Commonwealth Fund News and Research

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New online diagnosis tool offers prescriptions in a hurry

News outlets report on the expanding online relationship between doctors and patients.

20 May 2010

Research roundup: Whistleblowers, spreading best practices, Medicare's growth-limiting strategy

The Impact Of Removing Financial Incentives From Clinical Quality Indicators: Longitudinal Analysis Of Four Kaiser Permanente Indicators - The researchers found the removal of pay-for-performance incentives "was associated with a decrease in performance of about 3% per year on average for screening for diabetic retinopathy and about 1.6% per year for cervical cancer screening" (Lester et al., 5/11). More details about the study and related news coverage are in the May 12 Morning Report.

15 May 2010

Pay-for-performance programs could end up widening medical disparities: RAND study

Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and those belonging to racial and ethnic minorities, according to a new RAND Corporation study.

4 May 2010

Primary health care providers play key role in helping patients navigate Canadian health care system

For Canadians with chronic conditions, having a regular doctor doesn't necessarily mean they're receiving the safest or most supportive medical care. That doctor must also provide the basic elements of good primary care, two of which are: knowing their patient's history and helping to coordinate other aspects of their care, according to a Health Council of Canada bulletin released today.

29 Apr 2010

Costs, effects on business questioned as health overhaul analysis continues

The Associated Press: The biggest unanswered question in the health overhaul debate remains what the new law will mean for ordinary Americans. "Many experts believe the law falls short on taming costs, and that will force Congress to revisit health care in a few years.

27 Apr 2010

Research roundup: Revamping NCI Clinical Trials, reducing malpractice suits, health disparities persist

A National Cancer Clinical Trials System For The 21st Century: Reinvigorating The NCI Cooperative Group Program - The "system for conducting cancer clinical trials in the United States is approaching a state of crisis," according to this report on inefficiencies and funding issues faced by the NCI's Clinical Trials Cooperative Group Program - which comprises 10 groups, more than 3,100 institutions, 14,000 investigators and more than 25,000 patients in clinical trials each year.

17 Apr 2010

Research roundup: The effects of health IT, doctor-owned treatment centers, long-term care issues

Physician-Ownership Of Ambulatory Surgery Centers Linked To Higher Volume Of Surgeries - The authors analyzed data from Florida, using the Healthcare Cost and Utilization Project's State Ambulatory Surgery Databases, revealing "a significant association between physician-ownership of surgicenters and greater use" of certain outpatient procedures.

9 Apr 2010

Research Roundup: Soda taxes, health reform timeline, children's health disparities, best hospital practices

Health Affairs: Soda Taxes, Soft Drink Consumption, And Children's Body Mass Index - "Using data on state sales taxes for soda and individual-level data on children," the authors report existing taxes on soda fail to "substantially affect overall levels of soda consumption or obesity rates." However, the authors also found "statistically significant and substantively larger effects of differential soda sales taxes among children who are heavier, have lower family income, are African American, or watch a great deal of TV.

3 Apr 2010

Research roundup: Evaluating health bills, attitudes about uninsured, improving emergency rooms

The Cost Of Uncompensated Care With And Without Health Reform - This report analyzes various health bills. "The cost of uncompensated care will fall from $62.1 billion in 2009 to $46.6 billion in 2019 under the Senate bill, and to $36.5 billion in 2019 with the House bill. Without reform, the cost of uncompensated care will increase to between $107 and $141 billion in 2019, depending on growth in the economy and health care costs.

15 Mar 2010

PAF launches resource directory to assist underinsured consumers

Patient Advocate Foundation (PAF) – a national non-profit organization that seeks to safeguard patients through effective mediation assuring access to care, maintenance of employment and preservation of their financial stability relative to their diagnosis of life threatening or debilitating diseases – with the Patient Action Council Delegates, unveiled The National Underinsured Resource Directory, which is intended to help underinsured individuals and families locate important resources and seek alternative coverage options or methods to cover their healthcare needs.

9 Mar 2010

National healthcare leaders to address critical national healthcare reform issues at Hyatt Regency, San Francisco

National healthcare leaders will address critical national healthcare reform issues at the Hyatt Regency, San Francisco, March 8 -10, during the Fifth National Pay for Performance Summit.

5 Mar 2010

While Congress debates, health costs continue steep rise

The New York Times' "Week in Review" section features a story that begins: "Suppose Congress and President Obama fail to overhaul the system now, or just tinker around the edges, or start over, as the Republicans propose. ... Then 'my health care' stays the same, right? Far from it, health policy analysts and economists of nearly every ideological persuasion agree. The unrelenting rise in medical costs is likely to wreak havoc within the system and beyond it. ... Even those families that enjoy generous insurance now are likely to see the cost of those benefits escalate.

1 Mar 2010

Study shows hospitals costs vary widely and are not associated with quality of care

The costs that hospitals incur in treating patients vary widely and do not appear to be strongly associated either with the quality of care patients receive or their risk of dying within 30 days, according to a report in the February 22 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

23 Feb 2010

Minority patients more likely to have surgeries at centres handling low numbers of similar procedures

Minority patients in New York City appear less likely than white patients to have surgeries performed by surgeons or at facilities that have handled large numbers of similar procedures in the past, according to a report in the February issue of Archives of Surgery, one of the JAMA/Archives journals.

16 Feb 2010

National P4P Summit: National health care leaders to address today’s critical health care issues

The National P4P Summit is a must attend event with national health care leaders addressing today’s critical health care issues

15 Feb 2010

PriceDoc.com's online healthcare service acquisition and negotiation system awarded U.S. patent

PriceDoc.com, a free, transparent healthcare pricing service and Web site, announced today that the U.S. Patent and Trademark Office issued PriceDoc patent #7,657,479 for its online system of healthcare service acquisition and negotiation, making PriceDoc.com the only online site where patients can "make an offer" for healthcare services with verified providers.

9 Feb 2010

Researchers urge for a national health trust for personal and public health

The United States has an inefficient and expensive health care system, but it could be improved with a new integrated health care system detailed in a new study in the American Journal of Public Health (February 2010 Vol. 100 No. 2).

28 Jan 2010

Pediatricians need to refer children with suspected delays for further testing or treatment and follow up

Many pediatricians score high on screening their patients for developmental delays, but barely make a passing grade in referring children with suspected delays for further testing or treatment, according to a study from Johns Hopkins Children's Center and other institutions to appear in the February issue of Pediatrics.

27 Jan 2010

Health Policy Research: Covering young adults, Acos, wellness programs

Dependent Coverage Expansions: Estimating the Impact of Current State Policies - "With an estimated 29.3 percent of Americans age 19 to 29 lacking coverage, young adults are more likely to be uninsured than any other age group," the authors note.

22 Jan 2010

Patients have few barriers to affordable health care, efficient care in post-Katrina primary care clinics

A new Commonwealth Fund survey of safety-net clinic patients in New Orleans finds that, despite being disproportionately low-income and uninsured, these patients had fewer problems affording care and fewer instances of medical debt and inefficient care than most U.S. adults.

18 Jan 2010