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  • Special Initiative: Controlling Health Care Costs - The Commonwealth Fund
    second highest proportion of health expenditures the Netherlands and nearly double what many other high income countries spend on health Despite having the highest levels spending Americans health outcomes are often worse in comparison with outcomes in other advanced nations Moreover there is ample evidence of waste and inefficiency throughout the U S health system Evidence also shows that U S prices are out of line with what others pay for the same medical services devices and pharmaceuticals even those produced in the U S and sold on global markets This level of spending is putting a strain on businesses governments and household budgets It can lead to unfunded liabilities and debt while at the same time diverting resources away from investments in jobs education and other social and economic needs The Commonwealth Fund s Controlling Health Costs initiative monitors and analyzes spending in both the public and private health care sectors It seeks answers to two central questions What is driving higher or lower costs and spending in health care markets across the country What policy reforms innovations in care delivery and changes in provider payment have the potential to reduce costs while improving outcomes Patients with high needs and high costs such as those with multiple chronic conditions or serious mental health problems are a particular focus of the initiative Other research examines the cost impact of new medical technologies and changing demographics as well as the roles played by prices market structure treatment patterns and resource use Program contact Shawn Bishop Vice President expert spotlight Shawn Bishop Vice President Controlling Health Care Costs and Advancing Medicare The Commonwealth Fund e Alerts and Newsletter Sign up Grants Fellowships Programs Health Care Coverage and Access Health Care Delivery System Reform International Health Policy Breakthrough Health Care Opportunities Special Initiative

    Original URL path: http://authoring.commonwealthfund.org/grants-and-fellowships/programs/controlling-health-care-costs (2016-04-30)
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    Original URL path: http://authoring.commonwealthfund.org/account/log-in?view=modal&returnUrl=/grants-and-fellowships/applicant-resources (2016-04-30)
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    Original URL path: http://authoring.commonwealthfund.org/account/log-in?view=modal&returnUrl=/grants-and-fellowships/grantee-resources (2016-04-30)
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  • Issue Briefs - The Commonwealth Fund
    Multimedia Grants Fellowships Grants Fellowships Programs Applicant Resources Grantee Resources Publications Issue Briefs Issue Briefs Refine Sort by DATE RELEVANCE e Alerts and Newsletter Sign up Refine Your Search Close filters Mission The mission of The Commonwealth Fund is to promote a high performing health care system that achieves better access improved quality and greater efficiency particularly for society s most vulnerable including low income people the uninsured minority Americans

    Original URL path: http://authoring.commonwealthfund.org/publications/issue-briefs (2016-04-30)
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  • The Rise in Health Care Coverage and Affordability Since Health Reform Took Effect - The Commonwealth Fund
    The Commonwealth Fund January 2015 Add to My Library Print Toplines More Americans could get needed health care afford their medical bills in 1st year of ACA enrollment The number of Americans skipping needed health care because of its cost is falling Overview New results from the Commonwealth Fund Biennial Health Insurance Survey 2014 indicate that the Affordable Care Act s subsidized insurance options and consumer protections reduced the number of uninsured working age adults from an estimated 37 million people or 20 percent of the population in 2010 to 29 million or 16 percent by the second half of 2014 Conducted from July to December 2014 for the first time since it began in 2001 the survey finds declines in the number of people who report cost related access problems and medical related financial difficulties The number of adults who did not get needed health care because of cost declined from 80 million people or 43 percent in 2012 to 66 million or 36 percent in 2014 The number of adults who reported problems paying their medical bills declined from an estimated 75 million people in 2012 to 64 million people in 2014 Read the brief e Alerts and Newsletter Sign up Downloads Issue Brief Chartpack pdf Chartpack ppt Publication Details Publication Date January 15 2015 Authors Sara R Collins Petra W Rasmussen Michelle M Doty Sophie Beutel Contact Sara R Collins Vice President Health Care Coverage and Access The Commonwealth Fund E mail src cmwf org Citation S R Collins P W Rasmussen M M Doty and S Beutel The Rise in Health Care Coverage and Affordability Since Health Reform Took Effect The Commonwealth Fund January 2015 Related Publications January 15 2015 2014 Biennial Health Insurance Survey January 15 2015 New Survey More Americans Could Get Needed Health

    Original URL path: http://authoring.commonwealthfund.org/publications/issue-briefs/2015/jan/biennial-health-insurance-survey (2016-04-30)
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  • Both the 'Private Option' and Traditional Medicaid Expansions Improved Access to Care for Low-Income Adults - The Commonwealth Fund
    through the federal and state marketplaces This Commonwealth Fund supported article in Health Affairs examines the experiences of low income adults during the first year of the ACA Medicaid expansion in three states that adopted different strategies Kentucky which expanded traditional Medicaid coverage Arkansas which used the private option and Texas which did not expand Medicaid Key Findings The uninsured rate in Kentucky and Arkansas dropped 14 percentage points more than in Texas between 2013 and 2014 In 2013 the uninsured rate was about 40 percent in all three states But by 2014 it had dropped to 19 percent in Arkansas and 12 percent in Kentucky while falling to 27 percent in Texas Even in nonexpansion states like Texas the streamlined Medicaid application process and the publicity surrounding the ACA helped increase coverage among uninsured populations the authors point out Moreover in all states low income people living between 100 percent and 138 percent of the federal poverty level are eligible for subsidies when buying coverage in the marketplaces In Kentucky and Arkansas the share of adults who said they were struggling to pay medical bills fell by nearly 9 percentage points more than in Texas The share of those reporting not filling a prescription because of the cost fell nearly 10 percentage points more in the expansion states Low income adults in Kentucky experienced an even larger decline in medical bill problems compared with those in Arkansas suggesting that Medicaid provides greater financial protection than private coverage even with cost sharing subsidies The percentage of people visiting emergency departments EDs because they could not get a timely appointment in a physician s office increased nearly 5 percentage points more in Kentucky and Arkansas compared with Texas However the share of adults in those two states reporting that the ED was their usual source of care dropped by 5 percentage points Among adults with chronic illnesses like high blood pressure or diabetes the share who reported receiving regular care for those conditions increased nearly 12 percentage points more in the expansion states than in Texas The Big Picture Findings suggest that deciding whether or not to expand Medicaid matters much more than deciding how to expand While there has been debate regarding the merits of the two Medicaid expansion approaches this study found no significant differences other than trouble paying medical bills between Kentucky s traditional approach and Arkansas s private option O ur findings suggest that deciding whether or not to expand matters much more than deciding how to expand the authors write Both models appear to be promising strategies to improving access to care among low income adults The authors note that additional research will be critical for evaluating the ACA s long term impact on this population About the Study Researchers surveyed low income adults in Kentucky Arkansas and Texas from November to December 2013 and again one year later The survey asked people about health insurance access to care e g having a personal doctor experiencing

    Original URL path: http://authoring.commonwealthfund.org/publications/in-the-literature/2016/jan/medicaid-expansions-improved-access-low-income (2016-04-30)
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  • Benjamin D. Sommers - The Commonwealth Fund
    populations the uninsured and the health care safety net Dr Sommers has received numerous awards for his research including the Outstanding Dissertation Award Alice Hersh New Investigator Award and Article of the Year Award from AcademyHealth He is a practicing primary care internist and is also assistant professor of medicine at Brigham Women s Hospital and Harvard Medical School From 2011 2012 Dr Sommers served as a senior advisor in the Office of the Assistant Secretary for Planning and Evaluation U S Department of Health and Human Services and has continued to serve part time in an advisory role in 2013 2016 His current research projects focus on barriers to health care access among low income adults Medicaid policy and national health reform Fund Publications by Benjamin D Sommers 2016 Medicaid Expansion in Texas What s at Stake April 7 2016 Better Outreach Critical to ACA Enrollment Particularly for Latinos January 14 2016 Both the Private Option and Traditional Medicaid Expansions Improved Access to Care for Low Income Adults January 5 2016 2014 Low Income Residents in Three States View Medicaid as Equal to or Better Than Private Coverage Support Expansion October 8 2014 Low Income Americans and Health Reform

    Original URL path: http://authoring.commonwealthfund.org/about-us/experts/sommers-benjamin (2016-04-30)
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  • Deborah Lorber - The Commonwealth Fund
    Applicant Resources Grantee Resources About Us Staff Contact Information Deborah Lorber Deborah Lorber Director Editorial Services The Commonwealth Fund dl cmwf org 212 606 3845 Add to My Library Print Deborah Lorber is the director of editorial services for The Commonwealth Fund She joined the Communications department in June 2004 Ms Lorber has a strong background in journalism working in writing and editing positions at financial and legal publications including Smart Money and The New York Law Journal In addition she has worked extensively in online publishing helping to improve website communication and marketing for clients at consulting firm Sapient Corp and producing Internet market research at Jupiter Research Ms Lorber holds a B A in English and American Literature from Brandeis University and an M A in Journalism from New York University e Alerts and Newsletter Sign up Mission Statement Board of Directors Staff Contact Information Annual Reports Financial Reports Governance and Policies Privacy and Editorial Policies Foundation History Foundation Management and Performance Newsroom Events Job Opportunities Mission The mission of The Commonwealth Fund is to promote a high performing health care system that achieves better access improved quality and greater efficiency particularly for society s most vulnerable including

    Original URL path: http://authoring.commonwealthfund.org/about-us/staff-contact-information/communications/publications/lorber-deborah (2016-04-30)
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