The Commonwealth Fund

Digital Innovations at Community Health Centers: AI Clinical Decision Support for CHC Providers and Patients — the Promise and Peril

AI Clinical Decision Support for CHC Providers and Patients — the Promise and Peril. Dr. Andy Beck, cofounder and CEO of ...
The Commonwealth Fund

Improving Access to Medicare Home Health Care: Key Policy Considerations

Misaligned payment and quality incentives, Medicare Advantage practices, and workforce constraints can limit Medicare ...
The Commonwealth FundOpinion

Improving Medicare’s Home Health Benefit: Beneficiary Experiences and Priorities

While most Medicare home health experiences are positive, gaps remain in beneficiary knowledge, care coordination, and access ...
The Commonwealth Fund

What H.R. 1’s Changes to Medicaid Payment Error Rules Mean for States

Medicaid payment error rates under H.R. 1 could rise due to work requirements and other changes that make eligibility ...
The Commonwealth FundOpinion

What Texas Can Teach Us About the Crisis in Primary Care

Across the United States, primary care is widely recognized as essential to improving health outcomes, controlling costs, and ...
Commonwealth Fund

The Case for Integrated Primary Care Across 10 Countries

Findings from the 2025 Commonwealth Fund International Health Policy Survey Primary care touches almost every aspect of our health. Beyond delivering essential preventive services — such as annual ...
Commonwealth Fund

The Trump Administration’s New ACA Marketplace Rule Gives Insurance Companies Flexibility and Consumers Red Tape

The millions of Americans who rely on the Affordable Care Act marketplaces for coverage saw their premiums double at the beginning of this year, after Congress cut funding for marketplace premium tax ...
Commonwealth Fund

Sara R. Collins

Sara R. Collins, Ph.D., is senior scholar for the Expanding Coverage and Access and Tracking Health System Performance programs at the Commonwealth Fund. An economist, Dr. Collins directs the Fund’s ...
Commonwealth Fund

The Health Reform Calculator: Estimating Changes in Coverage and Costs

A new report from the Urban Institute and the Commonwealth Fund, Comparing Health Insurance Reform Options: From "Building on the ACA" to Single Payer, estimates the impact of eight health care reform ...
Commonwealth Fund

Medicaid Pay-for-Performance: Ongoing Challenges, New Opportunities

Please take a moment to answer this six-question survey to help us improve the States in Action newsletter. We appreciate and welcome your feedback. Summary: With pay-for-performance (P4P) programs ...