths to a High Performance U.S. Health System

June 24, 2009 - A comprehensive approach to health insurance, provider payment, and care delivery system reforms has the potential to slow health care cost increases while achieving near-universal coverage. Yet, this new Commonwealth Fund analysis finds that the potential savings for families, businesses, and the federal government vary markedly, depending on whether or not a public insurance plan option is included and how such a plan is structured.

Fund Report

Building Medical Homes in State Medicaid and CHIP Programs

June 23, 2009 - Since 2006 more than 30 states have initiated projects to advance medical homes in Medicaid and Children's Health Insurance Programs (CHIP), and several states also are driving state-wide transformation. This National Academy of State Health Policy/Commonwealth Fund report provides state policymakers with examples of promising practices and lessons learned.

Fund Report

Front and Center: Ensuring that Health Reform Puts People First

June 11, 2009 - This report focuses on those who would benefit from such health reforms, including the estimated 116 million working-age adults, or two-thirds of all adults, who report that they are uninsured or underinsured, have medical bill or debt problems, or experience difficulties obtaining needed care.

Fund Report

An International Comparison of Early Childhood Initiatives: From Services to Systems

May 27, 2009 - It can be argued that much of the evidence generated in the United States on the importance of early childhood to future health and attainment has had a greater effect on the national policies of other countries than it has in the U.S., which lacks a national policy agenda for young children.

Fund Report

Making Care Coordination a Critical Component of the Pediatric Health System: A Multidisciplinary Framework

May 21, 2009 - This report proposes a framework for care coordination in a high-performing pediatric health care system. It includes a definition of care coordination; outlines its principal characteristics, competencies, and functions; and sets forth a detailed process for its delivery.

Fund Report

Health Insurance and Health Care Access Before and After SSDI Entry

May 20, 2009 - This report creates profiles of those with Social Security Disability Insurance (SSDI) during the three years before and after SSDI entry to illustrate changes in insurance status, health care access, and utilization.

Fund Report