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  • Susan L. Hayes - The Commonwealth Fund
    Memorial Award for academic achievement and public service Ms Hayes graduated from Dartmouth College with an A B in English in and began a distinguished career in journalism working as an editorial assistant at PC Magazine and a senior editor at National Geographic Kids and later at Woman s Day magazine Following that period Ms Hayes was a freelance health writer and a contributing editor to Parent Child magazine and cowrote a book on raising bilingual children with a pediatrician at Tufts Medical Center While at NYU Wagner Ms Hayes interned for the NYC Office of Citywide Health Insurance Access in 2010 and Memorial Sloan Kettering Cancer Center s Immigrant Health and Cancer Disparities Service and was a project associate for the Centers for Medicare and Medicaid Services working on the impact of the Affordable Care Act s new models of insurance coverage and care delivery in rural New Jersey Fund Publications by Susan L Hayes 2016 Medical Homes May Help Improve Care for People with Mental Health Issues April 5 2016 Modeling the What Ifs in State Health System Performance February 2 2016 Equity in Health Care Across the States 6 Things to Know February 2 2016 2015 Aiming Higher Results from a Scorecard on State Health System Performance 2015 Edition December 9 2015 The Changing Landscape of Health Care Coverage and Access Comparing States Progress in the ACA s First Year December 9 2015 linkAges Building Support Systems for Seniors Living Independently in the Community September 15 2015 Measuring Medicare Quality and Spending A New Comparative Tool July 14 2015 Findings from a Survey of Health Care Delivery Innovation Centers April 28 2015 Closing the Gap Past Performance of Health Insurance in Reducing Racial and Ethnic Disparities in Access to Care Could Be an Indication of Future Results

    Original URL path: http://authoring.commonwealthfund.org/about-us/staff-contact-information/program-staff/research-support/hayes-susan (2016-04-30)
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  • Clare Churchouse - The Commonwealth Fund
    The Commonwealth Fund In this role she is responsible for providing daily support for the Health Care Delivery System Reform Program She also supports the Mongan Commonwealth Fund Fellowship program in Minority Health Policy at Harvard University and the Margaret E Mahoney Fellowship program through the New York Academy of Medicine Ms Churchouse was recently promoted having worked as executive assistant and research associate for the executive vice president for programs at The Commonwealth Fund Ms Churchouse moved to New York City from the United Kingdom in 2000 to participate in the International Studio Curatorial Program Prior to joining the Fund in 2004 she was office manager for ATTA Inc a custom fabrication workshop studio in Manhattan She holds a B A Hons in Visual Arts from Lancaster University an M F A in Art from Reading University and is currently working on additional graduate studies at The New School She is a practicing artist Fund Publications by Clare Churchouse 2016 Medical Homes May Help Improve Care for People with Mental Health Issues April 5 2016 e Alerts and Newsletter Sign up Mission Statement Board of Directors Staff Contact Information Annual Reports Financial Reports Governance and Policies Privacy and Editorial

    Original URL path: http://authoring.commonwealthfund.org/about-us/staff-contact-information/executive-staff/blank-folder/churchouse-clare (2016-04-30)
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  • Access, Affordability, and Insurance Complexity Are Often Worse in the United States Compared to 10 Other Countries - The Commonwealth Fund
    and cost sharing along with no limits on out of pocket costs may explain why even insured people in the U S struggled to afford needed health care the researchers said Nearly one quarter 23 of U S adults either had serious problems paying medical bills or were unable to pay them compared with fewer than 13 percent of adults in the next highest country France and 6 percent or fewer in the U K Sweden and Norway About one of three 32 U S adults spent a lot of time dealing with insurance paperwork and disputes or were either denied payment for a claim or paid less than expected Only 25 percent of adults in Switzerland 19 percent in the Netherlands and 17 percent in Germany all countries with competitive health insurance markets reported these problems U S insurers spent 606 per person on administrative costs more than twice the amount in the next highest country Such high costs result from a complex fragmented insurance system the researchers write The vast majority 75 of U S adults said their health system needs to undergo fundamental changes or be rebuilt completely The U S spends 8 508 per person on health care That is nearly 3 000 more per person than Norway the second highest spender Addressing the Problem The United States is beginning to implement health insurance expansions and market reforms While the survey highlights the vulnerability of the uninsured and the importance of expanding coverage it also indicates that having coverage alone is not sufficient Effective insurance design the researchers say balances cost sharing responsibilities with people s ability to pay and ensures coverage of effective care Other countries efforts to enhance access to primary care including providing after hours care and simplifying administrative complexity also provide insights

    Original URL path: http://authoring.commonwealthfund.org/publications/in-the-literature/2013/nov/access-affordability-and-insurance (2016-04-30)
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  • A Difference-in-Difference Analysis of Changes in Quality, Utilization, and Cost Following the Colorado Multi-Payer Patient-Centered Medical Home Pilot - The Commonwealth Fund
    health outcomes for patients particularly those with multiple or complex care needs The PCMH also aims to lower costs largely by diminishing the need for expensive hospital stays and emergency department visits To date research on the effects of the care model has yielded mixed results Few studies however have evaluated outcomes beyond two years even though evidence suggests that transforming practices into fully functioning PCMHs can take years Researchers supported by The Commonwealth Fund evaluated a pilot program involving 15 PCMH practices in Colorado serving approximately 98 000 patients both prior to the program s launch and then again at two and three years Key Findings After two years the participating PCMH practices reduced their patients use of the emergency department ED by 1 4 visits per thousand member months or by approximately 7 9 percent At the end of three years they had sustained this improvement with 1 6 fewer ED visits per thousand member months or a 9 3 percent drop from baseline Among patients with two or more illnesses there was a 10 3 percent drop from baseline in the rate of hospital admissions for conditions that could be have been avoided had timely treatment been provided in an ambulatory care setting After three years the program reduced emergency department costs by 3 50 per member per month a drop of 11 8 percent For patients with two or more conditions the reduction was 6 61 per member per month or 14 5 percent The PCMH pilot practices saw a decline in primary care visits At three years there was a reduction of 4 2 primary care visits per thousand member months Cervical cancer screenings improved by 4 7 percent after two years and 3 3 percent after three years However the pilot also was associated with lower rates of hemoglobin A1c testing in diabetes patients and lower rates of colon cancer screening The Big Picture The reduction in emergency department costs produced nearly 5 million per year in savings the authors say But because of spending increases for other services this did not translate into overall cost savings Speculating on the reduced number of primary care visits the authors posit that phone or email consultations and group visits all components of the PCMH model might have substituted for additional office visits Alternatively improvement in the effectiveness of office visits might have reduced the need for return visits This decline in visits may have resulted in fewer opportunities to counsel patients and order preventive health screenings If the PCMH model persists in reducing visits practices may need to develop other methods for prompting such screenings About the Study The research team examined changes in patient care following the launch with support from five commercial insurers of a PCMH pilot in Colorado in April 2009 The pilot included 15 medium sized practices with 51 physicians 35 nurse practitioners and physician assistants and 205 staff serving approximately 98 000 patients The team looked at Healthcare Effectiveness Data and

    Original URL path: http://authoring.commonwealthfund.org/publications/in-the-literature/2015/oct/changes-in-quality-utilization-colorado-pcmh (2016-04-30)
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  • Fund Reports - The Commonwealth Fund
    Multimedia Grants Fellowships Grants Fellowships Programs Applicant Resources Grantee Resources Publications Fund Reports Fund Reports 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/fund-reports (2016-04-30)
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  • Shift from Pay-for-Reporting to Pay-for-Performance - The Commonwealth Fund
    My Library Print Shift from Pay for Reporting to Pay for Performance e Alerts and Newsletter Sign up Chart Details Source Implementing New York s DSRIP Program Implications for Medicaid Payment and Delivery System Reform View publication Related Charts Key Value Based Payment Dates in DSRIP Timeline Download PowerPoint View Larger Performing Provider System Attribution Methodology Download PowerPoint View Larger Distribution of New York s 1115 Waiver Funds Download PowerPoint

    Original URL path: http://authoring.commonwealthfund.org/interactives-and-data/chart-cart/report/ny-dsrip-program/shift-from-payforreporting-to-payforperformance (2016-04-30)
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  • Shift from Pay for Reporting to Pay for Performance

    Original URL path: http://authoring.commonwealthfund.org/interactives-and-data/chart-cart/report/ny-dsrip-program/shift-from-payforreporting-to-payforperformance?view=modal (2016-04-30)
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  • Key Value-Based Payment Dates in DSRIP Timeline - The Commonwealth Fund
    Library Print Key Value Based Payment Dates in DSRIP Timeline e Alerts and Newsletter Sign up Chart Details Source Implementing New York s DSRIP Program Implications for Medicaid Payment and Delivery System Reform View publication Related Charts Shift from Pay for Reporting to Pay for Performance Download PowerPoint View Larger Performing Provider System Attribution Methodology Download PowerPoint View Larger Distribution of New York s 1115 Waiver Funds Download PowerPoint View

    Original URL path: http://authoring.commonwealthfund.org/interactives-and-data/chart-cart/report/ny-dsrip-program/key-valuebased-payment-dates-in-dsrip-timeline (2016-04-30)
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