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  • Envisioning a Digital Health Advisor - The Commonwealth Fund
    and there is no reason to expect they cannot do so in health care To be sure machine learning capabilities will be challenged by the inherent complexity and uncertainties of medicine and human physiology as well as incomplete digital health data and the volume of such data But computers are already beginning to take on complex tasks like driving an automobile in traffic With the right data it seems likely that computers can effectively assist many decisions that currently require professional input Sustainable Business Models A digital health advisor will be expensive to build and maintain Moreover the revenue stream to support DHA services is unclear under the still dominant incentives of fee for service payment Providers working under fee for service contracts have little incentive to invest in DHA services if they reduce the number of face to face visits or tests for which they can bill And the patients likely to benefit most from DHA services including those with serious health conditions and the frail elderly may be least able to pay for them Without a clearer set of business cases investors are unlikely to provide the capital needed to build the DHA As value based payment spreads more providers are being held accountable for both their total spending and their quality of care even taking on financial risk for spending targets However the business case for DHA services may get stronger As value based payment spreads more providers are being held accountable for both their total spending and their quality of care even taking on financial risk for spending targets If the DHA can assist insurers and providers in delivering effective and less costly care remotely and generate savings as they manage the health of populations with serious illnesses or frailty they may be willing to buy DHA services for their patients Even then the insurers providers or consumers who would pay for a DHA and the regulators who protect the public will first want evidence that digital services can substitute safely for other more costly services Challenges for Policymakers Fostering effective DHA services also will require new standards governing privacy security and interoperability of health data With increasing standardization making it easier than ever for institutions to exchange electronic health data with one another other data issues have come to the fore For example although highly specific personal digital data from many sources will be the lifeblood of a DHA the exchange of such information already is posing privacy and security challenges Currently use of health records requires consent from an individual But the authors of health care consent protocols written decades ago did not foresee the volume breadth or complexity of digital data Nor did they envision the possibility of automated requests from computer programs acting on a patient s behalf or other issues related to authenticating identity or data ownership rights and responsibilities Under the right conditions private investors and entrepreneurs will step up to create DHA services The public also will require assurances

    Original URL path: http://authoring.commonwealthfund.org/publications/blog/2016/may/envisioning-a-digital-health-advisor (2016-04-30)
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  • Obama Administration Moves Forward with New Continuity of Care Protections—How Will They Affect Existing State Laws? - The Commonwealth Fund
    provider was terminated The administration finalized its proposed continuity of care protections largely without changes although they did modify some provisions in order to better align with existing state standards and the model law adopted in 2015 by the National Association of Insurance Commissioners NAIC For example the final rule extends the right to continuity of care for pregnant women through the postpartum period which is consistent with the NAIC s model law as well as 29 current state laws 1 How Will New Federal Rules Impact Existing State Protections The administration s final rule clarifies that the new continuity of care standards are not intended to preempt existing state laws and that federal officials will defer to the states enforcement of such laws so long as they have substantially similar or more stringent standards We ve identified 39 states and the District of Columbia that appear to have similar standards to those outlined in the federal rules although the duration of the protection varies considerably from state to state 2 Sixteen states arguably have more stringent protections because they extend continuity of care rights to enrollees that have switched to a new health plan 3 Eleven states do not have continuity of care protections as the federal rule defines them But of these only consumers in Alabama Mississippi Nebraska North Dakota Ohio Utah and Wyoming will gain from the new protections since the regulations apply only to plans sold through the federally facilitated marketplaces Some of these states may consider adopting the new NAIC model act in part because federal officials have indicated that states that do so will not be preempted by the new federal standards Looking Forward The stakes are high for patients in the midst of treatment many of whom have established trusted relationships with their providers relationships that can be critical to their quality of care and ultimate health outcomes The new federal continuity of care standards will help patients maintain those relationships through their course of treatment At the same time in the wake of evidence that significant numbers of marketplace enrollees are changing plans each year in order to maximize their premium tax credits state and federal officials may want to consider following the example of the 16 states that extend continuity of care protections to new enrollees In either case as these protections are implemented federal and state regulators will need to closely monitor insurer compliance with the new standards as well as consumers experiences with continuity of care particularly if marketplace insurers continue to narrow their provider networks by terminating certain providers mid year In addition there are a few states that run their own marketplaces Connecticut Hawaii and Idaho for example that do not have any continuity of care standards in place While the federal rule does not apply in these states it could in addition to the language offered in the NAIC model law provide an important impetus to take action to set minimum continuity of care standards Notes

    Original URL path: http://authoring.commonwealthfund.org/publications/blog/2016/apr/continuity-of-care-protections (2016-04-30)
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  • Sabrina Corlette - The Commonwealth Fund
    Creates Natural Experiment in States March 22 2016 2015 Federal and State Policymakers Work to Ensure Continuity of Health Care for Consumers December 18 2015 Why Are Many CO OPs Failing How New Nonprofit Health Plans Have Responded to Market Competition December 10 2015 State Efforts to Reduce Consumers Cost Sharing for Prescription Drugs November 16 2015 State Decisions on Allowing Mid Sized Employers to Delay a Move to the Small Group Insurance Market June 9 2015 State Based Marketplaces Look for Financing Stability in Shifting Landscape May 14 2015 Implementing the Affordable Care Act State Regulation of Marketplace Plan Provider Networks May 5 2015 The Affordable Care Act CO OP Program Facing Both Barriers and Opportunities for More Competitive Health Insurance Markets March 12 2015 Some Health Insurers Canceling Noncompliant Policies But Consumers Are More Informed of Coverage Options February 2 2015 Insurance Premium Surcharges for Smokers May Jeopardize Access to Coverage January 13 2015 2014 Implementing the Affordable Care Act State Approaches to Premium Rate Reforms in the Individual Health Insurance Market December 29 2014 Marketplace Coverage Renewals Variation in State Approaches May Affect Consumers Finances December 15 2014 The Extended Fix for Canceled Health Insurance Policies Latest State Action November 21 2014 Implementing the Affordable Care Act Revisiting the ACA s Essential Health Benefits Requirements October 31 2014 The Next Frontier Insurance Marketplaces That Promote Quality Improvement August 21 2014 Implementing the Affordable Care Act State Action on Quality Improvement in State Based Marketplaces July 29 2014 Implementing the Affordable Care Act State Action to Reform the Individual Health Insurance Market July 7 2014 State Restrictions on Health Reform Assisters May Violate Federal Law June 25 2014 Federal Court Ruling Casts Doubt on State Power to Restrict Health Reform Navigators February 18 2014 Update State Decisions on

    Original URL path: http://authoring.commonwealthfund.org/about-us/experts/corlette-sabrina (2016-04-30)
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  • Privacy and Editorial Policies - The Commonwealth Fund
    your personal information and either to correct this data if it is inaccurate or to delete such data at your request if it is not otherwise required to be retained by law or for legitimate business purposes We ask individual users to identify themselves and the information requested to be accessed corrected or removed before processing such requests and we may decline to process requests that are unreasonably repetitive or systematic require disproportionate technical effort jeopardize the privacy of others or would be extremely impractical for instance requests concerning information residing on backup tapes or for which access is not otherwise required In any case where we provide information access and correction we perform this service free of charge except if doing so would require a disproportionate effort E Alert content and unsubscribing The Fund sends e alerts and e newsletters about health policy news research and analysis You can unsubscribe from our e mail lists at any time by updating your My Commonwealth Fund profile or going to your profile or e mailing webeditor cmwf org The Fund will never send e mail soliciting money Please report receipt of any such e mail that uses the Fund name or logo to webeditor cmwf org International Users By visiting our Web site and providing us with data including Personal Information you acknowledge and agree that we may use the data collected in the course of our relationship for the purposes identified in this Privacy Policy or in our other communications with you including the transmission of information outside your resident jurisdiction In addition please understand that such data may be stored on servers located in the United States By providing us with your data you consent to the transfer of such data Enforcement Please feel free to direct any questions or concerns regarding this Privacy Policy or the Fund s treatment of personal information by contacting us through this Web site or by writing to us at webeditor cmwf org or postmaster commonwealthfund org When we receive formal written complaints at this address it is the Fund s policy to contact the complaining user regarding his or her concerns We will cooperate with the appropriate regulatory authorities including local data protection authorities to resolve any complaints regarding the transfer of personal data that cannot be resolved between the Fund and an individual Changes to this Privacy Policy Please note that this Privacy Policy may change from time to time without notice We will post any Privacy Policy changes on this page If you have any additional questions or concerns about this Privacy Policy please feel free to contact us any time at webeditor cmwf org Editorial Policies and Processes The Commonwealth Fund is a private foundation that supports independent research on health care issues and makes grants to improve health care practice and policy It also has a lengthy history as a professional publisher developing and publishing books reports and other material dating back to 1924 The Fund produces more

    Original URL path: http://authoring.commonwealthfund.org/about-us/privacy-policy (2016-04-30)
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    Original URL path: http://authoring.commonwealthfund.org/account/log-in?view=modal&returnUrl=/about-us (2016-04-30)
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  • Mission Statement - The Commonwealth Fund
    Resources Mission Statement The Commonwealth Fund among the first private foundations started by a woman philanthropist Anna M Harkness was established in 1918 with the broad charge to enhance the common good 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 young children and elderly adults The Fund carries out this mandate by supporting independent research on health care issues and making grants to improve health care practice and policy An international program in health policy is designed to stimulate innovative policies and practices in the United States and other industrialized countries Annual Reports Foundation History The Commonwealth Fund has its origins in the philanthropic efforts 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

    Original URL path: http://authoring.commonwealthfund.org/about-us/mission-statement (2016-04-30)
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  • Annual Reports - The Commonwealth Fund
    Multimedia Grants Fellowships Grants Fellowships Programs Applicant Resources Grantee Resources About Us Annual Reports Annual 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

    Original URL path: http://authoring.commonwealthfund.org/about-us/annual-reports (2016-04-30)
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  • Board of Directors - The Commonwealth Fund
    the Graduate School of Medical Sciences of Cornell University Sheila P Burke R N M P A FAAN Ms Burke is a faculty member and former executive dean at the Harvard Kennedy School of Government Michael V Drake M D Dr Drake a physician scientist administrative leader and teacher is the 15th president of Ohio State University He is a former chancellor of the University of California Irvine Margaret A Hamburg M D Dr Hamburg former commissioner of the U S Food and Drug Administration currently serves as foreign secretary for the National Academy of Medicine formerly the Institute of Medicine and sits on several other boards and advisory committees Kathryn D Haslanger Ms Haslanger who has spent more than 30 years in health care policy research and delivery is chief executive officer of JASA Jewish Association Serving the Aging a New York based nonprofit Jane E Henney M D Dr Henney has held a series of senior health policy leadership positions in the public sector over the past two decades and is former commissioner of the U S Food and Drug Administration Robert C Pozen Mr Pozen former chairman of MFS Investment Management is a senior lecturer at Harvard Business School and a senior research fellow at the Brookings Institution Mark D Smith M D Dr Smith is a member of the clinical faculty of the University of California San Francisco and an attending physician at the Positive Health Program for HIV AIDS care at San Francisco General Hospital He was the founding president and chief executive officer of the California HealthCare Foundation Simon Stevens Mr Stevens is the CEO of National Health Service England He previously served as executive vice president of UnitedHealth Group William Y Yun Mr Yun is president of Franklin Templeton Investments and president of

    Original URL path: http://authoring.commonwealthfund.org/about-us/board-of-directors (2016-04-30)
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