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The

Commonwealth

Fund Connection

A roundup of recent Fund publications, charts, multimedia, and other timely content.


March 25, 2020

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Coronavirus


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Poll Reveals What Americans Think About the COVID-19 Crisis

NBC News and the Commonwealth Fund recently asked U.S. adults about their views on the coronavirus pandemic. Among the findings: personal doctors or other health care providers are the most trusted source of information; most Democrats and Republicans want to get screened if a test becomes available or if they think they’ve been exposed to the virus; and most Americans would factor cost into their decision to seek treatment if they were to become infected.

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TOP TWEET


Our survey finds Democrats and Republicans are the most aligned in their trust of federal public health agencies, their state and local leaders, and their doctors. But there is a deep partisan divide in trust in President Trump and Vice President Pence.


@Commonwealthfnd
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Our Health Care Delivery System Isn’t Ready for a Pandemic

In their latest piece for Harvard Business Review, the Commonwealth Fund’s David Blumenthal, M.D., and Shanoor Seervai write that the coronavirus is shedding a merciless light on the failings of the U.S. health care delivery system. Many Americans don’t have a primary care provider they trust and would rely on emergency rooms and hospital outpatient departments. Moreover, the United States lacks reserves of hospital beds, ventilators, and other medical supplies in the event of a major outbreak.

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Jost: Coronavirus Law Will Improve Private Health Coverage, But Gaps Remain

In a To the Point post, health law expert Timothy Jost notes that while the recently passed Families First Coronavirus Response Act requires group and individual health insurance plans to cover approved diagnostic tests and a range of treatments related to COVID-19, the new law does not require group plans to cover treatment for complications related to the illness.

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State Officials Are Helping Consumers with Private Insurance During the Coronavirus Crisis

Some states have stepped up in the fight to slow down the coronavirus outbreak, say Georgetown University’s Sabrina Corlette and colleagues. New York banned private insurance companies from imposing cost-sharing on enrollees when they seek testing. Other states have issued emergency directives. But absent federal action, states cannot impose standards on self-funded employer plans, which cover most people with job-based insurance.

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Coronavirus and Health System Capacity — Protecting Frontline Health Workers

The Commonwealth Fund recently hosted an educational briefing and Q&A to highlight measures being implemented around the country to protect health care workers on the front lines of the coronavirus epidemic. The teleconference was moderated by the Fund’s Rachel Nuzum, with speakers Ashish Jha, M.D., of the Harvard Global Health Institute, and Steve Parodi, M.D., executive vice president of the Permanente Medical Group.

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Briefing: State and Federal Options to Slow the Spread of Coronavirus

The Commonwealth Fund recently held a briefing where experts discussed the policy tools that federal and state governments have at their disposal to address the coronavirus pandemic, as well as the actions those governments have taken thus far. Check out the briefing’s resources as well as an audio recording of the conversation.

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Coverage and Access


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High Stakes: America’s Journey to the Affordable Care Act

In a dark moment, a new Commonwealth Fund documentary reminds us of a hopeful time in American health care: the passage of the the Affordable Care Act (ACA), which turned 10 years old on Monday. In the short film High Stakes: America’s Journey to the Affordable Care Act, Nancy-Ann DeParle, Chip Kahn, and Julie Rovner discuss the history of health reform in the United States, the realities of insurance coverage before the ACA, and what’s changed since.

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“A Monumental Effort”: How Obamacare Was Passed 10 Years Ago

It took a monumental effort to pass the ACA a decade ago. But because of it, no American can be denied health insurance for having a preexisting medical condition and 20 million people who previously lacked coverage now have it. On the latest episode of The Dose podcast, the Commonwealth Fund’s Elizabeth Fowler — one of the key architects of Obamacare — talked about the behind-the-scenes effort it took to get the law passed.

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What’s Happening in the SHOP Marketplaces for Small Businesses?

Some states have had more success enrolling employers in the ACA’s Small Business Health Options Program (SHOP) than others. Rachel Schwab and colleagues at Georgetown University highlight the states that have seen enrollment growth and the actions other states are taking to boost participation — even as the Trump administration encourages small businesses to offer association plans and other unregulated coverage.

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Controlling Costs


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Massachusetts Is All-In on Containing Health Care Costs

In 2012, Massachusetts created the Health Policy Commission, an independent government agency that leads state efforts to rein in health care costs. A case study by Lisa Waugh and Douglas McCarthy shows how the commission sets statewide spending growth targets and monitors payer and provider performance, investigates the factors driving costs, and issues data-driven reform recommendations.

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Prescription Drugs


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Comparative Effectiveness Research: A Powerful Tool for Lowering Drug Prices

The United States spends more on prescription drugs than other wealthy nations do, especially on medications that have been shown to provide only limited clinical benefit to patients. The Commonwealth Fund’s Jesse Baumgartner and Lovisa Gustafsson explain on To the Point how other nations use comparative effectiveness research to assess the relative clinical value of different drugs. They also explain why this powerful tool has yet to be embraced in the U.S.

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Affordable, quality health care. For everyone.

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