Category Archive: The Commonwealth Fund

Dealing with Serious Illness Is Hard. A New Partnership Explores Why the Health System Makes It Even Harder.

I was a practicing primary care physician for more than 35 years. In that time, I learned that to be sick is always hard, frightening, and overwhelming. But being sick in America can be doubly so.
       

New Survey of the Sickest Finds U.S. Health Care Exacerbating Struggles of Americans with Serious Illnesses; With Many Facing Financial Ruin

Americans who become seriously ill don’t just struggle with their disease. Often, they feel confused and helpless (62%), face the risk of financial ruin (53%), and experience serious problems with their care (61%). Those are among the key findings of a…

A New “Public Charge” Rule Affecting Immigrants Has Major Implications for Medicaid

Last week the Trump administration published its long-anticipated proposed “public charge” rule, which carries enormous implications for Medicaid and immigrants enrolled in the program. A public charge is an individual considered dependent on the gover…

Improving Health and Health Care in Rural America

In a To the Point post celebrating the Commonwealth Fund’s centennial, Mary Wakefield, professor at Georgetown University School of Nursing & Health Studies, reflects on the Fund’s historic efforts to support health care provision in rural areas, a…

Fragmented Care Is a Risk Factor for Chronically Ill Patients

Chronically ill patients who receive highly fragmented care — from multiple providers, with few visits per provider — are more likely to visit emergency departments or be admitted to hospitals than chronically ill patients with less fragmented care, ac…

Trump Set to Force Drugmakers to Post Prices in Ads

The Trump administration will require drug companies to post their list prices in consumer ads under a proposal to be announced next week — a prominent part of its drug price agenda, according to four individuals with knowledge of the plan.  But expert…

Insurance Giant, Seizing on Trump Initiative, Will Require Medicare Beneficiaries to Try Controversial ‘Step Therapy’

One of the nation’s largest health insurers will use “step therapy” in some of its private Medicare plans next year, requiring patients to try cheaper drugs before pricey biologics and other costly medicines. The decision by UnitedHealthcare is among t…

Alternative Payment Models Extend to More Medicaid Providers

In a new post on To the Point, Lindsey Browning and Katherine Minnes of the National Association of Medicaid Directors describe how states are extending the use of alternative payment models to behavioral health, safety-net, and long-term-care provider…

Examining Provider Networks and Access in Medicaid Managed Care

George Washington University’s Sara Rosenbaum and colleagues look at how federal regulations for Medicaid managed care plans are affecting state standards for travel times to physician offices, provider-patient ratios, cultural competency, and more.
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CVS Health and Aetna $69 Billion Merger Is Approved with Conditions

The Justice Department’s approval of the $69 billion merger between CVS Health and Aetna on Wednesday caps a wave of consolidation among giant health care players that could leave American consumers with less control over their medical care and prescri…

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